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Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
印度新生儿和儿童死亡的原因:全国代表性的死亡率调查
1, Diego G Bassani, Rajesh Kumar
1Centre for Global Health Research, Li Ka Shing Knowledge Institute, St Michael’s Hospital and Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5B 1W8, Canada.
Lancet (London, England)
|November 16, 2010
概括
在印度,早产,感染和分娩并发症导致了大多数新生儿死亡,而肺炎和腹导致了儿童死亡率. 解决这些可预防的原因可以显著减少儿童死亡.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 印度在2005年记录了超过230万名儿童死亡,主要原因之前未得到量化.
- 在儿童死亡原因方面存在显著的区域和性别差异.
研究的目的:
- 调查印度新生儿和儿童死亡的主要原因.
- 分析因性别和地理区域的死亡原因的差异.
主要方法:
- 利用了对110万户家庭进行的国家代表性调查,记录了2001年至2003年的死亡情况.
- 分析了医生指定的死亡原因,并使用联合国人口数据预测了2005年的死亡率.
- 特定死因的死亡率是根据国家和6个地区计算的.
主要成果:
- 新生儿死亡 (1.01万) 主要是由早产/低出生体重 (33万),新生儿感染 (27万) 和出生窒息/创伤 (19万) 引起的.
- 儿童死亡 (1-59个月,134万) 主要是由于肺炎 (370,000) 和腹疾病 (300,000).
- 与其他地区的男孩相比,印度中部的女孩因肺炎和腹的死亡率明显高.
结论:
- 2005年印度约有150万名儿童死亡的原因有五个可预防的原因.
- 改善新生儿/产后护理,腹/肺炎管理和疫苗接种等干预措施对于降低儿童死亡率至关重要.
- 显著的区域和性别差异需要有针对性的公共卫生战略.
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