Measuring Coverage in MNCH: Challenges in Monitoring the Proportion of Young Children with Pneumonia Who Receive Antibiotic Treatment
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Implication
This review uncovers challenges in accurately estimating antibiotic treatment rates in children with pneumonia, suggesting improvements to current survey methods.
Key Points
- The aim is to evaluate the effectiveness of current monitoring tools for estimating antibiotic treatment rates for pneumonia in children.
- Review of existing household surveys (DHS and MICS) used to monitor pneumonia symptoms.
- Analyses of two-week recall methods for identifying children with pneumonia.
- Assessment of survey tool sensitivity and specificity in identifying true pneumonia cases.
- Only 22% of children with reported pneumonia symptoms actually have pneumonia, based on a 95% specificity and 80% sensitivity.
- Current survey methods misrepresent antibiotic treatment rates due to inaccurate estimates of pneumonia prevalence.
- Recommendations include increasing recall periods and enhancing the discriminative power of survey tools.
Cite This Study
Campbell et al. (2013) studied this question.