Author Profile

Thorkild Tylleskar, Prof, MD, PhD, MA

https://www.uib.no/persons/Thorkild.Tylleskar

Institution: University of Bergen

Department: Centre for International Health

City: Bergen

Country: Norway

Thorkild Tylleskär is a paediatrician and professor in International Health since 2001. His focus is on child health in a global perspective, nutrition, HIV and health informatics. He has his medical degree, his PhD training and his specialist training in paediatrics from Uppsala University and Uppsala University Hospital. In addition, he has a French Master in African Linguistics from Sorbonne University after field work in present-day Democratic Republic of Congo (former Zaire). His medical thesis in 1994 describes the toxico-nutritional causation of ‘konzo’, a paralytic disorder permanently crippling women and children in some pockets in Africa, https://en.wikipedia.org/wiki/Konzo. Since his appointment as full professor in Bergen, Norway his focus has been shared between 1) child health and nutrition, especially on the nutritional problems accentuated by HIV and how to solve the breastfeeding and postnatal HIV transmission, 2) birth care and 3) improved data collection and management for health in low resource settings.

Recent Posts

How Bad Is It? Usefulness of the “7eed Model” for Scoring Severity and Level of Need in Complex Emergencies

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Background: Humanitarian assistance is designated to save lives and alleviate suffering among people affected by disasters. In 2014, close to 25 billion USD was allocated to humanitarian assistance, more than 80% of it from governmental donors and EU institutions. Most of these funds are devoted to Complex Emergencies (CE). It is widely accepted that the needs of the affected population should be the main determinant for resource allocations of humanitarian funding. However, to date no common, systematic, and transparent system for needs-based allocations exists. In an earlier paper, an easy-to-use model, “the 7eed model”, based on readily available indicators that distinguished between levels of severity among disaster-affected countries was presented. The aim of this paper is to assess the usefulness of the 7eed model in regards to 1) data availability, 2) variations between CE effected countries and sensitivity to change over time, and 3) reliability in capturing severity and levels of need.

Method: We applied the 7eed model to 25 countries with CE using data from 2013 to 2015. Data availability and indicator value variations were assessed using heat maps. To calculate a severity score and a needs score, we applied a standardised mathematical formula, based on the UTSTEIN template. We assessed the model for reliability on previous CEs with a “known” outcome in terms of excess mortality.

Results: Most of the required data was available for nearly all countries and indicators, and availability increased over time. The 7eed model was able to discriminate between levels of severity and needs among countries. Comparison with historical complex disasters showed a correlation between excess mortality and severity score.

Conclusion: Our study indicates that the proposed 7eed model can serve as a useful tool for setting funding levels for humanitarian assistance according to measurable levels of need. The 7eed model provides national level information but does not take into account local variations or specific contextual factors.