Modeling the impact of health interventions on mortality among children under five years with Lives Saved Tool (LiST) in Mali

Abstract

The mortality of children in low-income countries remains a public health problem. The objective was to study the impact of the change in coverage of interventions in maternal, neonatal and child health and nutrition from 2001 to 2018 on the mortality of children under five. on under-5 mortality in Mali. It was an evaluative modelled using the Lives Saved Tool (LiST) version 6.8 Beta. The interventions selected were those defined in the various strategic plans between 2001 – 2018 relating to maternal and child health. The results showed that the under-five mortality rate decreased from 229 to 135 per thousand live births between 2001 and 2018. The interventions that saved the most lives were the measles vaccine (724 lives saved), the management of chronic malnutrition (467 lives saved), possession of mosquito nets impregnated with insecticide against malaria (428 lives saved), treatment of malaria with Artemisinin-based Combination Therapy (282 lives saved), and antibiotics against pneumococcus (261 lives saved). The evaluation revealed that the coverage levels of the interventions of the plans in force have reduced the mortality rates but target 4 of the Millennium Development Goals has not been achieved.