Pediatric Nutrition in Practice

172 Das  Bhutta

Conclusions

• A high level of coverage must be ensured for
  proven and effective interventions in the 75
  Countdown countries, where more than 95%
  of all child deaths occur


• Tangible progress can be made if the preven-
  tion and treatment of diarrhea becomes an in-
  ternational priority and the global health com-
  munity commits to a number of key actions as
  laid out in the 2009 UNICEF/WHO report

[19] and, more recently, in the Global Action

Plan for Diarrhea and Pneumonia [18]

• Promising indications show that such scaling
  up is beginning to happen and is being recom-
  mended as a strategy to reduce inequities in
  child survival in high-burden countries


• In a broader context, poverty alleviation, safe-
  ty and security, economic development, food
  security, improved education, and basic hu-
  man rights are imperative for long-term suc-
  cess and sustainability

14 Applegate JA, Walker CLF, Ambikapathi

R, Black RE: Systematic review of probi-

otics for the treatment of community-

acquired acute diarrhea in children.

BMC Public Health 2013; 13(suppl 3):

S16.

15 Bhutta ZA, Lassi ZS, Pariyo G, Huicho L:

Global experience of community health

workers for delivery of health related

Millennium Development Goals: a sys-

tematic review, country case studies,

and recommendations for integration

into national health systems. Geneva,

WHO/Global Health Workforce Alli-

ance, 2010.

16 Das JK, Lassi ZS, Salam RA, Bhutta ZA:

Effect of community based interven-

tions on childhood diarrhea and pneu-

monia: uptake of treatment modalities

and impact on mortality. BMC Public

Health 2013; 13(suppl 3):S29.

17 Chopra M, Sharkey A, Dalmiya N, An-

thony D, Binkin N: Strategies to improve

health coverage and narrow the equity

gap in child survival, health, and nutri-

tion. Lancet 2012; 380: 1331–1340.

18 UNICEF: Pneumonia and diarrhoea:

tackling the deadliest diseases for the

world’s poorest children. New York,

UNICEF, 2012.

19 UNICEF, WHO: Diarrhoea: why chil-

dren are still dying and what can be

done. Geneva, WHO, 2009.

References

1 UNICEF: Levels and trends in child
mortality. Report 2012. Estimates devel-
oped by the UN Inter-Agency Group for
Child Mortality Estimation. New York,
UNICEF, 2012.
2 Walker CL, Rudan I, Liu L, Nair H,
Theodoratou E, Bhutta ZA, O’Brien KL,
Campbell H, Black RE: Global burden of
childhood pneumonia and diarrhoea.
Lancet 2013; 381: 1405–1416.
3 Lamberti LM, Fischer Walker CL, Noi-
man A, Victora C, Black RE: Breastfeed-
ing and the risk for diarrhea morbidity
and mortality. BMC Public Health 2011;
11(suppl 3):S15.
4 Haroon S, Das JK, Salam RA, Imdad A,
Bhutta ZA: Breastfeeding promotion
interventions and breastfeeding prac-
tices: a systematic review. BMC Public
Health 2013; 13: 1–18.
5 Das JK, Tripathi A, Ali A, Hassan A,
Dojosoeandy C, Bhutta ZA: Vaccines for
the prevention of diarrhea due to chol-
era, shigella, ETEC and rotavirus. BMC
Public Health 2013; 13(suppl 3):S11.
6 Waddington H, Snilstveit B, White H,
Fewtrell L: Water, sanitation and hy-
giene interventions to combat childhood
diarrhoea in developing countries.
Delhi, International Initiative for Impact
Evaluation, 2009, vol 31.

7 Munos MK, Walker CL, Black RE: The

effect of oral rehydration solution and

recommended home fluids on diarrhoea

mortality. Int J Epidemiol 2010; 39(suppl

1):i75–i87.

8 Walker CL, Black RE: Zinc for the treat-

ment of diarrhoea: effect on diarrhoea

morbidity, mortality and incidence of

future episodes. Int J Epidemiol 2010;

39(suppl 1):i63–i69.

9 Das JK, Ali A, Salam RA, Bhutta ZA:

Antibiotics for the treatment of cholera,

Shigella and Cryptosporidium in chil-

dren. BMC Public Health 2013; 13(suppl

3):S10.

10 Das JK, Kumar R, Salam RA, Freedman

S, Bhutta ZA: The effect of antiemetics

in childhood gastroenteritis. BMC Pub-

lic Health 2013; 13(suppl 3):S9.

11 Bhutta ZA, Das JK, Walker N, Rizvi A,

Campbell H, Rudan I, Black RE: Inter-

ventions to address deaths from child-

hood pneumonia and diarrhoea equita-

bly: what works and at what cost?

Lancet 2013; 381: 1417–1429.

12 Guarino A, Winter H, Sandhu B, Quak

SH, Lanata C: Acute gastroenteritis dis-

ease: report of the FISPGHAN Working

Group. J Pediatr Gastroenterol Nutr

2012; 55: 621–626.

13 Gaffey MF, Wazny K, Bassani DG, Bhut-

ta ZA: Dietary management of child-

hood diarrhea in low- and middle-in-

come countries: a systematic review.

BMC Public Health 2013; 13(suppl 3):

S17.

Koletzko B, et al. (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2015, vol 113, pp 168–172

DOI: 10.1159/000367878