Development and implementation of a national programme for the management of severe and very severe pneumonia in children in Malawi

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dc.contributor.authorEnarson, Penelope Marjorie
dc.contributor.authorGie, Robert
dc.contributor.authorEnarson, Donald A.
dc.contributor.authorMwansambo, Charles
dc.date.accessioned2013-02-11T07:21:13Z
dc.date.available2013-02-11T07:21:13Z
dc.date.issued2009-11
dc.descriptionThe original publication is available at http://www.plosmedicine.orgen_ZA
dc.description.abstractThe reduction of child mortality by two-thirds from its 1990 level by 2015—the fourth United Nations Millennium Development Goal—is a major challenge. Pneumonia accounts for much (≥20%) of this mortality in poor countries, but standard case management (SCM) of pneumonia [1] has the potential to reduce overall child mortality. A recent meta-analysis estimated that SCM of pneumonia could reduce overall mortality in neonates, infants under 1 y old, and children aged 0–4 y, respectively, by 27%, 20%, and 24%, and pneumonia-specific mortality by 42%, 36%, and 36% in the same age groups [2]. However, even proven intervention strategies cannot function without an effective ‘‘delivery strategy’’ [3]. For, example, although the World Health Organization (WHO)/United Nations Children’s Fund has developed an Integrated Management of Childhood Illness (IMCI) strategy to reduce child mortality, of the 100+ low- and middle-income countries that introduced IMCI in the 1990s, only 48% had scaled up coverage by the end of 2002. Weak health systems were the main cause of this failure with the poorest countries doing worst [3]. We describe here the development and scaling-up of a country-wide delivery strategy of SCM for pneumonia in children in Malawi, a country where more than 200 children per thousand die before they are 5 y old.en_ZA
dc.description.sponsorshipFunded by the Bill & Melinda Gates Foundation grant ID#: 413 (http://www.gatesfoundation.org/ Pages/home.aspx).
dc.description.versionPublisher's versionen_ZA
dc.format.extent4 p. : tables
dc.identifier.citationEnarson, P.M., Gie, R., Enarson, D.A. & Mwansambo, C. 2009. Development and Implementation of a National Programme for the Management of Severe and Very Severe Pneumonia in Children in Malawi. PLoS Medicine, 6 (11): e1000137. doi:10.1371/journal.pmed.1000137en_ZA
dc.identifier.issn1549-1277 (print)
dc.identifier.issn1549-1676 (online)
dc.identifier.otherdoi:10.1371/journal.pmed.1000137
dc.identifier.urihttp://hdl.handle.net/10019.1/79327
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Science -- PLOSen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectIntegrated Management of Childhood Illnessen_ZA
dc.subjectSevere and very severe pneumonia in childrenen_ZA
dc.subjectStandard case management (SCM)en_ZA
dc.subject.corpThe International Union Against Tuberculosis and Lung Diseaseen_ZA
dc.subject.lcshChildren -- Mortality -- Malawien_ZA
dc.subject.lcshPneumonia in children -- Treatment -- Malawien_ZA
dc.subject.lcshPneumonia in children -- Diagnosis -- Malawien_ZA
dc.titleDevelopment and implementation of a national programme for the management of severe and very severe pneumonia in children in Malawien_ZA
dc.typeArticleen_ZA
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