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Related Experiment Videos

A strategic framework for infant mortality reduction: implications for "Healthy Start"

D Strobino1, P O'Campo, K C Schoendorf

  • 1Department of Maternal and Child Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.

The Milbank Quarterly
|January 1, 1995
PubMed
Summary

Reducing infant mortality in urban areas requires focused strategies. Improving birthweight-specific survival offers the most significant impact, with combined interventions potentially reducing mortality by 30%.

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Area of Science:

  • Public Health
  • Pediatrics
  • Maternal and Child Health

Background:

  • High infant mortality rates in US urban areas are a significant federal concern.
  • The Healthy Start program aims to reduce infant mortality in participating cities.

Purpose of the Study:

  • To evaluate four key strategies for reducing infant mortality within the Healthy Start program.
  • To identify interventions with the greatest potential impact on lowering infant mortality rates.

Main Methods:

  • Analysis of four distinct strategies: reducing high-risk pregnancies, low birthweight/preterm births, improving birthweight-specific survival, and reducing post-neonatal mortality.
  • Estimation of the impact of known interventions on infant mortality reduction.

Main Results:

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  • Improving birthweight-specific survival emerged as the strategy with the largest potential impact on reducing infant mortality.
  • Most individual interventions showed a reduction of 2% or less.
  • Combined interventions could lead to approximately a 30% reduction in infant mortality.

Conclusions:

  • A strategic model is presented to assess the Healthy Start demonstration's impact.
  • Improving birthweight-specific survival is highlighted as the most effective intervention for reducing infant mortality in urban populations.