We focus on integrated case management, improved care-seeking behavior and pre-packaged treatment to ensure access to appropriate and affordable pneumonia diagnosis and treatment.
Pneumonia continues to be the leading cause worldwide of death in children under five years old. Despite being a treatable and preventable disease, pneumonia causes more deaths among children each year than AIDS, malaria and measles combined.
As with so many of the issues impacting child health in developing countries, pneumonia infections and deaths are closely linked to other illnesses and nutritional deficiencies. This underscores the need for an integrated approach to child health and represents one of our main strategies for pneumonia prevention and treatment.
Through trainings, supportive supervision, and supply chain stimulation our integrated case management (ICM) programs improve access to high quality diagnosis and treatment services for pneumonia, diarrhea, malaria and malnutrition. Simultaneously, programs increase informed demand among caregivers to seek these services from trained providers. By working through a variety of channels (e.g., pharmacy networks, franchised and non-franchised private clinics and community health workers (CHWs)), our ICM programs ensure caregivers of children under five have access to quality services and commodities (including pre-packaged pneumonia treatment) they need wherever they chose to seek care.
Prepackaged Antibiotics Treatment
We developed easy-to-use pre-packaged antibiotic therapy kits to treat pneumonia in children under five years old and made them available through private clinics and community-based health workers as permitted by national policy.
In addition, we use behavior change techniques and communications to promote pneumonia prevention, as well as early identification of pneumonia signs and early seeking of health care services.
Community Health Worker Outreach and Training
As part of our community case management efforts, health workers are trained to provide health promotion messages to caregivers of children under five years old. The messages focus on:
- Exclusive breastfeeding for the first six months
- Reduction of indoor air pollution
- Handwashing with soap
We also provide information that:
- Raises awareness about the availability and location of reliable, effective pneumonia treatment through private sector providers using our social franchise approach.
- Improves the ability of caretakers to recognize pneumonia symptoms, promptly seek care and complete the full course of treatment.
We have distributed over 3 million pre-packaged treatments for pneumonia, averting over 230,000 DALYs.
Our pneumonia work is focused on the following areas. Click on a link to learn more about our interventions:
- Pre-packaged Pneumonia treatment: We educate caregivers on the importance of prompt care seeking behavior and where to go when a child presents with cough and rapid breathing, and we distribute pre-packaged therapy for pneumonia.
- Exclusive breastfeeding: We provide mothers with messages about the importance of early initiation of breastfeeding, followed by exclusive breastfeeding for the first six months, and appropriate and timely complementary breastfeeding for children after six months.
- Non-Communicable Disease Life Course Pocket Cards
At the 61st session of the UN"s Commission on the Status of Women, PSI and its partners on the Women and NCDs Task Force promoted a set of pocket cards illustrating a woman's risk for non-communicable diseases over the course of her lifetime.
- Private Sector Healthcare Myanmar: Evidence from the ‘Sun’ Social Franchise
As an evidence-based model, social franchising puts high quality healthcare within the reach of people in need around the world. This report showcases results from four studies led by researchers from PSI, the University of California, San Francisco (UCSF), and Johns Hopkins University, which demonstrate how social franchising networks, like PSI/Myanmar's Sun Quality Network, improve the quality of health service delivery and health outcomes at-scale, cost effectively and equitably.
- Follow the Need: Recipe for Scaling Up Access to Quality Pneumonia, Diarrhea and Malaria Case Management in South Sudan
Looking at certain 'ingredients,' this case study outlines how PSI and partners are working to scale up access to, quality of, and demand for improved health services and products in South Sudan using integrated community case management (iCCM). It also delineates keys to success and lessons learned from the study.
- DALY Brief: Calculation for Pneumonia Pre-Packaged Treatment (PPT)
This brief presents a guide to calculating DALYs for pneumonia pre-packaged treatment (PPT).
- Technical Program Guide: Pneumonia
This brief provides a technical guide to pneumonia. It delineates the global framework to control the disease, the challenges in regards to quality, access and demand, PSI's strategic response and more.
- PSI’s Integrated Case Management Strategy
This brief explains how integration is at the core of PSI's new organizational strategic plan.
- iCCM: Integrated Community Case Management of Pneumonia, Malaria & Diarrhea
Some 2.5 million child deaths each year are due to pneumonia, diarrhea, and malaria- diseases which can be prevented or treated with increased access to simple low-cost interventions. This program brief outlines iCCM in action and what PSI is doing to eradicate these diseases.
- Community Case Management in Cameroon
This cross-sectional study examines outcomes associated with an integrated community case management (CCM) program for malaria and diarrhea implemented in two districts in Cameroon.
- Measurable Results: PSI Child Survival
PSI strives to focus on the needs of children by integrating pneumonia, diarrhea, malaria and malnutrition programs that produce measureable results and ensure a positive impact on the health of children worldwide. This brief provides an overview of these health areas and a description of how PSI is responding.
- Lifebuoy Tree of Life
Watch the story of Utari and her strange affection for a tree. This video, produced by Lifebuoy is a story of a mother's love, longing and loss.