ARI IN CHILDREN: A CASE MANAGEMENT INTERVENTION IN ABBOTTABAD

Authors

  • 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).

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.

Issue

Vol. 8 No. 1 (1996): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.