Reducing diarrhoea deaths in South Africa
Costs and effects of scaling up essential interventions to prevent and treat diarrhoea in under-five children
Bibliographic Data
| ID | 15367244 |
|---|---|
| Authors | Lumbwe Chola (0000-0001-6488-2813, Agincourt Health and Socio-Demographic Surveillance System, corresponding author), Julia Michalow (0000-0001-6442-4097, Agincourt Health and Socio-Demographic Surveillance System), Aviva Tugendhaft (0000-0003-4104-4299, University of the Witwatersrand), Karen Hofman (0000-0001-9512-7220, University of the Witwatersrand) |
| Year | 2015 |
| Volume | 15 |
| Issue | 1 |
| Publication date | 2015-04-16 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1471-2458 • E-ISSN: 1471-2458 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/s12889-015-1689-2 |
| PMID | 25925130 |
| PMCID | PMC4411658 |
| OpenAlex | W2026732839 |
| Language | EN |
| Citations received | 12 |
| References cited | 27 |
Diarrhoea is one of the leading causes of morbidity and mortality in South African children, accounting for approximately 20% of under-five deaths. Though progress has been made in scaling up multiple interventions to reduce diarrhoea in the last decade, challenges still remain. In this paper, we model the cost and impact of scaling up 13 interventions to prevent and treat childhood diarrhoea in South Africa. Modelling was done using the Lives Saved Tool (LiST). Using 2014 as the baseline, intervention coverage was increased from 2015 until 2030. Three scale up scenarios were compared: by 2030, 1) coverage of all interventions increased by ten percentage points; 2) intervention coverage increased by 20 percentage points; 3) and intervention coverage increased to 99%. The model estimates 13 million diarrhoea cases at baseline. Scaling up intervention coverage averted between 3 million and 5.3 million diarrhoea cases. In 2030, diarrhoeal deaths are expected to reduce from an estimated 5,500 in 2014 to 2,800 in scenario one, 1,400 in scenario two and 100 in scenario three. The additional cost of implementing all 13 interventions will range from US$510 million (US$9 per capita) to US$960 million (US$18 per capita), of which the health system costs range between US$40 million (less than US$1 per capita) and US$170 million (US$3 per capita). Scaling up 13 essential interventions could have a substantial impact on reducing diarrhoeal deaths in South African children, which would contribute toward reducing child mortality in the post-MDG era. Preventive measures are key and the government should focus on improving water, sanitation and hygiene. The investments required to achieve these results seem feasible considering current health expenditure
Biostatistics · Diarrhea · Environmental health · Intensive care medicine · Psychological intervention · Public health · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Viral gastroenteritis research and epidemiology · Epidemiology · Internal Medicine · Pediatrics
Piped Water Access, Child Health and the Complementary Role of Education
Infection, nutritional status, and body composition
Lives Saved Tool (LiST) costing
Strategic planning for saving the lives of mothers, newborns and children and preventing stillbirths in KwaZulu-Natal province South Africa
Sanitation and diarrhoea in infancy and CRP level at 18 years
Social and Environmental Determinants of Diarrheal Diseases among Children under Five Years in Epworth Township, Harare
Dramatic Reduction in Diarrhoeal Diseases through Implementation of Cost-Effective Household Drinking Water Treatment Systems in Makwane Village, Limpopo Province, South Africa
Diarrhoea among Children Aged 5 Years and Microbial Drinking Water Quality Compliance
An Integrated Approach to Hygiene, Sanitation, and Storage Practices for Improving Microbial Quality of Drinking Water Treated at Point of Use
Diarrhoea among Children Aged under Five Years and Risk Factors in Informal Settlements
Counting the cost of child mortality in the World Health Organization African region
Intersectoral (in)activity
Water, sanitation and hygiene for the prevention of diarrhoea
Sanitation and Health
Global, regional, and national causes of child mortality
Optimal duration of exclusive breastfeeding
Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?
Interventions to address deaths from childhood pneumonia and diarrhoea equitably
“So they believe that if the baby is sick you must give drugs…” The importance of medicines in health-seeking behaviour for childhood illnesses in urban South Africa
Overview of the Lives Saved Tool (LiST)
| Citations per year | 1.09 |
|---|---|
| Citation span | 2015 - 2023 (9) |
| Highly cited | No |