Domestic Violence and The Risk of Infant and Child Mortality - A Case Control Study.

Sunitha, Henry Kannan (2008) Domestic Violence and The Risk of Infant and Child Mortality - A Case Control Study. Masters thesis, Christian Medical College, Vellore.


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INTRODUCTION : Infant mortality rate (IMR) is considered as one of the most sensitive indicators of health Status of a community .India is still among the countries with high infant mortality rates. IMR has slowly declined from 204 in 1911-15 , to 129 per 1000 live births in 1970 Remained static for several years at around 127 ,declined to 114 in 1980 and came down to 67 In 2002 . Despite the significant decline, the rates are very high as compared to developing Countries, now mostly in the range of 5- 8 per 1000 live births. Statistics from the Ministry Of Health in India for 2005reported an infant mortality rate of 68 per 1000 live births and an Estimated neonatal mortality rate of 43.4 per 1000 live births, substantially lower rates than a Decade earlier2. Over the past several years, the official infant mortality rate for India has Hardly changed, suggesting that inroads into neonatal mortality are difficult to achieve, Requiring much greater investment in safer motherhood and neonatal care programs. India is a vast country with widely varying socio-cultural regions. It is possible that a single Approach may not be applicable to the rest of the country. There is a need to compare Experiences of other areas where IMR has been brought down to see whether more than one Approach is needed in India to bring down IMR to a level similar to developed countries. This study has attempted to study the important problem of infant mortality in a different Perspective. Domestic violence is highly prevalent in India. There are significant Psychological and health consequences due to violence. Abuse during the pregnancy is also Widely recognized as a significant societal and public health issue. Studies have identified Abuse as a modifiable risk factor for low birth weights. It is well known that low birth Weight is among the major causes associated with infant and child mortality. Several studies, Mostly in the high income countries, have looked at the association of physical violence and The risk of preterm labour, fetal distress and low birth weight. Very little is known about the Possible effect of violence against women on the survival of their post neonatal offspring. Though the above mentioned adverse outcomes do cause infant mortality, the possibility that The abused and chronically stresses mother having difficulties in coping with the multiple Needs of her small child cannot be under estimated. One such study was attempted in Leon, Nicaragua which found a positive association between the domestic violence and the risk of Infant mortality. In this study we attempt to find the association between the intimate partner violence and Psychiatric morbidity and its association with infant mortality. AIMS : Using a case control design, this study aims to assess the effect of domestic violence against Mothers and pre-existing maternal depression on under-five mortality. OBJECTIVES : 1. To investigate the impact of violence against mothers on mortality risks for their offspring Before five years of age. 2. To determine if any association between pre-existing maternal depression and infant or Child death. CONCLUSIONS : The results of the study suggest an association between physical and sexual violence against mothers and an increased risk of mortality of their under-five offspring. There is also an association between pre-existing maternal depression and an increased risk of mortality of their under-five children. Other factors that seem to be associated with child mortality are increasing parity of the mother and paternal smoking.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Domestic Violence ; Risk Infant ; Child Mortality ; Case Control.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 13 Jul 2017 04:29
Last Modified: 13 Jul 2017 04:29

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