Lives Saved Tool (LIST):What is modeled?

By: Ingrid Friberg

Updated May 2010

Risk Factors

Multiple micronutrientsupplementation

IUGR

Balanced energy supplementation

IPTp

Water connection in the home

Diarrheal incidence

Improved H2O source within 30 minutes Improved excreta

disposal (latrine, toilet)

Hand washing with soap

Hygienic disposal of children’s stools

Stunting

Zinc

Diarrhea incidence

IUGRComplementary Feeding

Complementary feeding education and/or supplementation

Wasting

Therapeutic Feeding

Mortality

TetanusMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Tetanus toxoid

Clean delivery (home)

Essential childbirth care for all women(including BEmOC and CEmOC)

IUGR

AsphyxiaMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Neonatal resuscitation

Essential childbirth care for all women(including BEmOC and CEmOC)

Full supportive care (oxygen, iv fluids, antibiotics, etc.)

PrematurityMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Full supportive care (oxygen, iv fluids, antibiotics, etc.)

Newborn resuscitation

Essential childbirth care for all women (including BEmOC and CEmOC)

Kangaroo mother carePreventive post natal care (healthy practices and illness detection)

Antibiotics for pPRoM

Antenatal corticosteroids

IUGR

Neonatal DiarrhealMortality

ORS

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Breast Feeding Breast FeedingPromotion

Neonatal Sepsis/Pneumonia Mortality

Breast FeedingPrevalence

IUGR

Breast FeedingPromotion

Essential childbirth care for all women (including BEmOC and CEmOC)

Full supportive care (oxygen, iv fluids, antibiotics, etc.)

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Oral antibiotics

Antibiotics for pPRoM

Preventive post natal care (healthy practices and illness detection)

Syphilis detection and treatment

Clean delivery (home)

Injectable antibiotics

CongenitalAnomalyMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Periconceptual folic acid supplementation or fortification

NeonatalOther Mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Full supportive care (oxygen, iv fluids, antibiotics, etc.)

Malaria Mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

ITNs

Antimalarials Stunting

Wasting

Measles Mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Vitamin A Stunting

Measles vaccine

Wasting

Pneumonia Mortality

Breast Feeding Breast FeedingPromotion

Stunting

Oral antibiotics

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Pneumococcal vaccine

Hib vaccine

Zinc

Wasting

PertussisMortality

DPT

Oral antibiotics

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Zinc

MeningitisMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Pneumococcal vaccine

Hib vaccine

Stunting

Breast FeedingBreast FeedingPromotion

Post-Neonatal DiarrhealMortality

Vitamin A

Zinc

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Antibiotics for dysentery

ORS

Rotavirus vaccine

Zinc Water connection in the home orImproved H2O source within 30 minutes

Improved excreta disposal (latrine, toilet)

Hand washing with soap

Hygienic disposal of children’s stools

Wasting

AIDSMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Cotrimoxizole

Infant Feeding (exclusive breast, mixed breast, replacement)

Child ART

PMTCT (neviripine, 2ARV or 3ARV for prevention, 3ARV for treatment)

Complete diagram

For Post Neonatal diarrhea only

Stunting

Post-Neonatal DiarrhealMortality

Rotavirus vaccine

Vitamin A

Zinc

Water/Sanitation

Zinc

Antibiotics for dysentery

ORS

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

IUGR

Syphilis detection and treatment

IPTp

Maternal energy and/or micronutrient supplementation

Zinc

Complementary Feeding

Complementary feeding education and/or supplementation

Diarrhea incidence

Improved H2O source within 30 minutes

Hand washing with soap Water connection

in the home

Improved excreta disposal (latrine, toilet)

Hygienic disposal of children’s stools

DistalFactors

Breast Feeding

Breast Feeding Promotion

WastingTherapeutic Feeding

Maternal Mortality

Antepartum Hemorrhage

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Access to BEmOC

Access to CEmOC

Postpartum hemorrhage

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Active Management of the 3rd stage of labor

Access to BEmOC

Access to CEmOC

Hypertensive Diseasesof Pregnancy

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Pre-eclampsia case management with MgSO4

Calcium supplementation

Access to CEmOC

Management of eclampsia with MgSO4

SepsisMortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Sepsis Case management

Antibiotics for pPRoM

Clean delivery (home)

Essential childbirth care for all women (including BEmOC and CEmOC)

Post abortion case management

Safe abortion (including D&C, vacuum aspiration, medical)

Abortion-relatedMortality

Obstructed labor

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Access to BEmOC

Access to CEmOC

Ectopic pregnancy

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Case management of ectopic pregnancy at BEmOC level

Case management of ectopic pregnancy at CEmOC level

Other direct causes of mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Maternal Malaria mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Case management of malaria during pregnancy

IPTp

Other indirect causes of mortality

DiseaseSpecificTreatments

DiseaseSpecific Preventions

Risk factors

Tetanus toxoid

Notes on Maternal Mortality Modelling

• Anemia– Too much confounding to use as a risk factor

currently

• Age of mother– Has not yet been considered in way to

separate the individual causes of mortality