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A prospective cohort study on the survival experience of under five children in rural western India

S Hirve1, B Ganatra

  • 1K.E.M. Hospital Research Center, Rasta Peth, Pune.

Indian Pediatrics
|May 6, 1998
PubMed

Insights

Child survival is significantly impacted by birth weight and nutritional status. Key interventions for improving child survival include immunization and breastfeeding practices.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Child survival remains a critical global health challenge.
  • Understanding determinants of child mortality is essential for effective public health strategies.

Purpose of the Study:

  • To investigate the influence of birth weight, nutrition, immunization, and socio-medical factors on child survival up to five years of age.
  • To identify key factors affecting child mortality in a rural Indian population.

Main Methods:

  • Prospective cohort study involving 4129 children followed from birth to five years.
  • Data collection included anthropometric measurements, morbidity, immunization status, and verbal autopsy for cause of death.
  • Statistical analysis utilized Kaplan-Meier survival curves and multivariate analysis.

Main Results:

  • Neonatal, infant, and under-five mortality rates were 37, 60, and 79 per 1000 live births, respectively.
  • Diarrhea and acute respiratory infections (ARI) were major causes of mortality.
  • Birth weight, immunization status, and nutritional status (mother and child) were significant predictors of mortality.

Conclusions:

  • Birth weight is a crucial determinant of child survival throughout the first five years of life.
  • Comprehensive child survival strategies must prioritize immunization and breastfeeding.
Abstract

Keywords:
AsiaBiologyBirth WeightBody WeightChild MortalityChild NutritionChild Survival--determinantsDelivery Of Health CareDemographic FactorsDeveloping CountriesHealthHealth ServicesImmunizationIndiaInfant MortalityInfant NutritionLength Of LifeMaternal NutritionMortalityNutritionPhysiologyPopulationPopulation CharacteristicsPopulation DynamicsPrimary Health CareResearch ReportRural PopulationSouthern AsiaSurvivorship

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