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Published on: August 15, 2018
Infant mortality in the rural Riyadh region of Saudi Arabia
1Department of Community and Family Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Insights
This study tracked infant mortality in five villages, finding a decline in overall infant deaths but high neonatal mortality rates. Improved antenatal and obstetric care are recommended to further reduce infant mortality.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Infant mortality remains a significant public health challenge globally.
- Understanding regional variations in neonatal and postneonatal mortality is crucial for targeted interventions.
Purpose of the Study:
- To determine the neonatal mortality rate (NMR) and infant mortality rate (IMR) in a cohort of infants born in 1987.
- To identify the primary causes of infant deaths in the study population.
- To assess trends in infant mortality compared to previous estimates and inform public health strategies.
Main Methods:
- A prospective cohort study was conducted in five randomly selected villages.
- Trained nurses identified all births in 1987 and collected morbidity and mortality data.
- Demographic and statistical analyses were applied to the collected data.
Main Results:
- A total of 4,963 live births were recorded during the study period.
- The neonatal mortality rate was 21.4 per 1,000 live births.
- The infant mortality rate was 53.8 per 1,000 live births, with a postneonatal death rate of 32.5 per 1,000 live births.
- Leading causes of infant death included gastroenteritis, respiratory problems, preterm birth complications, and congenital abnormalities.
Conclusions:
- While infant mortality has declined compared to previous estimates, neonatal mortality rates remain high.
- There is a significant potential for further reduction in postneonatal mortality.
- Improved antenatal and obstetric healthcare services are urgently needed to address high neonatal death rates.
Abstract:
A prospective study of a cohort of infants born in 1987 was carried out until they were one year old. Five villages were selected at random. All the babies born in 1987 in these villages were identified by a group of trained nurses. These nurses collected morbidity and mortality data on these children each time the events occurred using a structured data collection form. Data were analysed using relevant demographic and statistical techniques. A total of 4,963 babies was born during the period of study. The neonatal mortality rate was 21.4 per 1,000 live births and the infant mortality rate was 53.8 per 1,000. The postneonatal death rate was 32.5 per 1,000 live births. The causes of infant deaths as presumed from reported signs of last illness were gastroenteritis, respiratory problems, preterm birth complications and congenital abnormalities. It was concluded that there is a decline in the infant mortality rate compared with previous estimated rates, but the high levels of neonatal death rates call for improved antenatal and obstetric health services. The high postneonatal death rate indicates the potential for a further reduction.
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