Lives Saved Tool Li ST A few details

Lives Saved Tool (Li. ST): A few details What you need to know to actually make this program work and work well…

Grouped Interventions

Groupings • Antenatal Care – Components • Case management, syphilis, bacteriuria • Child Birth Care – Facility and Home based deliveries – Components • Corticosteroids, antibiotics, labor monitoring/ emergency obstetric care, resuscitation, clean delivery • Water – Components • Water within 30 minutes, water in the home

Antenatal care • ANC: % with 4+ ANC visits – Case management = ANC – Syphilis ~ ANC proportion

Child Birth Care

Water • Improved water – 60% • Piped water – 8% • Improved minus Piped – 52%

Nutrition

Interventions • Direct impact – – – – Therapeutic feeding Balanced energy supplementation Multiple micronutrient supplementation Complementary feeding (education±supplementation) Breast feeding prevalence/promotion Zinc supplementation Water and sanitation • Indirect impact – Water and sanitation – via diarrhea – IPTp – on IUGR – Zinc – via diarrhea • None – Vitamin A supplementation

Distribution of Height for Age

Distribution of Height for Age

Distribution of Height for Age Interventions

Nutritional Impacts • Risk Factor for mortality - All neonatal causes - Diarrhea, pneumonia, measles, malaria

Nutritional impacts • Risk factor for mortality – Breast feeding ~ diarrhea/pneumonia

Incorporating AIM

Background • AIM – Uses UNAIDS data from the start of the epidemic • Baseline – Prevalence, progression/survival, age distribution • To be edited – PMTCT, breast feeding – Adult ART – Child ART, cotrimoxazole

Options • National AIDS division – Working with UNAIDS • Provided estimates – Through 2007 only – Predict and adjust to most reasonable data

Add Li. ST to AIM

Getting started with AIM

DON’T BE BLIND!! Always check your data! Look for sensibility!

Using Fam. Plan

Family Planning (Fam. Plan) • Reduction in number of births (current) • Increased survival (future)

Impact of Family Planning (example) Child Deaths Averted (Total) 2011 (vs. 2006) U 5 MR 53, 000 62, 000 0 123 53, 000 55, 000 7, 000 123 53, 000 39, 000 23, 000 77 53, 000 35, 000 27, 000 77 2006 Baseline + Family Planning Baseline + Child Survival Baseline + Family Planning + Child Survival 2011

Impact of Family Planning (example) Child Deaths Averted by Child Survival Interventions 2011 (vs. 2006) U 5 MR 53, 000 62, 000 0 123 53, 000 55, 000 -1200 123 53, 000 39, 000 31, 000 77 53, 000 35, 000 26, 000 77 2006 No Family Planning, No Child Survival No Family Planning, Child Survival 2011

Data Needs • Existing Information – Contraceptive effectiveness and attributes • DHS surveys (or MICS) – Contraceptive prevalence – Methods used – Proximate determinants • • Women 15 -49 in union (%) Postpartum insusceptibility (mo) Abortion rate (/1000) – not DHS Sterility %

Total Fertility Rate • Preloaded baseline data in Dem. Proj • User chosen – If entered into Fam. Plan, this will override the Dem. Proj data (TFR).

Add Fam. Plan

2 choices: 1) Select country of interest TFR=goal baseline data available 1) Select no data country Contraceptive Prevalence=goal enter all baseline data

Abortions per 1000 women 15 -44 *30/1000=total abortion rate

Updates

Updates • Occasionally, there will be updates to the software – Modeling • New interventions, links between interventions, etc. – Effectiveness values – Demographic projection • Population, TFR, etc. – AIM Modules • Don’t know yet…

Updates (2) • Notified via email (from me!) – With any important instructions or changes • Download and install the new version – Won’t lose any projections you have made

Modeling • Run your old model in the new software… • Make sure that you save as the new version – It may limit your ability to use the new file with the old version of Li. ST – Always useful to document the version used for an analysis.

Effectiveness values • Click ‘yes’

Demographic projection • Edit Projection – Select ‘Easy. Proj’ – Check the Demographic Projection checkbox – Click ‘OK’ (twice) NOTE: If you check Child Survival, you will overwrite all your data!!!! BE CAREFUL!