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This article is part of the supplement: The Lives Saved Tool in 2013: new capabilities and applications

Open Access Review

Using LiST to model potential reduction in under-five mortality in Burkina Faso

Andrew Marsh1*, Melinda Munos1, Banza Baya2, Djeneba Sanon3, Kate Gilroy4 and Jennifer Bryce1

Author Affiliations

1 Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD, USA

2 Institut National de la Statistique et de la Démographie, Avenue Pascal Zagré, Ouagadougou, Burkina Faso

3 Ministry of Health, Ougadougou, Burkina Faso

4 IntraHealth, Washington, DC, USA

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BMC Public Health 2013, 13(Suppl 3):S26  doi:10.1186/1471-2458-13-S3-S26

Published: 17 September 2013

Abstract

Background

Under-five mortality remains high in Burkina Faso with significant reductions required to meet Millennium Development Goal 4. The Acceleration for Maternal, Newborn, and Child Health is being implemented to reduce child mortality in the North and Center North regions of Burkina Faso.

Methods

The Lives Saved Tool was used to determine the percent reduction in child mortality that can be achieved given baseline levels of coverage for interventions targeted by the Acceleration. Data were obtained from the Demographic and Health Survey 2003, the Multiple Indicator Cluster Survey 2006, and the baseline survey for the program from 2010. In addition to the scale up, scenarios were generated to examine the outcome if secular trends in intervention coverage change persisted and if intervention coverage levels remained constant.

Results

Scaling up all interventions to their target coverage level showed a potential reduction in under-five mortality of 22 percent, with district specific reductions in mortality ranging from 14 to 25 percent. The percent reduction in under-five mortality that might be attributable to the program was 16 percent and varied between 14 and 19 percent by district. Treatment of diarrhea with ORS and malaria with ACTs accounted for the majority of the reduction in mortality.

Conclusions

These findings suggest that significant reductions in under-five mortality may be achieved through the scale-up of the Acceleration. The Ministry of Health and its partners in Burkina Faso should continue their efforts to scale up these proven interventions to achieve and even exceed target levels for coverage.