Neonatal mortality in India's rural poor: Findings of a household survey and verbal autopsy study in Rajasthan, Bihar and Odisha

被引:6
作者
Dogra, Vishal [1 ]
Khanna, Rajesh [1 ]
Jain, Anuradha [2 ]
Kumar, Ajay M. V. [3 ]
Shewade, Hemant D. [4 ]
Majumdar, Suman S. [5 ]
机构
[1] Save Children, New Delhi 110019, India
[2] Publ Hlth Specialist, New Delhi 110019, India
[3] South East Asia Reg Off, Int Union TB & Lung Dis, New Delhi 110016, India
[4] Mahatma Gandhi Inst Med Sci, Dept Community Med, Wardha 442102, India
[5] Burnet Inst, Ctr Int Hlth, Melbourne, Vic 3004, Australia
关键词
disadvantaged community; neonatal mortality; verbal autopsy; operational research; SORT-IT; India; UNDER-5; MORTALITY; CHILD-MORTALITY;
D O I
10.1093/tropej/fmv013
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In 2011, Save the Children India launched a project for the disadvantaged population of Rajasthan, Bihar and Odisha. As a baseline activity, neonatal deaths during January-December 2012 were investigated using modified verbal autopsy tool in six sub-district-level administrative units (blocks) adopting 30-cluster sample survey approach. Our study reported a total of 189 neonatal deaths of which 50% occurred at home and 39% happened on Day 1. About half of the deaths occurred in blocks from Bihar. High number of neonatal deaths belonged to households that were below poverty line (64%) and other disadvantaged classes (46%); among mothers who were illiterate (65%), < 20 years of age (54%) and during their first-order births (36%). Birth asphyxia was a major cause of neonatal deaths across all blocks. These findings indicate need for easy and early access to transport services, specialized neonatal care and advocacy targeted towards increasing community awareness.
引用
收藏
页码:210 / 214
页数:5
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