Project VISHWAAS “Pneumonia in India: Save the Children and Philips setting the global benchmark for quality management (Prevent, Protect, Diagnose and Treat

Agency : Save the Children (SC), India

Objectives of the Study

The specific purpose of the BL study was to understand:

  1. Prevalence of Pneumonia among children under 5 in the study of geography at the end of the project
  2. Status of Intervention management of pneumonia by health care providers at the community and facility level at the end of the project
  3. Current level of knowledge, awareness, and practices among care seekers (households) and caregivers on pneumonia and its risk factors at the end of the project
  4. Status of Intervention management of pneumonia by health care providers using M Health tool at the community and facility level at the end of the project
  5. Level of knowledge, awareness, and practices among care seekers (households) and caregivers on pneumonia and its risk factors using the M Health tool at the end of the project

Despite vast global knowledge on pneumonia protection and treatment, India remains burdened with the world's highest pneumonia fatalities, accounting for 23% of global deaths. A grave public health emergency, pneumonia has emerged as the largest killer of children worldwide. This study, named "Vishwaas-Pneumonia in India: Setting the global benchmark for quality management," was conducted by Save the Children (SC) in two rural blocks of Uttar Pradesh and one urban municipality of Rajasthan, targeting high-quality pneumonia care for 90,000 children under the age of five. The intervention aims to enhance access to and quality pneumonia care, bolster demand for pneumonia interventions, and use evidence-informed advocacy to promote treatment uptake. This endline research, involving 2302 respondents, adopted a case-control methodology, focusing on demographic indicators and practices linked to pneumonia risks. The findings presented align with the Protect, Prevent, Diagnosis, and Treat (PPDT) framework. The research revealed noteworthy insights:

  • A drop in Acute Respiratory Infection (ARI) prevalence from 18.3% to 6.67% in intervention areas.
  • Positive trends in practices like breastfeeding, complementary feeding, and hand-washing.
  • Improved immunisation rates, with 91.30% of children (12-23 months) fully immunized in intervention areas.
  • Enhanced caregiver awareness about pneumonia risk factors and symptoms.
  • Discrepancies in healthcare facilities' preparedness to manage pneumonia, emphasizing the need for better equipment and trained staff.

Key recommendations include devising a targeted behavioural change strategy, bolstering access to quality healthcare, and strengthening capacity-building initiatives for frontline health workers


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