|
Case management of neonatal sepsis/pneumonia Oral antibiotics Injectable antibiotics Full supportive care for sepsis/pneumonia ORS Antibiotics - treatment for dysentery Zinc - treatment of diarrhea Oral antibiotics for pneumonia Oxygen and pulse oximetry for pneumonia Vitamin A - treatment of measles Antimalarials - Artemesinin compounds for malaria Therapeutic feeding for severe wasting Treatment for moderate acute malnutrition Cotrimoxazole ART (for children)
Case management of neonatal sepsis/pneumonia
•Definition: Percent of neonates with suspected sepsis/pneumonia treated with oral antibiotics.
•Default data source: Coverage data for this indicator are not typically available. Currently set at 0 for baseline; user should enter local data if possible and available.
•Notes:
•Effect size reference: Zaidi AK, Ganatra HA, Syed S, et al. Effect of case management on neonatal mortality due to sepsis and pneumonia. BMC Public Health 2011; 11(Suppl 3): S13. http://www.ncbi.nlm.nih.gov/pubmed/21501430.
•Definition: Percent of neonates with suspected sepsis/pneumonia treated with injectable antibiotics.
•Default data source: Coverage data for this indicator are not typically available. Coverage of antibiotics for maternal sepsis is used as a proxy because similar set of supplies were needed for the two interventions.
•Notes:
•Effect size reference: Zaidi AK, Ganatra HA, Syed S, et al. Effect of case management on neonatal mortality due to sepsis and pneumonia. BMC Public Health 2011; 11(Suppl 3): S13. http://www.ncbi.nlm.nih.gov/pubmed/21501430.
Full supportive care for sepsis/pneumonia
•Definition: Percent of neonates with suspected sepsis/pneumonia treated with hospital-based full supportive care, including oxygen, IV fluids, IV antibiotics, blood transfusion, phototherapy, etc. as needed.
•Default data source: Coverage data for this indicator are not typically available. Currently set at 0 for baseline; user should enter local data if possible and available.
•Notes:
•Effect size reference: Zaidi AK, Ganatra HA, Syed S, et al. Effect of case management on neonatal mortality due to sepsis and pneumonia. BMC Public Health 2011; 11(Suppl 3): S13. http://www.ncbi.nlm.nih.gov/pubmed/21501430.
ORS - oral rehydration solution
•Definition: Percent of children 0-59 months with suspected diarrhea treated with oral rehydration solution (ORS), including sachets or pre-mixed solutions. This indicator does not include homemade sugar-salt solution or recommended home fluids due to lack of adequate data.
•Default data source: Coverage data for this indicator are drawn from DHS, MICS, and other nationally representative household surveys.
•Notes: It is assumed that 88% of diarrhea mortality is susceptible to treatment with ORS. (Source: Rahman AE, Moinuddin M, Molla M, et al. Childhood diarrhoeal deaths in seven low- and middle-income countries. Bulletin WHO 2014. https://www.ncbi.nlm.nih.gov/pubmed/25378757.) To change this assumption, visit the Effectiveness menu to alter the affected fraction.
•Effect size reference: Munos M, Fischer Walker CL, Black RE. The effect of oral rehydration solution and recommended home fluids on diarrhea mortality. International Journal of Epidemiology 2010; 39(Suppl 1): i75-i87. http://www.ncbi.nlm.nih.gov/pubmed/20348131.
Antibiotics - treatment for dysentery
•Definition: Percent of children 0-59 months with bloody diarrhea who receive appropriate antibiotic treatment (including ciprofloxacin, ceftriaxone, and pivmecillinam).
•Default data source: Coverage data for this indicator are drawn from DHS, MICS, and other nationally representative household surveys.
•Notes: It is assumed that 12% of diarrhea mortality is due to dysentery, and hence susceptible to treatment with this intervention. (Source: Rahman AE, Moinuddin M, Molla M, et al. Childhood diarrhoeal deaths in seven low- and middle-income countries. Bulletin WHO 2014. https://www.ncbi.nlm.nih.gov/pubmed/25378757.) To change this assumption, visit the Effectiveness menu to alter the affected fraction.
