Child Mortality

Child mortality reduction in Guinea-Bissau:  The EPICS Trial
























We are working in a region with a population of around 200,000, where 30% of children die before the age of five.  There is little healthcare available, and general education and health knowledge is very poor.  The EPICS (Enabling Parents to Increase Child Survival) trial is a project that aims to change health-seeking behaviour by providing parents with health education, access to essential drugs for children at the community level, and access to better-trained village health workers. The goal for the first two years is to reduce child mortality by at least 15% at a cost effectiveness of less than $300 per life year saved. 

Health Clubs (courtesy of Africa Ahead)









The project will be implemented in a population of 25,000 in Q4 2007, and then expanded to 50,000 in Q4 2009.  The first stage of the project incorporates a randomised introduction of the interventions in order to measure impact, and improve the design.  We hope to cover the full region by 2011 if there is good evidence of efficacy during the initial two years.  A baseline survey covering 14,400 women living in the area was begun in March 2007.

The Epoch Trial is a collaboration between Effective Intervention, the London School of Hygiene and Tropical Medicine, and the Ministry of Health in Guinea-Bissau.

Dr. Ila Fazzio with field staff