Paeds Vivas · preventive-and-community-paediatrics
Global child health and sustainable paediatric care — branching viva
Viva on global under-five packages, equity coverage and sustainable care prioritisation.
branching clinical structured oral
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Target exams
RACP DCEMRCPCH Clinical
Prompt
Ministry briefing: district under-five mortality remains high; incomplete immunisation and rising severe acute malnutrition presentations.
Opening
Prioritise the first 90 days of child-health investment for this district. [1]
Branch A — Clinical packages
- Which causes kill under-fives preventably? [1]
- What package items are non-negotiable first? [1]
- How do you handle incomplete refugee immunisation history? [1]
Branch B — Equity and systems
- How do you measure coverage equity? [1]
- What low-value care should be stopped first? [1]
- How does climate risk change paediatric planning? [1]
Expected standard
Name pneumonia, diarrhoea, perinatal causes and undernutrition; prioritise vaccines, ORS/zinc, breastfeeding support and nets where indicated; catch up valid doses without indefinite delay; stratify coverage by wealth and geography; stop low-yield investigation panels that displace prevention; plan for heat, air pollution and vector shifts. [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