•Effect size reference: Das JK Ali A, Salam RA, et al. Antibiotics for the treatment of Cholera, Shigella and Cryptosporidium in children. BMC Public Health 2013; 13(Suppl 3): S10. http://www.ncbi.nlm.nih.gov/pubmed/24564492.
•Definition: Percent of children 0-59 months with suspected diarrhea treated with 20mg of zinc daily.
•Default data source: Coverage data for this indicator are drawn from DHS, MICS, and other nationally representative household surveys.
•Notes:
•Effect size reference: Fischer Walker CL, Black RE. Zinc for the treatment of diarrhea: Effect on diarrhea morbidity, mortality and incidence of future episodes. International Journal of Epidemiology 2010; 39(Suppl 1): i63-i69. http://www.ncbi.nlm.nih.gov/pubmed/20348128.
Oral antibiotics for pneumonia
•Definition: Percent of children with suspected pneumonia (symptoms of acute respiratory infection) for whom advice or treatment was sought from a health facility or provider.
•Default data source: Coverage data for this indicator are drawn from DHS, MICS, and other nationally representative household surveys. Careseeking for pneumonia is used as a proxy for treatment with oral antibiotics.
•Notes:
•Effect size reference: Theodoratou E, Al-Jilaihawi S, Woodward F, et al. The effect of case management on childhood pneumonia mortality in developing countries. International Journal of Epidemiology 2010; 39(Suppl 1): i155-i171. http://www.ncbi.nlm.nih.gov/pubmed/20348118.
Oxygen and pulse oximetry for pneumonia •Definition: Percent of children 1-59 months with severe pneumonia with hypoxemia for whom oxygen therapy with pulse oximetry monitoring were provided
•Default data source: Coverage data for this indicator are not typically available. Currently set at 0 for baseline; user should enter local data if possible and available.
•Notes:
•Effect size reference: Publication to come
Vitamin A - treatment of measles
•Definition: Percent of children with measles treated with Vitamin A.
•Default data source: Coverage data for this indicator are not typically available. As a proxy, the percent of children 6-59 months receiving two doses of vitamin A in 12 months (preventive Vitamin A supplementation) is used.
•Notes:
•Effect size reference: Sudfeld CR, Navar AM, Halsey NA. Effectiveness of measles vaccination and vitamin A treatment. International Journal of Epidemiology 2010; 39(Suppl 1): i48-i55. http://www.ncbi.nlm.nih.gov/pubmed/20348126.
Antimalarials - Artemesinin compounds for malaria
•Definition: Percent of children treated within 48 hours of the onset of fever in malaria-endemic areas with an artmesinin-containing compound (artemisinin-based combination therapy, or ACT).
•Default data source: Coverage data for this indicator are drawn from DHS, MICS, and other nationally representative household surveys. This includes Malaria Indicator Surveys.
•Notes: Historic data often measures treatment with any antimalarial in 48 hours, rather than ACTs specifically. These data can be used to create a historical trend, but there is not a good way to translate "any antimalarial" into an estimate of ACT coverage due to differing levels of effectiveness.
•Effect size reference: Thwing J, Eisele TP, Steketee RW. Protective efficacy of malaria case management for preventing malaria mortality in children: A systematic review for the Lives Saved Tool. BMC Public Health 2011; 11(Suppl 3): S14. http://www.ncbi.nlm.nih.gov/pubmed/21501431.
Therapeutic feeding for severe wasting (severe acute malnutrition (SAM))
•Definition: Percent of severely wasted children (<-3 Z-score) receiving therapeutic feeding. Therapeutic feeding is outpatient treatment including supplementation with ready-to-use therapeutic foods (RUTF) and maternal education.
•Default data source: Coverage estimates calculated from: The UNICEF Global SAM Management Update Tool (NutriDash): 2012 – 2016. Available at www.acutemalnutrition.org. The UNICEF-WHO-The World Bank Group Joint Child Malnutrition Estimates: 2012 – 2016. Available at www.acutemalnutrition.org.
•Notes: Therapeutic feeding is only applied to the percent of children severely wasted. It shifts children from the severely wasted category to moderately (-3 to -2 Z-score) and mildly (-2 to -1 Z-score) wasted categories.
Treatment for moderate acute malnutrition (MAM)
|