A community based study of neonatal mortality in Aligarh by using verbal autopsy

Authors

  • Ambren Chauhan Department of Community Medicine, J.N.M.C.H, A.M.U, Aligarh, Uttar Pradesh
  • M. Salman Shah Department of Community Medicine, J.N.M.C.H, A.M.U, Aligarh, Uttar Pradesh
  • Najam Khalique Department of Community Medicine, J.N.M.C.H, A.M.U, Aligarh, Uttar Pradesh
  • Uzma Eram Department of Community Medicine, J.N.M.C.H, A.M.U, Aligarh, Uttar Pradesh

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20182183

Keywords:

Neonatal mortality, Verbal autopsy, Socio-biological factors

Abstract

Background:Neonatal mortality rate is regarded as an important and sensitive indicator of the health status of a community. Children face the highest risk of dying in their first month of life. The present study was aimed to 1) determine the prevalence of neonatal mortality rate 2) identify socio-biological factors in relation to neonatal mortality.3) determine the causes of neonatal mortality.

Methods:A community based cross sectional study was conducted in the field practice areas of Department of Community Medicine, AMU, Aligarh. All the live births and all neonatal deaths were taken for one year from June 2016 to May 2017. A standard Verbal autopsy questionnaire (WHO 2012) was used as a study tool.

Results:The prevalence of neonatal mortality rate was38.2/1000 live births. The early neonatal mortality rate was 28.3/1000 live births and late neonatal mortality rate was 9.9/1000 live births. The associated socio –biological factors were gender [OR-2.381, 95% CI-1.037-5.468], birth order [OR-4.090, 95% CI-1.119-14.946] and gestational age [OR-12.62, 95% CI-3.26-48.82]. The leading causes of deaths among newborns were preterm births (22.2%), birth asphyxia (22.2%), other causes (19%), ARI (14.3%), congenital anomalies (14.3%) and diarrhoeaandneonatal sepsis accounted for (4.8%) each.

Conclusions: The neonatal mortality rate assessed by verbal autopsy is higher than nationally reported. Most of the deaths were in early neonatal period. There is a need for programs encouraging the use of antenatal care, encouraging institutional deliveries and care of LBW neonates; as well as implementation of community-based newborn survival strategies.

References

UNICEF, Child Survival: Neonatal Mortality 2017. Available at: https://data.unicef.org/topic/child-survival/neonatal-mortality/. Accessed on 3 February 2018.

WHO.int. NewYork: 2017. Available at: http://www.who.int/mediacentre/news/releases/2017/daily-newborn- deaths/en/. Accessed on 3 February 2018.

UN IGME, Levels and trends in child mortality report 2014. Available at: https://www.unicef.org/ media/files/Levels_and_Trends_in_Child_Mortality_2014.pdf Accessed on 3 February 2018.

WHO: Verbal autopsy standards: ascertaining and attributing cause of death. Geneva: world Health Organization; 2012.

Government of India. Chapter 4 Estimates of mortality indicators; Census 2014. Available at: http://www. censusindia.gov.in/vital_statistics/

SRS_Report_2014/8.%20Chap%204-204-Mortality%20Indicators-2014-U.pdf. Accessed on 3 February 2018.

MS Shah, Khalique N, Khan Z, Amir A. A community based study of Infant Mortality in rural Aligarh. Australas Med J. 2011;4:22-5.

Bang AT, Paul VK, Reddy HM, Baitule SB. Why do neonates die in rural Gadchiroli, India? (Part I): primary causes of death assigned by neonatologist based on prospectively observed records. J Perinatol. 2005;25:29-34.

Kumar GA, Dandona L, Chaman P, Singh P, Dandona R. A population-based study of neonatal mortality and maternal care utilization in the Indian state of Bihar. BMC Pregnancy Childbirth. 2014;14:1-10.

Dandona R, Kochar PS, Kumar GA, Dandona L. Use of antiseptic for cord care and its association with neonatal mortality in a population-based assessment in Bihar State, India. BMJ Open. 2017;7:e012436.

Sankar MJ, Neogi SB, Sharma J, et al. State of newborn health in India. Nat Publ Gr. 2016;36:S3-S8.

Dalal S, Khedkar DT, Bhawalkar JS. Causes of Deaths among Children below Five Years Using Verbal Autopsy Tool in Deharadun, India. National J Community Med. 2016;7:226-8.

Surekha T, Kumar N. Socio demographic factors affecting perinatal mortality- A study in a rural setup. IOSR J Pharm. 2012;2:43-6.

Tiwari N, Devi RS. Factors affecting neonatal mortality in a hilly area of Northeast a India: A registry based study. Health Popul Perspect Issues. 2014;37:129-40.

Rammohan A, Iqbal K, Awofeso N. Reducing neonatal mortality in India: critical role of access to emergency obstetric care. PloS one. 2013;8(3):1-8.

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Published

2018-05-22

How to Cite

Chauhan, A., Shah, M. S., Khalique, N., & Eram, U. (2018). A community based study of neonatal mortality in Aligarh by using verbal autopsy. International Journal Of Community Medicine And Public Health, 5(6), 2491–2494. https://doi.org/10.18203/2394-6040.ijcmph20182183

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Original Research Articles