Pattern of Infant Mortality in Titabor Block of Jorhat District, Assam

Authors

  • Abu Hasan Sarkar District Surveillance Unit, Integrated Disease Surveillance Program, Barpeta
  • Pankaj Kumar Sahu Jorhat Medical College, Jorhat

Keywords:

Infant death, IMR, Infant Mortality Rate, birth asphyxia

Abstract

Introduction: Death of infants is not only tragic but also one of the leading public health problems in developing nations like India. Infant Mortality Rate (IMR) is defined as the probability of dying between birth and exactly one year of age expressed as per 1,000 live births. The study was conducted to study the pattern of infant mortality in Titabor block of Jorhat district of Assam.2.

Methodology: The study was a record based descriptive study. Retrospective data were taken from records which were main- tained at Titabor Block PHC. All the records of infants born from1stApril 2014 to 31stMarch 2016 were considered in this study.

Results: Most of the death occurred in early neonatal period fol- lowed by post- neonatal period and late-neonatal period. More death occurred in male infants. It was found that the most com- mon cause of death remained unknown (19.78%) followed  by birth asphyxia (15.38%), septicaemia (13.74%) and VLBW (13.19%).

Conclusion: The present study concludes that the infant mortality was due to preventable causes of death. This emphasizes the need to improve the quality of antenatal and perinatal care. The high deaths due to undiagnosed cases call for strengthening of health care centre through better diagnostic equipments, human resource development, early recognition of danger signs by health workers through rigorous and periodical training and timely referral.

References

UNICEF. Basic indicators (Definitions). Available at http:// www.unicef.org/infobycountry/stats_popup1.html. Ac- cessed on December 22,2017

World Health Organisation. Mortality Database: Civil regis- tration data. Available at http://www.who.int/health info/morttables. Accessed on December 22, 2017

World Mortality Report 2013. United Nations, department of Economic and Social Affairs, Population Division (United nations publication). Available at http://www. un.org/en/development/desa/population/publications/ mortality/ world-mortality-report-2013.shtml. Accessed on December 22,2017

National Family Health Survey (NFHS-4) 2015-16. Assam, India. Available at: rchiips.org/nfhs/factsheet_NFHS- 4.shtml#. Accessed on January 05, 2018

WHO MDG-4 goals: reduce child mortality. Available at: www.who.int/topics/millennium_development_goals/chil d_mortality/en/. Accessed on December 22, 2017

Majumdar R, Lahiri S, Roy H, Chakraborty N, Kaviraj S. A study on Infant Mortality in a Rural Block of West Bengal, India. J Dental and medical Sciences. 2014;13 (3):24-26.

Sharifzadeh GR, Namakin K, MehrjoofardH . An Epidemi- ological Study on Infant Mortality and Factors Affecting it in Rural Areas of Birjand, Iran. Iran J Pediatr. 2008 Dec;18 (4):335-342.

Vaid M, Mammen A, Primrose, Kang G. Infant Mortality in an Urban Slum. Indian J Pediatr. 2007 May;74 (5):449-453.

Sharifzadeh GR, Namakin K, MehrjoofardH.An Epidemiol- ogical Study on Infant Mortality and Factors Affecting it in Rural Areas of Birjand, Iran. Iran J Pediatr.2008; 18 (4):335- 342.

Shah MS, Khaliue N, Khan Z, Amir A. A community based study of Infant Mortality in rural Aligarh. AMJ. 2011;4 (1):22-25.

Awasthi S, Pande VK. Cause specific mortality in under fives in the urban slums of Lucknow, North India. J Trop Pediatr. 1998;44: 358–361.

Hussain A, Ali SM, Kvale G. Determinants of mortality among children in the urban slums of Dhaka city, Bangla- desh. Trop Med Inter Health. 1999;4: 758–764.

Nathan R, Mwanyangala MA. Survival of neonates in rural Southern Tanzania: does place of delivery or continuum of care matter? BMC Pregnancy Childbirth. 2012;12:18.

Kusneniwar GN, Mishra AK, Balasubramanian K, Reddy PS. Determinants of Infant Mortality in a Developing Re- gion in Rural Andhra Pradesh. Natl J Integr Res Med. 2013;4 (4):20–6.

National Institute of Medical Statistics, Indian Council of Medical Research ICMR, UNICIEF. Infant and child mortal- ity in India: Levels, Trends and Determinants. New Delhi, India: India country office; 2012.

Kusneniwar GN, Mishra AK, Balasubramanian K, Reddy PS. Determinants of Infant Mortality in a Developing Re- gion in Rural Andhra Pradesh. Natl J Integr Res Med. 2013;4 (4):20–6.

Sehgal A, Roy MS, Dubey NK, Jyothi MC. Factors contrib- uting to outcome in newborns delivered out of Hospital and referred to a teaching Institution. Indian Pediatr. 2001;38:1289–94.

Bapat U, Alcock G, More NS, Das S, Joshi W, Osrin D. Still- births and newborn deaths in slum settlements in Mumbai, India: A prospective verbal autopsy study. BMC Pregnancy Childbirth. 2012;12:39.

Das J, Hammer J, Leonard K. The quality of medical advice in low-income countries. J Econ Perspect.2008;22:93–114.

Jashnani KD, Rupani AB, Wani RJ. Maternal mortality: An autopsy audit. J Postgrad Med. 2009;55:12–6.

Bouman A , Heineman MJ, Faas MM. Sex hormones and the immune response in humans. Human Reprod Update. 2005;11:411–423.

Read JS , Troendle JF , Klebanoff MA. Infectious disease mortality among infants in the United States, 1983 through 1987. Am J Public Health. 1997;87:192–198.

Mage DT, Donner EM. The fifty percent male excess of in- fant respiratory mortality. Acta Paediatr. 2004;93:1210–1215.

McMillen M. Differential mortality by sex in fetal and neo- natal deaths. Science. 1979;204:89–91.

Zeitlin J. Fetal sex and preterm birth: are males at greater risk? Human Reprod. 2002;17:2762–2768.

Bhaumik U. Narrowing of sex differences in infant mortal- ity in Massachusetts. J Perinatol .2004;24:94–99.

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Published

2018-06-30

How to Cite

1.
Sarkar AH, Sahu PK. Pattern of Infant Mortality in Titabor Block of Jorhat District, Assam. Natl J Community Med [Internet]. 2018 Jun. 30 [cited 2024 May 4];9(06):407-10. Available from: https://njcmindia.com/index.php/file/article/view/728

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Original Research Articles