Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Disease mapping for informing targeted health interventions: childhood pneumonia in Bohol, Philippines
Tropical Medicine and International Health, Volume 20, No. 11, Year 2015
Notification
URL copied to clipboard!
Description
Background: Acute lower respiratory tract infections (ALRI) are the leading cause of childhood mortality worldwide. Currently, most developing countries assign resources at a district level, and yet District Medical Officers have few tools for directing targeted interventions to high mortality or morbidity areas. Mapping of ALRI at the local level can guide more efficient allocation of resources, coordination of efforts and targeted interventions, which are particularly relevant for health management in resource-scarce settings. Methods: An efficacy study of 11-valent pneumococcal vaccine was conducted in six municipalities in the Bohol Province of central Philippines from July 2000 to December 2004. Geocoded under-five pneumonia cases (using WHO classifications) were mapped to create spatial patterns of pneumonia at the local health unit (barangay) level. Results: There were 2951 children with WHO-defined clinical pneumonia, of whom 1074 were severe or very severely ill, 278 were radiographic, and 219 were hypoxaemic. While most children with pneumonia were from urban barangays, there was a disproportionately higher distribution of severe/very severe pneumonia in rural barangays and the most severe hypoxaemic children were concentrated in the northern barangays most distant from the regional hospital. Conclusions: Mapping of ALRI at the local administrative health level can be performed relatively simply. If these principles are applied to routinely collected IMCI classification of disease at the district level in developing countries, such efforts can form the basis for directing public health and healthcare delivery efforts in a targeted manner. © 2015 John Wiley & Sons Ltd
Authors & Co-Authors
Thomas, Deborah S.K.
United States, Denver
University of Colorado Denver
Anthamatten, Peter
United States, Denver
University of Colorado Denver
Root, Elisabeth D.
United States, Boulder
University of Colorado Boulder
Lucero, Marilla G.
Philippines, Manila
Research Institute for Tropical Medicine
Nohynek, Hanna M.
Finland, Helsinki
Terveyden ja Hyvinvoinnin Laitos
Tallo, Veronica L.
Philippines, Manila
Research Institute for Tropical Medicine
Williams, Gail M.
Australia, Brisbane
The University of Queensland
Simoẽs, Eric A.F.
United States, Aurora
University of Colorado Anschutz Medical Campus
United States, Aurora
Colorado School of Public Health
Mulholland, Edward Kim
Unknown Affiliation
Klugman, K. P.
Unknown Affiliation
Lansang, Mary Ann D.
Unknown Affiliation
Smith, Peter G.
Unknown Affiliation
Lupisan, Socorro P.
Unknown Affiliation
Sanvictores, Diozele M.
Unknown Affiliation
Puumalainen, Taneli
Unknown Affiliation
Soininen, Anu
Unknown Affiliation
Ruutu, Petri J.
Unknown Affiliation
Weinberg, Adriana
Unknown Affiliation
Riley, Ian Douglas
Unknown Affiliation
de Campo, Margaret P.
Unknown Affiliation
Feroldi, Emmanuel
Unknown Affiliation
Teuwen, Dirk E.
Unknown Affiliation
Statistics
Citations: 8
Authors: 22
Affiliations: 7
Identifiers
Doi:
10.1111/tmi.12561
ISSN:
13602276
Research Areas
Health System And Policy
Maternal And Child Health