Closing DateDec 15 2021
Terms of Reference
List Study for Reduction in Pneumonia Specific under 5 Mortality in Rajasthan and Uttar Pradesh
Save the children (SC) is India’s leading independent NGO and child rights organization. As of 2019, we work in 16 states in India. Since its start in 2008, SC India has changed lives of more than 11.7 million children and has reached 5.06 million children directly, and 6.6 million children indirectly during emergencies such as natural disaster, humanitarian crisis, and disaster risk reduction. We believe ‘every child deserves the best chance for a bright future’, and that’s the reason we are committed to ensuring children not only survive, but thrive. We are proud to be the world’s leading expert on issues pertaining to children, delivering lasting results for millions of vulnerable girls and boys.
Despite availability of knowledge and proven cost-effective interventions, pneumonia is a ‘forgotten killer’ of children. With 30 million new cases of childhood pneumonia reported every year and one child dying every four minutes, India tops the list of countries with highest disease burden and largest number of pneumonia deaths. It is vital to create leadership and determination among Government, policy makers and international agencies to address this number one killer both in India and across the world.
Intervention Objective: SC through its intervention intend to bring high-quality pneumonia care to ninety thousand under-five children in two rural blocks and one urban municipality in the states of Uttar Pradesh and Rajasthan.
Burden of Childhood Pneumonia - India has the highest burden of childhood pneumonia in the world, both in terms of morbidity and mortality. Around 140,000 children die due to pneumonia annually in the country. There are 30 million new cases of childhood pneumonia reported every year, with an incidence rate of 0.26 episodes per child-year. Approximately ten percent of these episodes tend to be very severe. Among children under-five years, pneumonia contributes to nearly a sixth (15%) of all deaths in India, with one child dying from pneumonia every four minutes. The reduction of under-five mortality from 39/1000 live births in 2016 to 23 by 2025 is one of the prime goals of India’s National Health Policy 2017. In order to achieve this goal, mortality due to childhood pneumonia needs to be reduced to less than three per 1000 live births from the current level of 5.7 per 1000 live births, which is also in tune with the goal of India’s Integrated Action Plan for pneumonia and Diarrhoea (IAPPD). Four of the poorer states in India together contribute to nearly 60% of the country’s total burden of under-five deaths and more than 50% of pneumonia deaths (Uttar Pradesh, Bihar, Madhya Pradesh, and Rajasthan). With the absence of accessible quality treatments at both community and public health facility level, the most disadvantaged children are the worst affected by pneumonia and other common childhood illnesses.
Brief of the Intervention:
Together with Philips, Save the Children is keenly striving to address the silent emergency of childhood pneumonia in India, one of the largest contributors of under-five mortality in the country in two of the five-worst affected states. The two-year intervention “Project Vishwaas” started in Oct-2019 will be carried out as a four-way partnership between Philips Foundation, Philips India, the Government Health System and Save the Children. Making optimal use of Philips’ advanced diagnostic point-care technology and technical expertise, SC will look adopt the government approved Integrated Action Plan for Diarrhoea and Pneumonia which outlines the PPDT (Prevention, Protection, Diagnosis and Treatment) model, thereby ensuring sustainability and uptake of the scale up of the intervention in the long run. Mentioned below is the proposed intervention model:
Intervention Geographical Coverage:
SC has implemented above detailed intervention programme in two rural blocks of Bahraich District, Uttar Pradesh and across 45 urban wards of Tonk City, Tonk District, Rajasthan.
For detailed information, please check the complete version of the advert attached below
 Pneumonia and Diarrhoea Progress Report 2018 & NHFS IV (2015-16)
 The rate of disease in a population
 Measure of the number of deaths in a particular population, scaled to the size of that population, per unit of time.
 Pneumonia and Diarrhoea Progress Report 2018 by International Vaccine Access Centre and Johns Hopkins School of Public Health
 National Health Policy 2017