Socio-Demographic Profile of Infant Mortality by Verbal Autopsy in Urban Area of Bhavnagar, Gujarat
Keywords:
Infant mortality, early neonatal deaths, verbal autopsyAbstract
Objectives: To study socio-demographic profile of all registered infant deaths in Bhavnagar city.
Materials and Method: This was a community-based retrospective analytical study carried out in municipal corporation area of Bhavnagar city for which list of all registered infant deaths from 1st January 2009 to 31st December 2009 from municipal corporation, Bhavnagar was obtained. Data collection was carried out between January to May 2010 at respondent’s house with help of restructured verbal autopsy questionnaire developed by WHO.
Result: Out of 96 total verbal autopsies 73(76%) infant deaths were in neonatal period chiefly focus in early neonatal period (62.5%). Male infant was 57.3% & 42.7% were female. Average family size was 4.9%. 61.5% from socio-economic class IV and 38.5% from class V. Poor housing was reported in 90% cases. Mother age less than 20 years at time of birth of the baby was in 15%. >1/3rd infant deaths in gravida & parity one. In 53.9% cases birth spacing was <2years.
Conclusion: By studying verbal autopsy, this study shows how important it is to correctly identify socio-demographic factors responsible for infant deaths. The present study concluded highest chances of infant deaths in ENP (Early Neonatal Period) mainly within one hour with significant male infant deaths in ENP. Most deaths were in lower socio-economic strata & first gravida/parity with birth spacing less than two years.
References
Bir Singh. Infant Mortality Rate in India: Still a Long Way to Go, Indian Journal of Pediatr 2007(5);74.
UNICEF. The State of The World’s Children 2009, 2006 & 2004. Maternal and Newborn Health, Basic Heath Indicator. Page 119. Available at http://www.unicef.org/protection/SOWC09-FullReport-EN.pdf. Assessed at June 11, 2010.
Sample Registration System Bulletin, Regional General, India 2009(10),44 No.1.
Kumar BS, Manish P. Reporting system for cause of death in India (Major findings) & recent incorporation of verbal autopsy method in sample registration system: A powerful tool for reliable mortality information, Journal of Forensic Medicine and Toxicology 2003(2);20.
Shrivastava SP, Kumar A, Oza A. Verbal Autopsy Determined Causes of Neonatal Deaths. Indian Pediatr 2001;38:1022-25.
Katz J, West KP, Khatry SK, et al. Risk Factors for Early Infant Mortality in Sarlahi District, Nepal. Bulletin of world health organization. 2003(10);81.
M. Shaikh, RK Baxi, U. Naik, et al. Neonatal Mortality- An Experience by Verbal Autopsy. Public Health and Human Rights, APHA 134th Annual meeting and Exposition 2006 (11), Boston, MA. Available at: http://apha.confex.com/apha/134am/techprogrm/paper_125247.htm Accessed April 11th, 2010.
National Family Health Survey (NFHS-3): International Institute for Population Sciences, Mumbai: IIPS. 2005-06: India:Volume I.
A.Vaid, A. Mammen, B. Primrose, et al. Infant Mortality in an Urban Slum, Indian Journal of Pediatr 2007;74(5): 449-54.
R. Khanna, A. Kumar, J.F. Vaghela, et al. Community Based Retrospective Study of Sex in Infant Mortality in India. BMJ 2003(7);327:1-4.
DLHS-3 Data: Gujarat-Key Indicators. Available at: http://www.rchiips.org/pdf/rch3/state/Gujarat.pdf. Accessed May 18th, 2010
B.K. Chakladar, N. Udya kiran, Lalitha krishnan, R. S. Phaneendra Rao. A study of infant mortality in field practice area of Kasturba Medical College, Manipal-A Preliminary analysis. http:/www.ijcm.org.in.
Saksena DN, Srivastava JN. Biosocial Correlates of Perinatal Mortality: Experiences of an Indian Hospital. Journal Biosoc.Sci. 1980;12:69-81.
Kapoor RK, Srivastava AK, Misra PK. Perinatal Mortality in Urban Slum in Lucknow. Indian Journal of Pediatr 1996(6);33(1): 19-23.
Hosseinpor AR, Mohammad K, Majdzades. Socioeconomic Inequality in Infant Mortality in Iran and Across Its Provinces. A Hospital Based Study. Indian Pediatr 2005(11);83:837-44.
Agrawal A, Kumar R, Kumar P. Early Neonatal Mortality in a Hilly North Indian State: Socio-Demographic Factor and Treatment Seeking Behaviour; Indian J. Prev. Soc. Med 2003(34); 46-51.
Quamrul HC, Rafiqul I, Kamal H. Effect of Demographic Characteristic on Neonatal, Post Neonatal, Infant and Child Mortality. Current Research Journal of Biological Sci 2010;2(2):132-38.
Claeson M, Edurad R, Tazim M, et al. Reducing Child Mortality in India in New Millennium. Bulletin of World Health Organization Genebra 2000(78);10.
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