Featured Research

from universities, journals, and other organizations

Independent public health evaluations could save lives

Date:
January 12, 2010
Source:
Johns Hopkins University Bloomberg School of Public Health
Summary:
New child survival programs must engage evaluation teams from the start to identify the major causes of child mortality in intervention areas and to ensure that appropriate resources are available to scale up coverage and treatment, according to a retrospective evaluation.

New child survival programs must engage evaluation teams from the start to identify the major causes of child mortality in intervention areas and to ensure that appropriate resources are available to scale up coverage and treatment, according to a retrospective evaluation led by researchers at the Johns Hopkins Bloomberg School of Public Health. The study -- the first in a series of articles to focus on evidence from large-scale evaluations -- will appear in the January 16 issue of the Lancet and is now available online.

The new recommendations will help governments and donor agencies invest new funding to avert childhood deaths and reach the United Nations Millennium Development Goals.

"The best medicine is worthless if it doesn't reach the patient," says lead author Jennifer Bryce, EdD, a senior scientist with the Bloomberg School's Department of International Health. "This analysis of real-world situations offers concrete guidelines for program implementation at scale that, if heeded, can save children's lives."

Researchers retrospectively evaluated the Accelerated Child Survival and Development Program (ACSD), which was implemented by UNICEF in 11 West African countries between 2001 and 2005. The evaluation was limited to focus areas in Benin, Ghana and Mali where ACSD worked to deliver a full set of interventions. The study used data from the Demographic and Health Surveys and Multiple Indicator Cluster Surveys to compare changes in coverage for 14 ACSD interventions, nutritional status (stunting and wasting), and mortality in children younger than 5 years in the ACSD focus districts with those in the remainder of every country (comparison areas).

"The study's insights and recommendations are applicable to a variety of national and multinational child survival interventions and can ultimately save lives if adopted by funding agencies and ministries of health," adds Cesar Victora, MD, PhD, visiting professor in the Department of International Health. The analysis showed that child survival was not accelerated in Benin and Mali focus districts because coverage for effective treatment interventions for malaria and pneumonia were not accelerated, causes of neonatal deaths and undernutrition were not addressed, and stock shortages of insecticide-treated nets restricted the potential effect of this intervention. The authors used these findings to develop four recommendations for future programs:

(1) active promotion of country policies supporting community case management for pneumonia and malaria, and the incorporation of zinc into the management of diarrhea

(2) incorporation of simulation models to estimate potential lives saved into program planning exercises nationally to ensure that decision makers have access to up-to-date information about local causes of child deaths and reliable evidence for intervention effectiveness

(3) definition and implementation of stronger compensation, motivation, and supervision approaches for community-based workers

(4) strengthening the nutrition component of country programs.

"As investment to reach Millennium Development Goals grows, implementation research becomes increasingly important. This study commissioned by UNICEF and CIDA shows how independent evaluations can maximize funding and ultimately save lives," says co-author Robert E. Black, MD, MPH, professor and chair of the Department of International Health at the Bloomberg School.

UNICEF, the Canadian International Development Agency, Coordenação de Aperfeiçoamento de Pessoal do Nível Superior (Brazil), and the Fulbright Fellowship provided funding for the evaluation.


Story Source:

The above story is based on materials provided by Johns Hopkins University Bloomberg School of Public Health. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jennifer Bryce, Kate Gilroy, Gareth Jones, Elizabeth Hazel, Robert E Black, Cesar G Victora. The Accelerated Child Survival and Development programme in west Africa: a retrospective evaluation. The Lancet, January 16, 2010

Cite This Page:

Johns Hopkins University Bloomberg School of Public Health. "Independent public health evaluations could save lives." ScienceDaily. ScienceDaily, 12 January 2010. <www.sciencedaily.com/releases/2010/01/100112144218.htm>.
Johns Hopkins University Bloomberg School of Public Health. (2010, January 12). Independent public health evaluations could save lives. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2010/01/100112144218.htm
Johns Hopkins University Bloomberg School of Public Health. "Independent public health evaluations could save lives." ScienceDaily. www.sciencedaily.com/releases/2010/01/100112144218.htm (accessed July 31, 2014).

Share This




More Health & Medicine News

Thursday, July 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) — Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Concern Grows Over Worsening Ebola Crisis

Concern Grows Over Worsening Ebola Crisis

AFP (July 30, 2014) — Pan-African airline ASKY has suspended all flights to and from the capitals of Liberia and Sierra Leone amid the worsening Ebola health crisis, which has so far caused 672 deaths in Guinea, Liberia and Sierra Leone. Duration: 00:43 Video provided by AFP
Powered by NewsLook.com
At Least 20 Chikungunya Cases in New Jersey

At Least 20 Chikungunya Cases in New Jersey

AP (July 30, 2014) — At least 20 New Jersey residents have tested positive for chikungunya, a mosquito-borne virus that has spread through the Caribbean. (July 30) Video provided by AP
Powered by NewsLook.com
Xtreme Eating: Your Daily Caloric Intake All On One Plate

Xtreme Eating: Your Daily Caloric Intake All On One Plate

Newsy (July 30, 2014) — The Center for Science in the Public Interest released its 2014 list of single meals with whopping calorie counts. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



    Save/Print:
    Share:  

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile iPhone Android Web
    Follow Facebook Twitter Google+
    Subscribe RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins