Dr. Bhutta's lecture Flashcards
how many child deaths each year under 5?
6.5 million (3.5 million fewer than past)
2/3 of global burden on new born deaths lie in 10 countries
india, nigeria, ethiopia..
comparable to maternal deaths and stillbirths
44 % of deaths in children in the newborn period
first 4 weeks of life - deaths due to birth asphyxia, infections and prematurity account for almost all
then its diarrhea and pneumonia
preterm birth is a DIRECT cause of
35% of all neonatal deaths (moderate to late accounts for half)
what are the causes of death?
- undernutrition (45% of all deaths )
can measure poverty in terms of
means and assets or multidimensional index - it captures social structure, income, education - captures social CAPITAL
Majority of birth deaths occuring where?
In rural communities/at home/slums
least occuring in tertiary care centers
what is the role of innovation? and what is it?
successful introduction of a new method or process, embodiment, synthesis of knowledge
conditional cash transfers - safe motherhood scheme
it worked, 81% of women below the poverty line delivered in -facility
community health workers and women’s groups in rural areas
train lay workers
29% reduction in neonatal mortality
25% reduction in maternal mortality
empower communities - group interaction
community management of severe pneumonia by community worker
also worked
specific sets of interventions reduced pneumonia rates substantially
interventions relate to proper nutrition , to vaccines, managing infections, focus on environmental health, sanitation,
how do we contribute to change?
provide evidence-based interventions know how to implement them properly build collaborations and partnerships focus on incremental gains advocate
