ARI IN CHILDREN: A CASE MANAGEMENT INTERVENTION IN ABBOTTABAD

Jahangir A Khan, David G Addiss

Abstract


A community-based program of acute lower respiratory infection (ALRI) case management was conducted in a rural district of northern Pakistan. The impact on infant and child mortality of this program was evaluated. During 1985-1986, ALRI-specific mortality among children <5 years old living in 31 intervention villages was 6.3 deaths per 1 ( X X ) children per year compared with 14.4 in seven control villages (p=0.0001). Within one year after interventions were extended to the control villages in 1987, ALRI-specific mortality in these villages dropped by 55% to 6.5 per I ( X X ) children per year (p=0.06). Total child mortality in 1985-86 was 29.0 per 1000 children per year in the intervention villages and 39.4 in the control villages, a difference of 287c ft=0.01). With interventions in 1987, total child mortality in the control villages declined by 297c to 27.8 per 1000 children per year (p=0.09).

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References


World Health Organization. The work of WHO.

-1987: Biennial report of the Director-General,

Geneva, WHO, 1983; pp 171-173.

World Health Organization. A programme for

controlling acute respiratory' infections in children:

Memorandum from a WHO meeting. Bull WHO,

; 62: 47-58.

Pio A. Acute respiratory infections in developing

countries: An international point of view. Pediatr

Infect Dis, 1986; 5: 179-183.

CherianT, John TJ, Simoes E, Steinhoff MC & John

M. Evaluation of simple clinical signs for the

diagnosis of acute lower respiratory tract infection.

Lancet, 1988; 2: 125-128.

Shann F. Hart K & Thomas D. Acute lower

respiratory tract infections in children: possible

criteria for selection of patients for antibiotic therapy

and hospital admission. Bull WHO, 1984; 62: 749-

World Health Organization. Case management of

acute respiratory infections in children: intervention

studies. WHO/ARI/88.2, 1988; Geneva, WHO.

Datta N, Kumar V. Kumar L & Singhi S. Application

of case management to the control of acute

respiratory infections in low- birth weight infants: a

feasibility study. Bull WHO. 1987; 65: 77-82.

Mtango FDE and Neuvians D. Acute respiratory'

infections in children under five years. Control

project in Bagamayo District, Tanzania. Trans R Soc

Trop Med Hyg, 1986; 8(1: 851-858.

The Kasongo Project Team. Influence of measles

vaccination on survival pattern of 7 to 35-month-old

children in Kasongo, Zaire. Lancet, 1981; i: 764-767.

Pio A. Leowski J & Ten DHG. The magnitude of the

problem of acute respiratory' infections. In: Douglas

RM & Kerby-Eaton E, Acute Respiratory Infections

in Childhood. University of Adelaide, Australia,

; pp 3- 16.

Berman S, Duenas A, Bedoya A, et al. Acute lower

respiratory tract illnesses in Cali, Colombia: A twoyear

ambulatory study. Paediatrics, 1983; 71: 210-

Pandey MR, Sharma PR & Neupane RP. Preliminary

report of a community study of childhood ARI in

Nepal. In: Douglas RM & Kerby-Eaton E. Acute

Respiratory Infections in Childhood. University of

Adelaide, Australia, 1985; pp 131-135.

Kendall PA and Leeder SR. Environmental factors

relating to acute respiratory infections in childhood:

possibilities for prevention. In: Douglas RM &

Kerby-Eaton E. Acute Respiratory Infections in

Childhood, University of Adelaide, Australia, 1985;

pp 72-77.

Lepage P, Munyakazi C & Hennart P. Breast feeding

and hospital mortality in children in Rwanda. Lancet,

; 2: 409-411.

Kirkwood B. Community-based intervention trials.

Presentation at the British Society for Population

Studies conference, "Health interventions and

mortality change in developing countries".

University of Sheffield, England, 1987.

Blum D & Feachem RG. Measuring the impact of

water supply and sanitation investments on

diarrhoeal diseases: problems of methodology. Int J

Epidemiol, 1983; 12: 357- 365.


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