title: Using LiST to model potential reduction in under-five mortality in Burkina Faso.
abstract: BACKGROUND
  Under-five mortality remains high in Burkina Faso with significant reductions required to meet Millennium Development Goal 4. The Acceleration for Maternal, Newborn, and Child Health is being implemented to reduce child mortality in the North and Center North regions of Burkina Faso.
  
  
  METHODS
  The Lives Saved Tool was used to determine the percent reduction in child mortality that can be achieved given baseline levels of coverage for interventions targeted by the Acceleration. Data were obtained from the Demographic and Health Survey 2003, the Multiple Indicator Cluster Survey 2006, and the baseline survey for the program from 2010. In addition to the scale up, scenarios were generated to examine the outcome if secular trends in intervention coverage change persisted and if intervention coverage levels remained constant.
  
  
  RESULTS
  Scaling up all interventions to their target coverage level showed a potential reduction in under-five mortality of 22 percent, with district specific reductions in mortality ranging from 14 to 25 percent. The percent reduction in under-five mortality that might be attributable to the program was 16 percent and varied between 14 and 19 percent by district. Treatment of diarrhea with ORS and malaria with ACTs accounted for the majority of the reduction in mortality.
  
  
  CONCLUSIONS
  These findings suggest that significant reductions in under-five mortality may be achieved through the scale-up of the Acceleration. The Ministry of Health and its partners in Burkina Faso should continue their efforts to scale up these proven interventions to achieve and even exceed target levels for coverage.
authors.forename: Andrew
authors.initials: A
authors.lastname: Marsh
authors.forename: Melinda
authors.initials: M
authors.lastname: Munos
authors.forename: Banza
authors.initials: B
authors.lastname: Baya
authors.forename: Djeneba
authors.initials: D
authors.lastname: Sanon
authors.forename: Kate
authors.initials: K
authors.lastname: Gilroy
authors.forename: Jennifer
authors.initials: J
authors.lastname: Bryce
mesh_terms: D002050:Burkina Faso / Q000453:epidemiology; D002648:Child; D046688:Child Mortality / Q000639:trends*; D002669:Child Welfare / Q000639:trends*; D018672:Community Health Planning / Q000458:organization & administration*; D003967:Diarrhea / Q000401:mortality / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008288:Malaria / Q000401:mortality / Q000517:prevention & control*; D008962:Models, Theoretical; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation