India Infant mortality statistics

[Ronan Kelly]

'Over 16 Lakh Children Below 5 Yrs Died in India in 2010'
PTI | NEW DELHI | MAY 11, 2012


More than 16.8 lakh children below five years died of infectious but preventable diseases in India in 2010 and more than half of them could not complete the first month of their life, a new study has claimed.

Of the total deaths, 52 per cent or about 0.875 million were among the children who died in the first 28 days of their life, according to the study published in The Lancet today.

Pneumonia remained the leading killer which accounted for 28.6 per cent of all deaths in children under five, followed by preterm birth complications (18.1 per cent) and diarrhoea (12.6 per cent), the study found.
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http://news.outlookindia.com/items.aspx?artid=762221


The Lancet, Early Online Publication, 11 May 2012
doi:10.1016/S0140-6736(12)60560-1Cite or Link Using DOI
Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000

Li Liu PhD a, Hope L Johnson PhD a, Prof Simon Cousens MA b, Jamie Perin PhD a, Susana Scott PhD b, Joy E Lawn PhD c, Prof Igor Rudan MD d, Prof Harry Campbell MD d, Richard Cibulskis PhD e, Mengying Li MSPH a, Colin Mathers PhD f, Prof Robert E Black MD a , for the Child Health Epidemiology Reference Group of WHO and UNICEF
Summary

Background
Information about the distribution of causes of and time trends for child mortality should be periodically updated. We report the latest estimates of causes of child mortality in 2010 with time trends since 2000.

Methods
Updated total numbers of deaths in children aged 0?27 days and 1?59 months were applied to the corresponding country-specific distribution of deaths by cause. We did the following to derive the number of deaths in children aged 1?59 months: we used vital registration data for countries with an adequate vital registration system; we applied a multinomial logistic regression model to vital registration data for low-mortality countries without adequate vital registration; we used a similar multinomial logistic regression with verbal autopsy data for high-mortality countries; for India and China, we developed national models. We aggregated country results to generate regional and global estimates.

Findings
Of 7?6 million deaths in children younger than 5 years in 2010, 64?0% (4?879 million) were attributable to infectious causes and 40?3% (3?072 million) occurred in neonates. Preterm birth complications (14?1%; 1?078 million, uncertainty range [UR] 0?916?1?325), intrapartum-related complications (9?4%; 0?717 million, 0?610?0?876), and sepsis or meningitis (5?2%; 0?393 million, 0?252?0?552) were the leading causes of neonatal death. In older children, pneumonia (14?1%; 1?071 million, 0?977?1?176), diarrhoea (9?9%; 0?751 million, 0?538?1?031), and malaria (7?4%; 0?564 million, 0?432?0?709) claimed the most lives. Despite tremendous efforts to identify relevant data, the causes of only 2?7% (0?205 million) of deaths in children younger than 5 years were medically certified in 2010. Between 2000 and 2010, the global burden of deaths in children younger than 5 years decreased by 2 million, of which pneumonia, measles, and diarrhoea contributed the most to the overall reduction (0?451 million [0?339?0?547], 0?363 million [0?283?0?419], and 0?359 million [0?215?0?476], respectively). However, only tetanus, measles, AIDS, and malaria (in Africa) decreased at an annual rate sufficient to attain the Millennium Development Goal 4.

Interpretation
Child survival strategies should direct resources toward the leading causes of child mortality, with attention focusing on infectious and neonatal causes. More rapid decreases from 2010?15 will need accelerated reduction for the most common causes of death, notably pneumonia and preterm birth complications. Continued efforts to gather high-quality data and enhance estimation methods are essential for the improvement of future estimates.

Funding
The Bill & Melinda Gates Foundation.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60560-1/abstract

 

[Ronan Kelly]

Re: 1.7 million Children Below 5 Yrs Died in India in 2010

Re: 1.7 million Children Below 5 Yrs Died in India in 2010

India has the highest number of deaths among children below 5: United Nations
PTI | September 16, 2014, 19.09 pm IST

United Nations: India's child mortality ratehas dropped by more than half since 1990 but it still recorded the world's highest number of deaths among children below age five in 2013, a United Nations report said on Tuesday, acknowledging the progress made by the world's second most populous nation.

The report, 'Levels and Trends in Child Mortality 2014', found that India registered 1.34 million under-five deaths in 2013, the highest in the world.

While more Indian children are surviving to their fifth birthday than in 1990, it along with Nigeria still accounted for more than a third of all such deaths in 2013.
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http://www.deccanchronicle.com/1409...t-number-deaths-among-children-below-5-united

Full UNICEF report (PDF)
http://www.unicef.org/media/files/Levels_and_Trends_in_Child_Mortality_2014.pdf

 

[Ronan Kelly]

Re: India Infant mortality statistics

Ministry of Health and Family Welfare 18-September, 2014 16:20 IST
Health Minister wants child death reduction targets achieved before schedule

Bill Gates praises India?s polio conquest; Melinda by side commits help on UIP

Dr Harsh Vardhan, Union Health Minister, has said that the government is confident of reducing the newborn (birth to 28 days) mortality rate to single digit long before the 2030 target date. The present death rate is 29 per 1,000 live births. For this are required simple, cost-effective interventions before and immediately after delivery.

