Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths - Dr. Shamim A Qazi
Upcoming SlideShare
Loading in...5
×
 

Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths - Dr. Shamim A Qazi

on

  • 782 views

Dr. Shamim A Qazi: Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths ...

Dr. Shamim A Qazi: Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths
World Health Organization
Geneva

As presented at Launch of The Lancet Series on Childhood Pneumonia and Diarrhoea, at the Royal College of Pediatrics and Child Health - 12 April 2013

In support of the UNICEF & WHO Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

View the film accompanying the presentation at:

www.wateraid.org/news/news/global-action-plan-for-pneumonia-and-diarrhoea

Statistics

Views

Total Views
782
Views on SlideShare
410
Embed Views
372

Actions

Likes
0
Downloads
1
Comments
0

13 Embeds 372

http://www.wateraid.org 235
http://genitalm4m.blogspot.com.es 37
http://genitalm4m.blogspot.com 34
http://genitalm4m.blogspot.mx 23
http://cms.wateraid.org 18
http://genitalm4m.blogspot.com.br 11
http://genitalm4m.blogspot.in 3
http://genitalm4m.blogspot.it 3
http://genitalm4m.blogspot.com.ar 2
http://genitalm4m.blogspot.se 2
http://genitalm4m.blogspot.pt 2
http://genitalm4m.blogspot.de 1
http://genitalm4m.blogspot.ru 1
More...

Accessibility

Upload Details

Uploaded via

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths - Dr. Shamim A Qazi Bottlenecks, barriers, and solutions: Results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths - Dr. Shamim A Qazi Presentation Transcript

  • Childhood Pneumonia and Diarrhoea 3Bottlenecks, barriers, and solutions: results frommulticountry consultations focused on reduction ofchildhood pneumonia and diarrhoea deathsChristopher J Gill, Mark Young, Kate Schroder, Liliana Carvajal-Velez, MarionMcNabb, Samira Aboubaker, Shamim Qazi and Zulfiqar A Bhutta
  • “Why are so many children stilldying of preventable conditions,and how do we move forward?”
  • Specific Objectives1. Identify key barriers to implementation of programmes targeting pneumonia/diarrheoa2. Identify key bottlenecks impeding access to essential commodities – Diarrheoa: vaccines, zinc, ORS, – Pneumonia: vaccines, oral amoxicillin1. Propose solutions to those barriers
  • Methods• A series of consultations with > 600 key stakeholders in 2010-12• 3 work streams provided data for 39 Asian & African countries1. Global Action Plan for Pneumonia (GAPP) – Led by WHO/UNICEF – Broad focus on programmatic barriers/solutions1. Diarrheoa Global Action Plan (DGAP) – Led by Aga Khan University – Focus on programmatic barriers/solutions & 7 country case studies1. Diarrheoa and Pneumonia Working Group (DPWG) – Led by UNICEF and CHAI – Focus on supporting scale up treatment in high burden countries.
  • Bottlenecks impeding access to vaccinesConcentrated upstream•Policy guidelines•Resources Legend None Darker colorsconnote more significant bottlenecks Minor Moderate Major
  • Bottlenecks impeding access to zinc and ORS are concentrated ‘downstream’ zinc ORS
  • The Market Trap: Why zinc is so expensive in Nigeria
  • Prioritization of the Barriers
  • Inadequate monitoring and assessment• Data not of high quality and not analyzed properly• Data often not shared with those that need it most• Data not widely disseminatedResult: Programmes are unaware of their progressRecommendation: Improve the quality and establish mechanism for sharing and using data for action
  • Poor coordination of efforts• Between programmes, across partners and sectors• Duplication of efforts• Failure to optimize available resources• Conflicting prioritiesResult: Fragmented efforts dilute effectiveness & efficiencyRecommendation: Evidence based planning and management, joint development of plans and strategies for action
  • Inadequate human resources• Not enough health workers• Low incentives for recruitment and retention• Limited capacity building opportunities• Inadequate supervision and skills reinforcementResult: Chronic shortages of the skilled and motivated workersRecommendation: Explore and implement innovative ways for capacity building, motivation & supervision
  • Weak supply chain• Over-reliance on central supply systems• Supply not linked to need• Inefficient stock/restock systems• Limited local production of essential commoditiesResult: limited access to life saving commoditiesRecommendation: Strengthen systems for procurement and drug supply management and production of key commodities
  • Quality of care• Evidence based standards of care not always available• Access to care limited• Low uptake due to poor qualityResult: Children die of preventable and treatable conditionsRecommendation: Client feedback as part of health worker and clinic assessment; dissemination of guidelines
  • This is a solvable problem: The Bangladesh Story
  • The way forward
  • Conclusions• We can drastically reduce child mortality with tools already at hand – Solutions are affordable and not high tech• The ingredients of success start with – Coordinated action plan – Resources commensurate with the burden of disease – Accountability for results – Advocacy