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Published on: October 10, 2025
Morbidity among infants in South India: a longitudinal study
Nitin Joseph1, S H Subba, Vijaya A Naik
1Department of Community Medicine, Kasturba Medical College, Light House Hill Road, Mangalore, Karnataka, India.
Insights
This study tracked infant morbidity in India, finding respiratory infections, diarrhea, and skin diseases to be most common. Health programs need improvement to reduce infant illness incidence.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Infant morbidity presents a significant public health challenge globally.
- Understanding disease patterns in the first year of life is crucial for targeted interventions.
- Limited data exists on the specific incidence and types of morbidity in Indian birth cohorts.
Purpose of the Study:
- To determine the incidence and types of morbidity during the first year of life.
- To identify common diseases affecting infants in a specific region of India.
- To provide data for improving child health programs.
Main Methods:
- A longitudinal birth cohort study was conducted in northern Karnataka, India.
- 194 newborns were enrolled and followed monthly until one year of age.
- Data collected included birth weight, gestational age, congenital anomalies, birth asphyxia, and subsequent morbidities.
Main Results:
- The overall incidence of morbidity was 3.28 per infant per year.
- Common neonatal morbidities included diarrhea (10.8%) and skin diseases (8.2%).
- During infancy, respiratory tract infections (62.4%), diarrhea (42.8%), and skin diseases (21.6%) were most prevalent, with higher incidence in boys and later infancy.
Conclusions:
- Infant morbidity, particularly respiratory infections and diarrheal diseases, is a significant concern in this Indian cohort.
- The findings underscore the urgent need for enhanced child health programs and preventive strategies.
- Addressing factors contributing to infant morbidity is essential for improving child survival and well-being.
Abstract:
To study the incidence and types of morbidity in the first year of life in a birth cohort, a longitudinal study. This study was undertaken in northern part of Karnataka state in India. Birth cohort consisted of all the children born during first six months of the study period. They were assessed at the time of enrollment and monthly follow up was done till they attained one yr of age. Out of the 194 newborns, 46.4% were boys and 53.6% were girls. 24.8% of newborns were of low birth weight and 5.1% were preterm. Four (2.1%) had congenital anomalies and 2.5% developed birth asphyxia. Diarrhea (10.8%) and skin diseases (8.2%) were the commonest morbidities in the neonatal period. The incidence of morbidity was 3.28 per infant per yr. It was more among boys and in the second half of infancy. Commonest morbidities during infancy were respiratory tract infection (62.4%), diarrhea 42.8% and skin diseases (21.6%). Incidence of disease in infancy highlights the need to improve and plan health programmes.
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