Lives Saved Tool (LIST): What is modeled? By: Ingrid Friberg Updated May 2010
Risk Factors
IUGR Balanced energy supplementation Multiple micronutrient supplementation IPTp
Diarrheal incidence Improved H 2 O source within 30 minutes Hand washing with soap Improved excreta disposal (latrine, toilet) Hygienic disposal of children’s stools Water connection in the home
Stunting Complementary Feeding IUGR Zinc Diarrhea incidence Complementary feeding education and/or supplementation
Wasting Therapeutic Feeding
Mortality
Tetanus Mortality Clean delivery (home) Tetanus toxoid Essential childbirth care for all women (including BEm. OC and CEm. OC) Disease Specific Treatments Disease Specific Preventions Risk factors
Asphyxia Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc. ) IUGR Neonatal resuscitation Essential childbirth care for all women (including BEm. OC and CEm. OC) Disease Specific Treatments Disease Specific Preventions Risk factors
Prematurity Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc. ) Kangaroo mother care Preventive post natal care (healthy practices and illness detection) Newborn resuscitation Antibiotics for p. PRo. M Disease Specific Treatments Disease Specific Preventions Risk factors Essential childbirth care for all women (including BEm. OC and CEm. OC) Antenatal corticosteroids
Neonatal Diarrheal Mortality Breast Feeding IUGR ORS Disease Specific Treatments Disease Specific Preventions Risk factors Breast Feeding Promotion
Neonatal Sepsis/ Pneumonia Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc. ) Breast Feeding Prevalence Injectable antibiotics IUGR Oral antibiotics Preventive post natal care (healthy practices and illness detection) Clean delivery (home) Antibiotics for p. PRo. M Essential childbirth care for all women (including BEm. OC and CEm. OC) Syphilis detection and treatment Disease Specific Treatments Breast Feeding Promotion Disease Specific Preventions Risk factors
Congenital Anomaly Mortality Periconceptual folic acid supplementation or fortification Disease Specific Treatments Disease Specific Preventions Risk factors
Neonatal Other Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc. ) Disease Specific Treatments Disease Specific Preventions Risk factors
Malaria Mortality Antimalarials Stunting Wasting ITNs Disease Specific Treatments Disease Specific Preventions Risk factors
Measles Mortality Stunting Wasting Vitamin A Measles vaccine Disease Specific Treatments Disease Specific Preventions Risk factors
Pneumonia Mortality Oral antibiotics Breast Feeding Stunting Wasting Hib vaccine Pneumococcal vaccine Zinc Disease Specific Treatments Disease Specific Preventions Risk factors Breast Feeding Promotion
Pertussis Mortality Oral antibiotics DPT Disease Specific Treatments Disease Specific Preventions Zinc Risk factors
Meningitis Mortality Pneumococcal vaccine Disease Specific Treatments Disease Specific Preventions Hib vaccine Risk factors
Post-Neonatal Diarrheal Mortality Zinc Breast Feeding Antibiotics for dysentery Breast Feeding Promotion Stunting Wasting ORS Improved excreta disposal (latrine, toilet) Vitamin A Hygienic disposal of children’s stools Rotavirus vaccine Hand washing with soap Disease Specific Treatments Disease Specific Preventions Zinc Risk factors Water connection in the home or Improved H 2 O source within 30 minutes
AIDS Mortality Cotrimoxizole Child ART Infant Feeding (exclusive breast, mixed breast, replacement) Disease Specific Treatments Disease Specific Preventions Risk factors PMTCT (neviripine, 2 ARV or 3 ARV for prevention, 3 ARV for treatment)
Complete diagram For Post Neonatal diarrhea only
Post-Neonatal Diarrheal Mortality Breast Zinc Breast Feeding Promotion Feeding Antibiotics for dysentery Therapeutic Feeding Wasting ORS Stunting IUGR Rotavirus vaccine Vitamin A Complementary Feeding Zinc Water/Sanitation Diarrhea incidence Improved H 2 O source within 30 minutes Hand washing with soap Disease Specific Treatments Improved excreta disposal (latrine, toilet) Disease Risk Specific factors Preventions Distal Factors Syphilis detection and treatment IPTp Maternal energy and/or micronutrient supplementation Complementary feeding education and/or supplementation Hygienic disposal of children’s stools Water connection in the home
Maternal Mortality
Antepartum Hemorrhage Access to BEm. OC Access to CEm. OC Disease Specific Treatments Disease Specific Preventions Risk factors
Postpartum hemorrhage Access to BEm. OC Access to CEm. OC Active Management of the 3 rd stage of labor Disease Specific Treatments Disease Specific Preventions Risk factors
Hypertensive Diseases of Pregnancy Access to CEm. OC Management of eclampsia with Mg. SO 4 Pre-eclampsia case management with Mg. SO 4 Calcium supplementation Disease Specific Treatments Disease Specific Preventions Risk factors
Sepsis Mortality Sepsis Case management Clean delivery (home) Antibiotics for p. PRo. M Disease Specific Treatments Disease Specific Preventions Risk factors Essential childbirth care for all women (including BEm. OC and CEm. OC)
Abortion-related Mortality Post abortion case management Safe abortion (including D&C, vacuum aspiration, medical)
Obstructed labor Access to BEm. OC Access to CEm. OC Disease Specific Treatments Disease Specific Preventions Risk factors
Ectopic pregnancy Case management of ectopic pregnancy at BEm. OC level Case management of ectopic pregnancy at CEm. OC level Disease Specific Treatments Disease Specific Preventions Risk factors
Other direct causes of mortality Disease Specific Treatments Disease Specific Preventions Risk factors
Maternal Malaria mortality Case management of malaria during pregnancy IPTp Disease Specific Treatments Disease Specific Preventions Risk factors
Other indirect causes of mortality Tetanus toxoid Disease Specific Treatments Disease Specific Preventions Risk factors
Notes on Maternal Mortality Modelling • Anemia – Too much confounding to use as a risk factor currently • Age of mother – Has not yet been considered in way to separate the individual causes of mortality
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