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Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization
BACKGROUND: The Missed Opportunity tool was developed as an application in the Lives Saved Tool (LiST) to allow users to quickly compare the relative impact of interventions. Global Financing Facility (GFF) investment cases have been identified as a potential application of the Missed Opportunity an...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688441/ https://www.ncbi.nlm.nih.gov/pubmed/29143618 http://dx.doi.org/10.1186/s12889-017-4736-3 |
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author | Tam, Yvonne Pearson, Luwei |
author_facet | Tam, Yvonne Pearson, Luwei |
author_sort | Tam, Yvonne |
collection | PubMed |
description | BACKGROUND: The Missed Opportunity tool was developed as an application in the Lives Saved Tool (LiST) to allow users to quickly compare the relative impact of interventions. Global Financing Facility (GFF) investment cases have been identified as a potential application of the Missed Opportunity analyses in Democratic Republic of the Congo (DRC), Ethiopia, Kenya, and Tanzania, to use ‘lives saved’ as a normative factor to set priorities. METHODS: The Missed Opportunity analysis draws on data and methods in LiST to project maternal, stillbirth, and child deaths averted based on changes in interventions’ coverage. Coverage of each individual intervention in LiST was automated to be scaled up from current coverage to 90% in the next year, to simulate a scenario where almost every mother and child receive proven interventions that they need. The main outcome of the Missed Opportunity analysis is deaths averted due to each intervention. RESULTS: When reducing unmet need for contraception is included in the analysis, it ranks as the top missed opportunity across the four countries. When it is not included in the analysis, top interventions with the most total deaths averted are hospital-based interventions such as labor and delivery management in the CEmOC and BEmOC level, and full treatment and supportive care for premature babies, and for sepsis/pneumonia. CONCLUSIONS: The Missed Opportunity tool can be used to provide a quick, first look at missed opportunities in a country or geographic region, and help identify interventions for prioritization. While it is a useful advocate for evidence-based priority setting, decision makers need to consider other factors that influence decision making, and also discuss how to implement, deliver, and sustain programs to achieve high coverage. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-017-4736-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5688441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56884412017-11-22 Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization Tam, Yvonne Pearson, Luwei BMC Public Health Research BACKGROUND: The Missed Opportunity tool was developed as an application in the Lives Saved Tool (LiST) to allow users to quickly compare the relative impact of interventions. Global Financing Facility (GFF) investment cases have been identified as a potential application of the Missed Opportunity analyses in Democratic Republic of the Congo (DRC), Ethiopia, Kenya, and Tanzania, to use ‘lives saved’ as a normative factor to set priorities. METHODS: The Missed Opportunity analysis draws on data and methods in LiST to project maternal, stillbirth, and child deaths averted based on changes in interventions’ coverage. Coverage of each individual intervention in LiST was automated to be scaled up from current coverage to 90% in the next year, to simulate a scenario where almost every mother and child receive proven interventions that they need. The main outcome of the Missed Opportunity analysis is deaths averted due to each intervention. RESULTS: When reducing unmet need for contraception is included in the analysis, it ranks as the top missed opportunity across the four countries. When it is not included in the analysis, top interventions with the most total deaths averted are hospital-based interventions such as labor and delivery management in the CEmOC and BEmOC level, and full treatment and supportive care for premature babies, and for sepsis/pneumonia. CONCLUSIONS: The Missed Opportunity tool can be used to provide a quick, first look at missed opportunities in a country or geographic region, and help identify interventions for prioritization. While it is a useful advocate for evidence-based priority setting, decision makers need to consider other factors that influence decision making, and also discuss how to implement, deliver, and sustain programs to achieve high coverage. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-017-4736-3) contains supplementary material, which is available to authorized users. BioMed Central 2017-11-07 /pmc/articles/PMC5688441/ /pubmed/29143618 http://dx.doi.org/10.1186/s12889-017-4736-3 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Tam, Yvonne Pearson, Luwei Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title | Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title_full | Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title_fullStr | Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title_full_unstemmed | Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title_short | Using the missed opportunity tool as an application of the Lives Saved Tool (LiST) for intervention prioritization |
title_sort | using the missed opportunity tool as an application of the lives saved tool (list) for intervention prioritization |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688441/ https://www.ncbi.nlm.nih.gov/pubmed/29143618 http://dx.doi.org/10.1186/s12889-017-4736-3 |
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