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The Lives Saved Tool (LiST) as a model for diarrhea mortality reduction
Christa L Fischer Walker1, Neff Walker
1Department of International Health Johns Hopkins Bloomberg School of Public Health, Institute for International Programs, Baltimore, MD, USA. cfwalker@jhsph.edu.
BMC Medicine
|May 1, 2014
Summary
The Lives Saved Tool (LiST) effectively models diarrhea mortality in children under five, offering an alternative to extensive impact studies. It helps predict intervention effectiveness for child survival programs.
Area of Science:
- Child Health
- Epidemiology
- Public Health Modeling
Background:
- Diarrhea is a primary cause of death in children under five globally.
- The Lives Saved Tool (LiST) is a model for estimating intervention impact on mortality.
- LiST aids program planning when large-scale impact studies are infeasible.
Purpose of the Study:
- To evaluate the Lives Saved Tool (LiST) for modeling diarrhea mortality.
- To assess LiST's utility as an alternative to traditional mortality impact studies.
- To understand LiST's application in child survival program planning.
Main Methods:
- LiST models the relationship between intervention coverage and health outcomes like diarrhea mortality.
- It quantifies intervention effects using published evidence for direct and indirect pathways.
- Model accuracy is assessed by comparing LiST estimates with measured mortality changes.
Main Results:
- LiST effectively models diarrhea mortality, considering direct and indirect intervention effects.
- Model performance is generally good, but accuracy depends on data availability.
- LiST can predict the impact of single or multiple interventions.
Conclusions:
- The Lives Saved Tool (LiST) is a valuable instrument for modeling diarrhea mortality in children.
- It provides a cost-effective alternative to large, time-consuming mortality impact studies.
- LiST supports focused, results-oriented child survival programs by enabling timely impact prediction.
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