Paeds SAQs · preventive-and-community-paediatrics
Global child health and sustainable paediatric care — formative SAQs
Formative SAQs on global under-five mortality packages and sustainable care.
On this page & tools
Target exams
SAQ 1 — Preventable under-five mortality (10 marks)
A candidate is asked to prioritise interventions for a district with high under-five mortality. [1]
Questions
- List major preventable causes of under-five death. (4)
- Name the core high-impact package items. (3)
- Identify system enablers that protect coverage equity. (3)
Model answer
Pneumonia, diarrhoea, malaria where endemic, perinatal conditions and undernutrition dominate preventable deaths. Core package items include vaccines, ORS with zinc, breastfeeding support, insecticide-treated nets where indicated and skilled birth attendance. Enablers include cold-chain supply, community health workers, disaggregated coverage data and outreach to the hardest-to-reach. [1]
SAQ 2 — Sustainable care and low-value practice (10 marks)
Discuss sustainability in paediatric care. [1]
Questions
- Define sustainable paediatric care. (4)
- Give examples of low-value practice that harms coverage. (3)
- Link climate-aware practice to child health. (3)
Model answer
Sustainable care maximises child-health gain per resource while minimising harm and environmental cost. Low-value over-testing and delayed catch-up immunisation waste scarce capacity. Climate-aware practice reduces waste and anticipates heat, air pollution and vector shifts that worsen paediatric disease burden. [1]
References
- [1]Jones G How many child deaths can we prevent this year? Lancet, 2003.PMID 12853204
- [2]Black RE Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet, 2010.PMID 20466419
- [3]Liu L Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet, 2012.PMID 22579125
- [4]Liu L Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet, 2015.PMID 25280870
- [5]Liu L Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet, 2016.PMID 27839855
- [6]You D Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. Lancet, 2015.PMID 26361942
- [7]Lawn JE Every Newborn: progress, priorities, and potential beyond survival. Lancet, 2014.PMID 24853593
- [8]Kerber KJ Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet, 2007.PMID 17933651
- [9]Darmstadt GL Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet, 2005.PMID 15767001
- [10]Gera T Integrated management of childhood illness (IMCI) strategy for children under five. Cochrane Database of Systematic Reviews, 2016.PMID 27378094