Inaugurating the Indian Newborn Action Plan (INAP) here today, the Minister said that of the 2.8 million newborns who die at birth worldwide, India contributes 700,000. ?These are preventable deaths and now we have an action plan for preventing them. I don?t believe in long-range targets. We must achieve our goal within a short time.?

INAP has been prepared with the help of expertise drawn from distinguished members of a Technical Resource Group. They have set out a vision of a world in which there are no preventable deaths of newborns or still births, where every pregnancy is wanted, every birth is celebrated and every woman, baby and child thrive to reach to reach their full potential.

The Minister said that INAP will be implemented under the existing Reproductive, Maternal, Child Health and Adolescents Plus (RMNCHA+) framework. Six evidence-based, effective strategies impacting still births and newborn health will be used. These include preconception and antenatal care, care during labour and child birth, immediate newborn care, care of healthy newborns, care of small and sick newborns and care beyond newborn survival.

Under the sixth pillar of care ?beyond newborn survival ? India has taken the vital decision to improve the quality of life for those with birth defects, neuro-developmental delay and disabilities. Effective implementation of the strategic plan will be ensured through a systematic plan for monitoring and evaluation of dashboard indicators and milestones.

Recalling the involvement of all stakeholders in the fight against polio, Dr Harsh Vardhan wanted a replication while saving the lives of newborns. In this struggle the role of the Accredited Social Health Activists (ASHA) will be crucial. It is also essential to identify and close all the gaps in the system, he stated.

Praising Mr Bill Gates and Mrs Melinda Gates for their valuable support to India?s health programmes and particularly Mother and Child Care, Dr Harsh Vardhan said the Bill & Melinda Gates Foundation is doing valuable work in the rural areas of the country.

?Just as he revolutionised the basic human thought process through the personal computer revolution, Bill Gates has saved millions of lives by donating billions of dollars for transforming conditions of human existence. At a time when the anti-polio campaign was threatened for want of adequate funds, the Bill and Melinda Gates Foundation stepped in with help. They are invaluable partners in our fight against disease and death,? Dr Harsh Vardhan said.

The Minister also thanked the Indian Academy of Pediatricians for the work done by its members in helping infants survive the most vulnerable years. ?We have a deadline to meet the United Nations Millennium Development Goals which is only a year away. I hope to get every doctor?s contribution in achieving this target,? he said.

Speaking on the occasion, Mr Bill Gates, Chair of the Bill & Melinda Gates Foundation, wholesomely praised the Minister for his pioneering work in polio eradication. ?There are lessons to be learnt from India?s fight against polio which may be applied against other diseases also,? he pointed out.

Mr Gates lauded the government for expanding the list of diseases under the Universal Immunisation Programme. He highlighted the importance of including the Rotavirus vaccine in the package.

Mrs Melinda Gates, Co-Chair of the Foundation, said that by launching INAP, India has shown leadership in addressing newborn and maternal mortality. She too commended the ASHA and auxiliary nurse midwives for their roles in Mother and Child care in the rural areas. ?Healthy mothers and healthy children are crucial for India to realise the demographic dividend,? she added.

*****


MV
(Release ID :109784)
http://pib.nic.in/newsite/erelease.aspx?relid=109784

Save-baby plan

OUR SPECIAL CORRESPONDENT

New Delhi, Sept. 18: The Union health ministry today announced a six-pronged plan that seeks to speed up reductions in newborn mortality by expanding key life-saving services currently not widely available across India.

The India Newborn Action Plan (INAP) seeks to reduce the number of babies who die within 28 days of birth from the current level of 29 per 1,000 live births to 24 by 2017, 21 by 2020, and under 10 by 2030.
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The plan will focus on the ?six pillars of intervention? ? pre-conception and antenatal care, care during labour and childbirth, immediate newborn care, care of the healthy newborn, care of the small and sick newborn, and care beyond newborn survival.

?We know what needs to be done to reduce neonatal deaths: what we need is a massive scale-up of a range of services and interventions,? said Vijay Yewale, president of the Indian Academy of Paediatrics.

