Social factors of under-five mortality in rural Agra
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174242Keywords:
Under 5 mortality, Social causes of deathsAbstract
Background: Very limited recent data is available on the causes of child deaths in India.Most of the available studies do not accurately reflect the socio factors related to these deaths. Identifying and assessing the factors affecting the child mortality could be the first step in planning to reduce the mortality and promoting the society health and life expectancy. Therefore the present study was undertaken to find out the socio factors of deaths among children under 5 years of age.
Methods: The present cross-sectional survey was conducted among under five children and their parents residing within the selected villages in a community Development Block Sainyan, District Agra using Multistage random sampling technique. Participatory learning action technique was used. Data was analyzed and presented in form of percentages.
Results: Diarrhoea was the most common cause of under five children mortality followed by acute respiratory tract infection and pyrexia. Delay in recognition of problem followed by delay in decision making at family level, delay in seeking of health provider and delay in arranging transport were the main social causes of deaths. Most children were attended by local rural medical practitioners both at initial and terminal stages of illness.
Conclusions: Efforts to prevent diarrhoea and acute respiratory tract infection must be intensified. Awareness about the services provided by the government and their utilization should be strengthened.
Metrics
References
World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. . 2008. Available at: http://www.who.int/social_ determinants/thecommission/finalreport/en/ Accessed on 3 July 2017.
Marmot M, Atkinson T, Bell J, Black C, Broadfoot P, Cumberlege J, et al. Fair Society, Healthy Lives: The Marmot Review. Strategic Rev Health Inequalities England Post. 2010.
Jha P, Gajalakshmi V, Gupta PC, Kumar R, Mony P, Dhingra N, et al. RGI-CGHR Prospective Study Collaborators. Prospective study of one million deaths in India: Rationale, design, and validation results. PLoS Med. 2006;3:e18.
Lichtenthal WG, Neimeyer RA, Currier JM, Roberts K, Jordan N. Cause of death and the quest for meaning after the Loss of a child. Death Stud. 2013;37:311–42.
For the Million Death Study Collaborators. Causes of neonatal and child mortality in India: nationally representative mortality survey. Lancet. 2010;376(9755):1853-60.
Tette EMA, Nyarko MY, Nartey ET, Neizer ML, Egbefome A, Akosa F, et al. Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children’s Hospital in Accra, Ghana. BMC Pediatrics 2016;16(1):148.
Bhandari N, Mazumder S, Taneja S, Sommerfelt H, Strand TA. IMNCI Evaluation Study Group. Effect of implementation of integrated management of neonatal and childhood illness (IMNCI) programme on neonatal and infant mortality: Cluster randomized controlled trial. BMJ. 2012;344:e1634.
Fantahun M, Berhane Y, Wall S, Byass P, Hogberg U. Women’s involvement in household decision-making and strengthening social capital-crucial factors for child survival in Ethiopia. Acta Paediatrica. 2007;96:582–9.
Rutherford ME, Dockerty JD, Jasseh M, Howie SR, Herbison P, Jeffries DJ, et al. Access to health care and mortality of children under 5 years of age in The Gambia: a case–control study. Bulletin of the World Health Organization. 2009;87:216–24.
Ghosh N, Chakrabarti I, Chakraborty M, Biswas R. Factors affecting the healthcare-seeking behavior of mothers regarding their children in a rural community of Darjeeling district, west Bengal. Int J Med Public Health. 2013;3:12–6.
Deshmukh V, Lahariya C, Krishnamurthy S, Das MK, Pandey RM, Arora NK. Taken to Health Care Provider or Not, Under-Five Children Die of Preventable Causes: Findings from Cross-Sectional Survey and Social Autopsy in Rural India. Indian J Community Med. 2016;41(2):108-19.
Syed U, Khadka N, Khan A, Wall S. Care-seeking practices in South Asia: Using formative research to design program interventions to save newborns lives. J Perinatol. 2008;28(Suppl 2):S9–13.
Sutrisna B, Reingold A, Kresno S, Harrison G, Utomo B. Care-seeking for fatal illnesses in young children in Indramayu, West Java, Indonesia. Lancet. 1993;342:787–9.
Warren C. Care of the newborn: Community perceptions and health seeking behavior. Ethiop J Health Dev. 2010;24:110–4.
Framework for implementation. National Health Mission 2012-2017. Ministry of health and family welfare, Government of India. Available at: http://www.nrhm.gujarat.gov.in/Images/pdf/nhm_framework_for_implementation.pdf. Accessed on 6 August 2017.