...Although some of these interventions will make a difference, they are not as powerful as anticipated or are facing difficulties that are only being identified now, after widespread implementation. For example, the effectiveness of long-lasting bednets is shorter than was expected, and rotavirus vaccine is being shown to have only moderate effectiveness in low-income settings. These findings reinforce the need for complementary interventions (eg, vaccines will not eliminate the need for treatment) and additional research to continue to improve these technologies and their delivery, and to assess their performance when scaled up in real-life conditions. However, the greatly expanded set of eff ective interventions for child survival reinforces the basic message we proposed in 2003: health programmes working with scarce human and financial resources should be ruthless in prioritisation of quality delivery at scale for a small number of interventions that address the major causes of child deaths in their specifi c context, despite pressures from donors. Bryce, J., Victora, C., Black, R. 2013. The unfinished agenda in child survival, Lancet 2013; 382: 1049–59.
Posted on: Mon, 10 Mar 2014 05:39:20 +0000
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