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Thapa S.,Save the Children United States | Thapa S.,World Health Organization
Global Public Health | Year: 2010

Nepal's national vitamin A programme, that started in a few districts in 1993, was incrementally and systematically expanded to cover the targeted population - children ages 6-59 months - in all the 75 districts of the country over a decade. By 2001, four-fifths of the eligible children had received vitamin A supplementation. Based on data from the 2006 Nepal Demographic and Health Survey, this paper analyses the extent to which the levels and patterns of the programme's coverage have continued to sustain over time, and identifies the children who are still missed by the programme. The overall coverage in 2006 increased to 87.5% nationally, ranging between 80 and 93% (except for two population subgroups), indicating that the programme has been effective in eliminating large inequities in access and utilisation of programme services. The children still missed by the programme (12.5%) have been found to disproportionately represent the poorest of the poor families, mothers with no education, and residents of rural areas and certain ecological and development subregions. The programme is most likely to sustain its achievements thus far, assuming that programme support ingredients and inputs are not interrupted or affected adversely in any way. Emerging policy and programmatic issues are discussed. © 2010 Taylor & Francis. Source

Chowdhury S.,Central Hospital Ltd | Banu L.A.,Laboratory AID Specialized Hospital | Chowdhury T.A.,Bangladesh Institute of Research and Rehabilitation in Diabetes | Rubayet S.,Save the Children United States | Khatoon S.,Bangladesh Medical College
BJOG: An International Journal of Obstetrics and Gynaecology | Year: 2011

Bangladesh has made commendable progress in achieving Millennium Development Goals (MDGs) 4 and 5. Since 1990, there has been a remarkable reduction in maternal and child mortality, with an estimated 57% reduction in child mortality and 66% in maternal mortality. This review highlights that, whereas Bangladesh is on track for achieving MDG 4 and 5A, progress in universal access to reproductive health (5B) is not yet at the required pace to achieve the targets set for 2015. In addition, Bangladesh needs to further enhance activities to improve newborn health and promote skilled attendance at birth. © 2011 RCOG. Source

Young M.,Health Section | Wolfheim C.,World Health Organization | Marsh D.R.,Save the Children United States | Hammamy D.,URS Corporation
American Journal of Tropical Medicine and Hygiene | Year: 2012

This statement presents the latest evidence for integrated community case management of childhood illness, describes the necessary program elements and support tools for effective implementation, and lays out actions that countries and partners can take to support the implementation of integrated community case management at scale. Copyright © 2012 by The American Society of Tropical Medicine and Hygiene. Source

Tenkir A.,Jimma University | Teshome S.,Save the Children United States
BMC Ophthalmology | Year: 2010

Background. Goltz syndrome or focal dermal hypoplasia (FDH) is an uncommon multisystem disorder. Herein, we report a typical case of FDH with unilateral ocular, cutaneous and skeletal features. Case Presentation. a 4-year-old girl presented with microphthalmos and iris coloboma of the left eye, facial asymmetry, and a low-set protruding ear. Cutaneous changes included hypopigmented atrophic macules on the left side of the face, chest, abdomen and limbs. Characteristic lobster claw deformity of left hand and oligodactyly and syndactyly of left foot were present. Conclusions. FDH usually affects both sides of the body. This case represents the unusual unilateral manifestation of the syndrome. © 2010 Tenkir and Teshome; licensee BioMed Central Ltd. Source

Sarriot E.G.,ICF International | Swedberg E.A.,Save the Children United States | Ricca J.G.,ICF International
Health Policy and Planning | Year: 2011

The pursuit of the Millennium Development Goals and advancing the 'global health agenda' demand the achievement of health impact at scale through efficient investments. We have previously offered that sustainability-a necessary condition for successful expansion of programmes-can be addressed in practical terms. Based on benchmarks from actual child survival projects, we assess the expected impact of translating pro-sustainability choices into investment strategies.We review the experience of Save the Children US in Guinea in terms of investment, approach to sustainability and impact. It offers three benchmarks for impact: Entry project (21 lives saved of children under age five per US$100000), Expansion project (37 LS/US$100k), and Continuation project (100 LS/US$100k).Extrapolating this experience, we model the impact of a traditional investment scenario against a pro-sustainability scenario and compare the deaths averted per dollar spent over five project cycles.The impact per dollar spent on a pro-sustainability strategy is 3.4 times that of a traditional one over the long run (range from 2.2 to 5.7 times in a sensitivity analysis).This large efficiency differential between two investment approaches offers a testable hypothesis for large-scale/long-term studies. The 'bang for the buck' of health programmes could be greatly increased by following a pro-sustainability investment strategy. © 2010 The Author. Source

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