Sex-specific trends in under-five mortality in rural Ballabgarh

Anand Krishnan1, N G Nawi, Peter Byass

  • 1Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India; *Umea Centre for Global Health Research, Department of Public Health and Clinical Medicine, Umea University, Sweden and #Department of Community Health, St. Stephens Hospital, Delhi, India. Correspondence to: Dr Anand Krishnan, Additional Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi 110 029, India. kanandiyer@yahoo.com.

Indian Pediatrics
|September 4, 2013
PubMed

Insights

Child survival in India shows significant gender disparities, with girls experiencing higher mortality rates post-neonatal and in childhood. Addressing neonatal mortality and gender inequities is crucial for reducing overall child deaths.

Area of Science:

  • Demography
  • Public Health
  • Child Survival Research

Background:

  • Child mortality remains a significant public health concern in India.
  • Understanding sex-specific differentials in child survival is essential for targeted interventions.

Purpose of the Study:

  • To assess sex-specific differentials in child survival between 1992 and 2011.
  • To identify trends in under-five mortality rates and their relation to sex.

Main Methods:

  • Analysis of data from the Health and Demographic Surveillance System (HDSS) in Ballabgarh, North India.
  • Examination of sex ratio at birth and under-five mortality rates over a 20-year period.

Main Results:

  • The sex ratio at birth consistently favored boys, with rates ranging from 821 to 866 girls per 1,000 boys.
  • Under-five mortality rates stagnated due to a significant increase in neonatal mortality.
  • Mortality rates were consistently higher for girls than boys in post-neonatal (160-200% higher) and childhood (160-230% higher) periods.

Conclusions:

  • Neonatal mortality rates have increased, contributing to stagnant under-five mortality.
  • Significant gender disparities exist in child survival, with girls facing higher risks.
  • Targeted strategies addressing both neonatal mortality and gender inequities are necessary to reduce child mortality in India.
Abstract

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