A Study of Gender Differences in Treatment of Critically Ill Newborns in NICU Of Krishna Hospital, Karad, Maharashtra

Authors

  • Vinayak Y Kshirsagar KIMS, Karad-Satara, Maharashtra
  • Minhajuddin Ahmed KIMS, Karad-Satara, Maharashtra
  • Sylvia M Colaco KIMS, Karad-Satara, Maharashtra

Keywords:

Gender bias, Neonates, Health care

Abstract

Introduction: Sex ratio in India is adverse for girl. Gender-based health disparities are prevalent in India but very little data are available on care-seeking patterns for newborns. An attempt had been made to study gender differences in treatment of critically ill newborns in tertiary hospital.

Methods: Study includes total deliveries, NICU admissions and patients leaving against medical advice in NICU and neonates who were not admitted in spite of need for NICU admission. A study of various socio-demographic parameters and its correlation to denial of health care were also studied.

Result: A total of 191 babies were taken against medical advice, 134 (70.15%) females and 57 (29.84%) males. 141 babies in the NICU of which 94 (65.27%) were girls and 50 (34.72%) were boys. Families of 47 babies who needed NICU admission refused of which 40 (85.10%) were girls and 7 (14.89%) were boys. The odds ratio calculated is 3.448 which signify that chances of health care denial are 3.448 times greater for a female child. Various socio-demographic parameters were studied and significance of each parameter was determined.

Conclusion: Factors like previous girl child, literacy of mother and socioeconomic status play an important role in seeking health care facilities.

References

Society For Protection Of Girl Child. An Overview of Gendericide And Daughter Abuse In India. Available: at http://www.protectgirls.org. Accessed on June 2,2012.

The National, “Female foeticide continues in India as new law falters,” May 20,2010. Available at: http://www.thenational.ae/news/world/south-asia/ Accessed on June 2, 2012.

IIPS National Family Health Survey 1998-99 (NFHS-2) Available at: http://www.nfhsindia.org/india2.html; Accessed on June 24, 2012.

Willis JR, Kumar V, Mohanty S, Singh P, Singh V, Baqui AH, Awasthi S, Singh JV, Santosham M, Darmstadt GL: Gender differences in perception and care-seeking for illness of newborns in rural Uttar Pradesh, India. J Health Popul Nutr 2009, 27(1):62-71.

Dyson T, Moore M. On kinship structure, female autonomy, and demographic behaviour in India. Pop. Dev. Rev., 9: 35 (1983).

Kishor, Sunita. "May God give sons to all": gender and child mortality in India. American Sociological Review 1993; 58(2):247-65.

Arnold F, Choe MK, Roy TK. Son preference, the family-building process and child mortality in India. Popul Stud 1998;52: 301-15.

Arokiasamy P. Gender Preference, Contraceptive use and fertility in India. Regional and development influences. Int J Population Geography 2002; 8: 49-67.

Borooah VK. Gender bias among children in India in their diet and immunisation against disease. Soc Sci Med. 2004;58:1719–31.

Pandey A, Sengupta PG, Mondal SK, Gupta DN, Manna B, Ghosh S et al. Gender differences in healthcare-seeking during common illnesses in a rural community of West Bengal, India. J Health PopulNutr2002;20:306-11.

Pande RP. Selective gender differences in childhood nutrition and immunization in rural India: the role of siblings. Demography. 2003;40:395–418.

Walia I, Kumar V. Utilization of neonatal health care in a community. Indian Pediatr1984;21:925-31.

World Health Organization. WHO gender policy: integrating gender perspective in the work of WHO. Geneva: World Health Organization, 2002. p6.

National Neonatalogy Forum. Save the Children. The state of India’s newborns. Washington, DC: NationalNeonatologForum,2004. Available on http://www.savethechildren.org/publications/india_pdf/SOIN_Document.pdf. Accessed on 21st June 2012.

de Zoysa I, Bhandari N, Akhtari N, Bhan MK. Careseeking for illness in young infants in an urban slum in India. SocSci Med 1998;47:2101-11.

Srivastava SP, Nayak NP. The disadvantaged girl child in Bihar: Study of health care practices and selected nutritional indices. Indian Pediatr1995;32:911-13.

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Published

2013-03-31

How to Cite

1.
Kshirsagar VY, Ahmed M, Colaco SM. A Study of Gender Differences in Treatment of Critically Ill Newborns in NICU Of Krishna Hospital, Karad, Maharashtra. Natl J Community Med [Internet]. 2013 Mar. 31 [cited 2024 Dec. 21];4(01):26-9. Available from: https://njcmindia.com/index.php/file/article/view/1452

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Original Research Articles