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Penelope Enarson and colleagues describe the development, scale-up, and achievements of a national pneumonia program in Malawi, which is based on a successful anti-tuberculosis service delivery model.
OBJECTIVE To evaluate the pneumonia specific case fatality rate over time following the implementation of a Child Lung Health Programme (CLHP) within the existing government health services in Malawi to improve delivery of pneumonia case management. METHODS A prospective, nationwide public health intervention was studied to evaluate the impact on… (More)
OBJECTIVE To investigate recognised co-morbidities and clinical management associated with inpatient pneumonia mortality in Malawian district hospitals. METHODS Prospective cohort study, of patient records, carried out in Malawi between 1st October 2000 and 30th June 2003. The study included all children aged 0-59 months admitted to the paediatric wards… (More)
The reduction of child mortality by twothirds from its 1990 level by 2015—the fourth United Nations Millennium Development Goal—is a major challenge. Pneumonia accounts for much ($20%) of this mortality in poor countries, but standard case management (SCM) of pneumonia  has the potential to reduce overall child mortality. A recent meta-analysis estimated… (More)