But public health analysts say it is unclear how the government will address gaps in implementing well-known interventions without much higher investments in infrastructure and human resources.
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https://www.google.com/webhp?ei=yNk...Indian+newborn+action+plan&tbs=qdr:d&start=10

 

[Ronan Kelly]

Re: India Infant mortality statistics

INAP
India Newborn Action Plan
Ministry of Health & Family Welfare
Government of India
September 2014

http://nrhm.gov.in/images/pdf/progr...idelines/India_Newborn_Action_Plan_(INAP).pdf

 

[Ronan Kelly]

Re: India Infant mortality statistics

Crib deaths hit city hospital: Poor neo-natal care and lack of staff led to 3 infant deaths a day in Guru Teg Bahadur Hospital
By RAKESH RANJAN
PUBLISHED: 19:41 EST, 3 October 2014 | UPDATED: 19:41 EST, 3 October 2014


A state-run hospital at Malda in West Bengal made news for the death of 16 children in 48 hours but one of the Capital's top government hospitals is well on its way to setting a more dubious and shocking record, registering at least three infant deaths a day for the past three years.
Abysmal healthcare facilities and the lack of staff to operate vital equipment such as incubators and ventilators have caused the deaths of 3,373 children between January 2011 and February 2014 at the Delhi Government-run Guru Teg Bahadur (GTB) Hospital.
The 1,000-bed hospital is not only the biggest in the trans-Yamuna region comprising East and Northeast Delhi, but also caters to a large number of patients from western Uttar Pradesh. The dearth of critical equipment like incubators and inadequate manpower in the paediatric department are primarily blamed for the neo-natal deaths.

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Read more: http://www.dailymail.co.uk/indiahom...-Guru-Teg-Bahadur-Hospital.html#ixzz3FPiFIKkc
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[Ronan Kelly]

Re: India Infant mortality statistics

Bihar

India?s 11 % neonatal deaths in Bihar
Banjot Kaur Bhatia,TNN | Nov 22, 2014, 11.30 PM IST

Patna: Though Bihar has witnessed a steady decline in Neo-Natal Mortality Rate (NMR) in recent years, it accounts for second highest total number of neonatal deaths in India. With NMR at 28, the state accounts for 11 per cent neonatal deaths in the country. NMR is defined as death of infants (within one month of birth) per 1,000 live births.
Incidentally, every year around 30 lakh live births take place in Bihar and about 90,000 newborns die before completing one month.
The inter-district variation in NMR is also one of the highest in Bihar. Patna district has the lowest NMR (21), while the highest is in Madhepura (45).
In fact, neonatal deaths account for 60 per cent of total infant mortality rate (no of deaths per 1,000 births till
one year). If NMR comes down, experts say, IMR will go down in the state. However, with poor health infra in Bihar, it does not seem easy to prevent neonates' death.
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Incidentally, 54% neonatal deaths were of infants born to mothers less than 20 years of age.
http://timesofindia.indiatimes.com/...atal-deaths-in-Bihar/articleshow/45244117.cms

 

[Ronan Kelly]

Infant deaths prompt Delhi govt to take action
Mail Today ? 11 hours ago

TO facilitate better healthcare for children, the Delhi government is planning to set up Neonatal Intensive Care Unit ( NICU) at two of its hospitals. In the first phase these units will be set up at Babu Jagjivan Ram Hospital in Jahangirpuri and Bhagwan Mahaveer Hospital in Pitampura.
"These two hospitals will get NICU soon. There is an urgent need to improve the existing facilities for infants and children in all our government hospitals.
We have chalked out a proper plan, and under that the existing infrastructure will get a boost," a senior government official told MAIL TODAY . On March 18, MAIL TODAY had reported about the rickety healthcare facilities for infants and children at Delhi government hospitals. A reply to an RTI query had revealed that 10- 15 per cent of children admitted in the neonatal and paediatric ICU wards of the hospitals have succumbed to death in the last five years. It was also revealed that over 34,000 children have died in last five years at 19 Central and state government hospitals in Delhi.
The government- run Chacha Nehru Bal Chikitsalaya in Geeta Colony reported 5,499 deaths in the last five years till December 2014. Almost 16 per cent of the babies admitted in the PICU and
NICU wards of the hospital have died.
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https://in.news.yahoo.com/infant-deaths-prompt-delhi-govt-000000952.html

 

[Ronan Kelly]

Haryana districts ?hide? mother-infant deaths

Sushil Manav
Tribune News Service
Sirsa, July 31

If Haryana is unable to know that it?s faced with an unenviable task of a growing number of mother-infant deaths, there's a reason. In the social sector's dull and dry data, the state government's agents of change have failed the test of truthfulness. Sample this: there are wide gaps in the reports of district authorities and National Health Mission (NHM) on mother-infant deaths.

Of 3,307 infant deaths, only 728 found mention in district reports to the state government and the Union Ministry of Health and Family Welfare. And, of 145 maternal deaths, just 21 were reported on the NHM portal Health Management Information System (HMIS). The rest have been ?concealed?.

The facts came to light during a recent videoconferencing under the ?Beti Bachao Beti Padhao? campaign where it was pointed out that there were huge gaps in the information on mother-infant deaths in Haryana, in the data uploaded on the HMIS and the one available on the Maternal and Infant Death Reporting System (MIDRS) of the state. A copy of data available with the MIDRS and the HMIS is available with The Tribune.
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http://www.tribuneindia.com/news/ha...stricts-hide-mother-infant-deaths/114117.html