| Titre : | How many child deaths can we prevent this year ? (2003) |
| Auteurs : | Gareth JONES ; Zulfiqar-A BHUTTA ; Robert-E BLACK ; Saul-S MORRIS ; Richard W. Steketee ; Bellagio Child Survival Study Group. INC |
| Type de document : | Article |
| Dans : | Lancet (The) (vol. 362, n° 9377, 2003) |
| Pagination : | 65-71 |
| Langues: | Anglais |
| Mots-clés : | Prévention santé ; Mortalité ; Survie ; Enfant ; Homme ; Etats Unis ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS olR0xqgB. Diffusion soumise à autorisation]. This is the second of five papers In the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes : diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes leading to neonatal deaths. We review child survival interventions feasible for delivery at high coverage In low-Income settings, and classify these as level 1 (sufficient evidence of effect), level 2 (limited evidence), or level 3 (Inadequate evidence). Our results show that at least one level-1 intervention Is available for preventing or treating each main cause of death among children younger than 5 years, apart from birth asphyxia, for which a level-2 intervention Is available. There Is also limited evidence for several other Interventions. However, global coverage for most interventions is below 50%. If level 1 or 2 interventions were universally available, 63% of child deaths could be prevented. These findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them. |
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