Lives Saved Tool (LiST):

A few details

What you need to know to actually make this

program work and work well…
Grouped Interventions
 Groupings
• Antenatal Care
– Components
• Case management, syphilis, bacteriuria
• Child Birth Care
– Facility and Home based deliveries
– Components
• Corticosteroids, antibiotics, labor monitoring/ emergency obstetric
care, resuscitation, clean delivery
• Water
– Components
• Water within 30 minutes, water in the home
 Antenatal care

• ANC: % with 4+ ANC visits

– Case management = ANC
– Syphilis ~ ANC proportion
Child Birth Care
 Water

• Improved water – 60%

• Piped water – 8%

• Improved minus Piped – 52%

Nutrition
 Interventions
• Direct impact
– Therapeutic feeding
– Balanced energy supplementation
– Multiple micronutrient supplementation
– Complementary feeding (education±supplementation)
– Breast feeding prevalence/promotion
– Zinc supplementation
– Water and sanitation
• Indirect impact
– Water and sanitation – via diarrhea
– IPTp – on IUGR
– Zinc – via diarrhea
• None
– Vitamin A supplementation
 Distribution of Height for Age
0.05
Standard
0.04

0.03

0.02

0.01

0
-4 -3 -2 -1 0 1 2 3 4
 Distribution of Height for Age
0.05
Standard
Zambia
0.04

0.03

0.02

0.01

0
-4 -3 -2 -1 0 1 2 3 4
 Distribution of Height for Age
0.05
Standard
Interventions
0.04 Zambia
Post-Intervention
0.03

0.02

0.01

0
-4 -3 -2 -1 0 1 2 3 4
 Nutritional Impacts
• Risk Factor for mortality
- All neonatal causes

- Diarrhea, pneumonia,
measles, malaria
 Nutritional impacts
• Risk factor for mortality
– Breast feeding ~ diarrhea/pneumonia
Incorporating AIM
 Background
• AIM
– Uses UNAIDS data from the start of the epidemic
• Baseline
– Prevalence, progression/survival, age distribution
• To be edited
– PMTCT, breast feeding
– Adult ART
– Child ART, cotrimoxazole
 Options
• National AIDS division
– Working with UNAIDS
• Provided estimates
– Through 2007 only
– Predict and adjust to most reasonable data
Add LiST to AIM
Getting started with AIM
DON’T BE BLIND!!

Always check your data!

Look for sensibility!
Using FamPlan
 Family Planning (FamPlan)
• Reduction in number of births (current)
• Increased survival (future)
 Impact of Family Planning
(example)
Child Deaths Deaths Averted U5MR
(Total)
2006 2011 2011 (vs. 2006) 2011
Baseline
53,000 62,000 0 123
Baseline
53,000 55,000 7,000 123
+ Family Planning
Baseline
53,000 39,000 23,000 77
+ Child Survival
Baseline
+ Family Planning 53,000 35,000 27,000 77
+ Child Survival
 Impact of Family Planning
(example)

Child Deaths Deaths Averted by Child U5MR

Survival Interventions
2006 2011 2011 (vs. 2006) 2011
No Family Planning,
53,000 62,000 0 123
No Child Survival
Family Planning,
53,000 55,000 -1200 123
No Child Survival
No Family Planning,
53,000 39,000 31,000 77
Child Survival
Family Planning,
53,000 35,000 26,000 77
Child Survival
 Data Needs
• Existing Information
– Contraceptive effectiveness and attributes
• DHS surveys (or MICS)
– Contraceptive prevalence
– Methods used
– Proximate determinants
• Women 15-49 in union (%)
• Postpartum insusceptibility (mo)
• Abortion rate (/1000) – not DHS
• Sterility %
 Total Fertility Rate
• Preloaded baseline data in DemProj
• User chosen
– If entered into FamPlan, this will override the
DemProj data (TFR).
Add FamPlan
2 choices:
1)Select country of interest
TFR=goal
baseline data available
1)Select no data country
Contraceptive Prevalence=goal
enter all baseline data
Abortions per 1000 women 15-44
*30/1000=total abortion rate
Updates
 Updates
• Occasionally, there will be updates to the
software
– Modeling
• New interventions, links between interventions,
etc.
– Effectiveness values
– Demographic projection
• Population, TFR, etc.
– AIM Modules
• Don’t know yet…
 Updates (2)
• Notified via email (from me!)
– With any important instructions or changes
• Download and install the new version
– Won’t lose any projections you have made
 Modeling
• Run your old model in the new software…
• Make sure that you save as the new
version
– It may limit your ability to use the new file with
the old version of LiST
– Always useful to document the version used
for an analysis.
 Effectiveness values

• Click ‘yes’
 Demographic projection
• Edit Projection
– Select ‘EasyProj’
– Check the Demographic Projection checkbox
– Click ‘OK’ (twice)

NOTE: If you check Child Survival, you will

overwrite all your data!!!! BE CAREFUL!