Under-five mortality reduction in Senegal

Detailed findings

Interventions to Reduce Pneumonia, Diarrhea, and Malaria

53% of all-cause under-five mortality reduction

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

18,823 lives saved and 12% of total lives saved between 2000 and 2016 attributed to oral antibiotics, ORT, zinc treatment, and ACTs (the majority attributed to antibiotics for pneumonia).

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Other Interventions to Reduce Malaria

22% of all-cause under-five mortality reduction

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

18,808 lives saved and 12% of total lives saved from 2000 to 2016 attributed to ITNs and indoor residual spraying

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Interventions to Reduce Vaccine Preventable Diseases

31% of all-cause under-five mortality reductions

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

49,012 lives saved and 32% of total lives saved from 2000 to 2016 attributed to vaccines and vitamin A supplements (primarily Hib and measles vaccine).

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Interventions to Reduce HIV

<1% of all-cause under-five mortality reductions

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

871 lives saved and <1% of total lives saved from 2000 to 2016 attributed to PMTCT and ART.

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Interventions to Reduce Malnutrition

17% of all-cause under-five mortality reductions

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

15,435 lives saved and 10% of total lives saved from 2000 to 2016 attributed to nutrition interventions, including breastfeeding practices and complementary feeding.

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Interventions to Reduce Neonatal Disorders

7% of all-cause under-five mortality reduction

Per IHME estimates

Quantitative modeling results

LIVES SAVED TOOL

28,921 lives saved and 19% of total lives saved from 2000 to 2016 attributed to neonatal and antenatal interventions (primarily labor and delivery management)

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Other factors

Quantitative modeling results

DECOMPOSITION RESULTS              

6% of overall reduction in under-five mortality attributed to WASH and other environmental factors.

LIVES SAVED TOOL

23,160 lives saved and 15% of total lives saved attributed to WASH interventions.

LiST estimates a total of 155,000 lives saved and a reduction in under-5 mortality rate of 29%. The modeled results capture 45% of the observed decline in mortality as estimated by IGME. The additional estimated decline (per IGME estimates) could be attributed to other factors that are not measurable or that fall outside of direct health system interventions (e.g., economic development, women’s empowerment).

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Contextual factors including economic growth, improvements in gender equity and women's empowerment, education, and improvements in sanitation

The primary research findings suggest additional contextual factors that contributed to under-5 mortality reductions in Senegal that were outside of the health system interventions – these include improvements in gender equity and economic growth.

Methodology