Causes Of Neonatal Mortality: A Community Based Study Using Verbal Autopsy Tool

Authors

  • Yashpal Jain Chirayu Medical College & Hospital, Bhopal
  • Madhav Bansal Chirayu Medical College & Hospital, Bhopal
  • Rajesh Tiwari S S Medical college, Rewa
  • Pradeep Kumar Kasar NSCB Medical College, Jabalpur

Keywords:

Early neonatal deaths, Perinatal deaths, stillbirths, verbal autopsy

Abstract

Introduction: Neonatal mortality is increasingly important because the proportion of under-five deaths that occur during the neonatal period is increasing as under-five mortality declines. Because declines in the neonatal mortality rate are slower the share of neonatal deaths among under-five deaths increased from about 36 percent in 1990 to about 43 percent in 2011. There is a need to identify and address the causes of neonatal mortality to achieve the MDG of 31 under five deaths per 1000 live births per year.

Objective: To ascertain the causes of neonatal mortality in the area covered by CHC Natwara (Shahpura Block) of Jabalpur district using verbal autopsy method.

Materials and Methods: Neonatal deaths registered during the period of 1st April 2005 to 31st March 2006 at CHC Natwara of District Jabalpur of MP were studied. Total 69 neonatal deaths were studied using standard verbal autopsy questionnaire. Causes of deaths were ascertained from the filled in VA questionnaire taking the help of a pediatrician.

Results: Mother was main respondent in 50.72% cases followed by father (23.1%). Sepsis was the most important cause of death particularly in the late neonatal period. Birth asphyxia, pneumonia and RDS were the other important causes of death contributing predominantly to the early neonatal deaths. The most important predisposing cause of death was LBW/prematurity.

Conclusion: Most of the deaths are directly or indirectly related to infection and nutrition and are therefore amenable to prevention.

References

The UN Inter-agency Group for Child Mortality Esti-mation (IGME), Levels and Trends in Child Mortali-ty: Report 2012, UNICEF, New York, 2012.

Sample registration system of India bulletin April 2006,Registrar General of India

Directorate health services, MP Govt. 2005 www.mpgov.nic.in

Hobcraft, J.N., J.W. McDonald and S.O. Rutstein (1984) Socio-economic Factors in Infant and Child Mortality: A Cross-National Comparison, Population Studies, 38(2): 193-2

www.censusindia.gov.in

Department of Communicable Disease Surveillance and Response: A Standard Verbal Autopsy Method for Investigating Causes of Death in Infants and Children. World Health Organization, WHO/ CDS / CSR/ ISR/99.4

Bang A, Reddy MH, Deshmukh MD. Child mortality in Mahararshtra. Economic Political Weekly 2002; 37: 4947–65. )

World health report,2006, working together for health,2006

Investigators of National Neonatal Perinatal Data-base. Morbidity and mortality among outborn neo-nates at 10 tertiary care institutions in India during year 2000. J Trop Pediatr Res 2004;50:170-4.

S.P. Shrivastava, Anjani Kumar, Arvind Kumar Ojha, From the Upgraded Department of Pediatrics, Patna Medical College and Hospital, Patna 800 004, India Manuscript received: March 11, 1998;Initial review com-pleted: April 23, 1998;Revision accepted: February 22, 2001.

Garg, S.K., V.N. Mishra, J.V. Singh, M. Bhatnagar, H. Chopra and R.B. Singh (1993) Neonatal mortality in Meerut district, Indian Journal of Medical Sciences, 47(9):222-5.

Baqui AH, Darmstadt GL, Williams EK, Kumar V, Kiran TU, Panwar D et al . Rates, timing and causes of neonatal deaths in rural India: implications for ne-onatal health programmes. Bull World Health Or-gan vol.84 n.9 Genebra 2006 Sep.

Marsh, D. R., Sadruddin, S., Fikree, F. F., Krishnan, C. and Darmstadt, G. L. (2003), Validation of verbal au-topsy to determine the cause of 137 neonatal deaths in Karachi, Pakistan. Paediatric and Perinatal Epide-miology, 17: 132–142.

Edmond, K. M., Quigley, M. A., Zandoh, C., Danso, S., Hurt, C., Agyei, S. O. and Kirkwood, B. R. (2008), Diagnostic accuracy of verbal autopsies in ascertain-ing the causes of stillbirths and neonatal deaths in ru-ral Ghana. Paediatric and Perinatal Epidemiology, 22: 417–429.

Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 2005; 365(9463): 977–988.

Anker M, Black RE, Coldham C, Kalter HD, Quigley M, Ross D. A Standard Verbal Autopsy Method for Investigating causes of Death in Infants and Children. World Health Organization: Geneva, 1999.

Marsh DR, Husein K, Lobo M, Shah MSL. Verbal au-topsy in Karachi slums: comparing single and multi-ple causes of child deaths. Health Policy Plan 1995; 10(4): 395–403.

Snow RW, Armstrong JR, Forster D, Winstanley MT, Marsh VM, Newton CR et al. Childhood deaths in Af-rica: uses and limitations of verbal autopsies. Lancet 1992; 340(8815): 351–355.

Lee AC, Mullany LC, Tielsch JM, Katz J, Khatry SK, LeClerq SC et al. Verbal autopsy methods to ascertain birth asphyxia deaths in a community-based setting in Southern Nepal. Pediatrics 2008

Baqui AH, Darmstadt GL, Williams EK, Kumar V, Kiran TU, Panwar D et al. Rates, timing and causes of neonatal deaths in rural India: implications for ne-onatal health programmes. Bull World Health Organ 2006; 84(9): 706–713.

Downloads

Published

2013-09-30

How to Cite

1.
Jain Y, Bansal M, Tiwari R, Kasar PK. Causes Of Neonatal Mortality: A Community Based Study Using Verbal Autopsy Tool. Natl J Community Med [Internet]. 2013 Sep. 30 [cited 2024 Mar. 29];4(03):498-502. Available from: https://njcmindia.com/index.php/file/article/view/1563

Issue

Section

Original Research Articles