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Table 1 MDG-related cost-effective interventions for primary health care in developing countries

From: Implementing what works: a case study of integrated primary health care revitalisation in Timor-Leste

Cost-effective interventions:

MDG Goals

-Promotion of reproductive health and family planning

4,5

-Promotion of appropriate care-seeking and antenatal care in pregnancy

4,5

-Promotion of skilled care for childbirth

4,5

-Exclusive breastfeeding advice and support

4

Preventive interventions:

 

-Provision/availability of contraceptives for birth spacing

1,4,5

-Cord care and clean delivery kits

4,5

-Iron, folate or multiple micronutrient supplementation in pregnancy

4,5

-Balanced protein-energy supplements during pregnancy in food-insecure populations

1,4,5

-Calcium supplementation for PIH

4,5

-Low dose aspirin in high risk pregnancies

4,5

-Anti-retrovirals in HIV-infected individuals and PMTCT

4,5,6

-Antibiotics for premature rupture of membranes

4,5

-Antenatal steroids for those at risk of pre-term birth

4,5

-EPI (including new vaccines for HIB, pneumococcal and rotavirus)

4

-Vitamin A supplementation in children

4

-Zinc supplementation in children for prevention of diarrhoea and pneumonia

4

-Insecticide treated bed-nets for family

4,5,6

-Intermittent preventive treatment for malaria in pregnant women and children (IPT)

4,5,6

-*Household-level water storage and disinfection*

4,5,6,7

Treatment interventions:

 

-Promotion and use of skilled birth attendants at health facilities

4,5

-Interventions for prevention of post-partum haemorrhage and use of oxytocics.

4,5

-Basic newborn resuscitation with bag and mask

4

-Improved diarrhoea management (zinc and ORT)

4

-Community detection and treatment of pneumonia with short course amoxicillin

4

-Improved case management of malaria (including ACTs)

6

-Recognition, triage and treatment of severe malnutrition in affected children in the community setting

1,4

-*Active case identification of TB in households and treatment with DOTs

6

  1. Adapted from Bhutta et al. [6].
  2. *denotes additional new items of relevance to Timor-Leste context.