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Early childhood mortality--a rural study

N Khalique1, S N Sinha, M Yunus

  • 1Department of Community Medicine, J N Medical College, AMU, Aligarh, India.

Journal of the Royal Society of Health
|October 1, 1993
PubMed
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Infant mortality in rural India is high, with diarrhea and neonatal issues being leading causes. Children under two years old face the greatest risk, influenced by maternal age and education.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Infant mortality remains a critical public health challenge in many developing regions.
  • Understanding the specific causes and risk factors is essential for targeted interventions.

Purpose of the Study:

  • To determine the infant mortality rate (IMR) and identify major causes of death in children under five years.
  • To investigate risk factors associated with infant mortality in a rural Indian population.

Main Methods:

  • A community-based study was conducted in 9 villages.
  • Data were collected from 1792 registered families, analyzing mortality records and associated risk factors.

Main Results:

  • The infant mortality rate was 79.3 per 1000 live births.

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  • Diarrhea, neonatal factors, and pneumonia were primary causes of infant mortality.
  • Children aged 1-2 years exhibited higher mortality than those aged 2-5 years.
  • Risk factors included extremes of maternal age, parity, and maternal illiteracy.

    • Conclusions:

    • Urgent interventions are needed to address infectious diseases like diarrhea and pneumonia.
    • Maternal health and education are crucial in reducing infant mortality.
    • Targeted strategies for vulnerable age groups (under 2 years) and specific risk groups are recommended.