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Developing a scorecard to assess global progress in scaling up diarrhea control tools: a qualitative study of academic leaders and implementers.

Publication ,  Journal Article
Rosinski, AA; Narine, S; Yamey, G
Published in: PloS one
January 2013

In 2010, diarrhea caused 0.75 million child deaths, accounting for nearly 12% of all under-five mortality worldwide. Many evidence-based interventions can reduce diarrhea mortality, including oral rehydration solution (ORS), zinc, and improved sanitation. Yet global coverage levels of such interventions remain low. A new scorecard of diarrhea control, showing how different countries are performing in their control efforts, could draw greater attention to the low coverage levels of proven interventions.We conducted in-depth qualitative interviews with 21 experts, purposively sampled for their relevant academic or implementation expertise, to explore their views on (a) the value of a scorecard of global diarrhea control and (b) which indicators should be included in such a scorecard. We then conducted a ranking exercise in which we compiled a list of all 49 indicators suggested by the experts, sent the list to the 21 experts, and asked them to choose 10 indicators that they would include and 10 that they would exclude from such a scorecard. Finally, we created a "prototype" scorecard based on the 9 highest-ranked indicators.Key themes that emerged from coding the interview transcripts were: a scorecard could facilitate country comparisons; it could help to identify best practices, set priorities, and spur donor action; and it could help with goal-setting and accountability in diarrhea control. The nine highest ranking indicators, in descending order, were ORS coverage, rotavirus vaccine coverage, zinc coverage, diarrhea-specific mortality rate, diarrhea prevalence, proportion of population with access to improved sanitation, proportion with access to improved drinking water, exclusive breastfeeding coverage, and measles vaccine coverage.A new scorecard of global diarrhea control could help track progress, focus prevention and treatment efforts on the most effective interventions, establish transparency and accountability, and alert donors and ministries of health to inadequacies in diarrhea control efforts.

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Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2013

Volume

8

Issue

7

Start / End Page

e67320

Related Subject Headings

  • Qualitative Research
  • Leadership
  • Interviews as Topic
  • Humans
  • Global Health
  • General Science & Technology
  • Expert Testimony
  • Diarrhea
  • Child
 

Citation

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Rosinski, A. A., Narine, S., & Yamey, G. (2013). Developing a scorecard to assess global progress in scaling up diarrhea control tools: a qualitative study of academic leaders and implementers. PloS One, 8(7), e67320. https://doi.org/10.1371/journal.pone.0067320
Rosinski, Alexander Anthony, Steven Narine, and Gavin Yamey. “Developing a scorecard to assess global progress in scaling up diarrhea control tools: a qualitative study of academic leaders and implementers.PloS One 8, no. 7 (January 2013): e67320. https://doi.org/10.1371/journal.pone.0067320.
Rosinski, Alexander Anthony, et al. “Developing a scorecard to assess global progress in scaling up diarrhea control tools: a qualitative study of academic leaders and implementers.PloS One, vol. 8, no. 7, Jan. 2013, p. e67320. Epmc, doi:10.1371/journal.pone.0067320.

Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2013

Volume

8

Issue

7

Start / End Page

e67320

Related Subject Headings

  • Qualitative Research
  • Leadership
  • Interviews as Topic
  • Humans
  • Global Health
  • General Science & Technology
  • Expert Testimony
  • Diarrhea
  • Child