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Management of ARI for control of mortality in underfives

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Abstract

WHO advocated a standard case management for control of ARI related mortality. India has started an ARI control programme in 15 districts. Conflicting reports appeared regarding the effectiveness of case management strategy. Authors reported earlier that it was not effective. The coverage was only about 57% in pneumonias, and 23% in severe pneumonias. Health agencies & health workers have a low utilizaticn (13.7%), and RMPs were used in large numbers (36.9%). Most of the deaths were in those treated by RMPs (75%). The efficacy of standard case management (88%) is highlighted. The problem of coverage and assumptions behind the strategy were discussed and recommendations for improvement were suggested.

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References

  1. Leowski J. Mortality from acute respiratory infection in children under five years of age. Global statistics. World Health Statistics Quarterly 1986; 39: 138–144.

    CAS  Google Scholar 

  2. Reddaiah VP, Lobo J, Kapoor SK et al. Comprehensive rural health services project, Ballabgarh. Trends in under-five mortality. Indian J Pediatr 1988; 55: 287–294.

    Article  PubMed  CAS  Google Scholar 

  3. Datta-Banik, Krishnan R, Manesis, Raj LA. Longitudinal study of mortality and morbidity pattern of children under the age of 5 years in an urban community. Indian J Med Res 1969; 57: 948–957.

    PubMed  CAS  Google Scholar 

  4. Reddaiah VP, Kapoor SK. Acute respiratory infections in rural underfives. Indian J Pediatr 1988; 55: 424–426.

    Article  PubMed  CAS  Google Scholar 

  5. Programme Report. Programme for the control of acute respiratory infections. WHO Geneva 1987; pp. 4.

  6. Reddaiah VP, Kapoor SK. Effectiveness of ARI control strategy on under-five mortality. Indian J Pediatr. 1991; 58: 123–130.

    Article  PubMed  CAS  Google Scholar 

  7. Bang AT, Bang RA, Tale O et al. Reduction in pneumonia mortality and total childhood mortality by means of community based intervention trial in Gadchiroli, India. Lancet 1990; 336: 201–206.

    Article  PubMed  CAS  Google Scholar 

  8. Khan AJ, Khan JA, Akbar M et al. Acute respiratory infections in children: A case management intervention in Abbottabad district. Pakistan Bulletin of WHO 1990; 68 (5): 577–585.

    CAS  Google Scholar 

  9. Policy Document. Acute respiratory infection in children. Ministry of Health & Family Welfare, Government of India, 1990, pp. 9.

  10. Reddaiah VP, Kapoor SK Epidemiology of pneumonia in rural under-fives. Indian J Pediatr 1990; 57: 701–704.

    Article  PubMed  CAS  Google Scholar 

  11. Bhan MK, Arora NK, Ghai OP et al. Major factors in diarrhea related mortality among rural children. Indian J Med Res 1986; 83: 9–12.

    PubMed  CAS  Google Scholar 

  12. Bhatnagar S, Dosajh U. Diarrheal diseases morbidity in children below five years in urban slums of Delhi. Indian J Med Res 1986; 84: 53–58.

    PubMed  CAS  Google Scholar 

  13. Reddaiah VP, Kapoor SK. Epidemiology of diarrhea and its implications for providing services. Indian J Pediatr 1991; 58: 205–208

    Article  PubMed  CAS  Google Scholar 

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Reddaiah, V.P., Kapoor, S.K. Management of ARI for control of mortality in underfives. Indian J Pediatr 60, 283–288 (1993). https://doi.org/10.1007/BF02822192

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