Verbal autopsy as a tool for identifying the contributory factors for young infant death in Chennai Corporation

Muthukumaran, N (2013) Verbal autopsy as a tool for identifying the contributory factors for young infant death in Chennai Corporation. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: About 130 million infants are born in the world every year. About 4 million Infants die in the first 28 days of life in the world every year. 3 million of the infants die in the first week of life. More than 25% of deaths occur in the first 24 hours of life. Neonatal deaths account to 40% of deaths under the age of 5 years worldwide. 98% of all neonatal deaths in the world occur in developing countries. Deaths are due to infections (32%), birth asphyxia (29%), prematurity and congenital anomalies (34%). 2.4 million under-5 child deaths occur in India every year. India contribution is 22% of the global burden and nearly half are neonatal death. Infant mortality is not only a health problem but also a social problem. It affects us all. Identification of preventable causes in medical, social, economical, and environment is important. For reduction of infant mortality, delivery of quality services to pregnant women, newborn and families with young children is important. Infant mortality rate is a sensitive indicator of the health status of the community. Reduction of infant mortality is a national priority. AIM OF THE STUDY: To identify the contributory factors to young infant deaths in Chennai corporation zones. PRIMARY OBJECTIVE: Using verbal autopsy as a tool to identify the contributory factors for young infant death in Chennai corporation zones. SECONDARY OBJECTIVES: To identify delays in getting appropriate treatments like, Decision to seek care, Transport to health facility, Provision of adequate care at the health facility. METHODOLOGY: Study Design: Descriptive study. Study Place: The study was done in Chennai corporation zones. Study Period: September 2012 to January 2013 Data variables: The variables were grouped as maternal characteristics and infant characteristics affecting young infant death. Maternal characteristics had socio demographic variables, pregnancy details and delivery details. Socio demographic variables had religion, community, education of mother, family type, and occupation and below poverty line characters. Pregnancy details had consanguinity, age, birth order, antenatal registration details, number of antenatal visits and maternal illness during pregnancy. Delivery details had place of delivery, type of delivery, birth attendant .Infant characteristics had gender, birth weight, gestational age, age at death, place of death and cause of death variables. Subjects: Parents who lost their babies within 2 months of age and residing in the service provision area of Chennai Corporation. The young infant (age < 2months) deaths that occurred in Chennai corporation zone during the period of September 2012 to January 2013 were studied by using verbal autopsy as a tool. Inclusion Criteria: All young infant deaths (up to 2 months of age) reported from Chennai corporation zone were included. RESULTS: During the study period, 29295 live births had occurred in the ten Chennai corporation zones.243 infant deaths had occurred during the period.190 young infant deaths had occurred during the period in ten zones of Chennai Corporation. Among the 190 young infant deaths 184 parents were traceable. The parents of 6 young infant deaths were not traceable. CONCLUSION: 1. Major portion of neonatal deaths occur within the first three days of life 2. Major causes of neonatal deaths were respiratory distress syndrome, perinatal asphyxia and sepsis 3. More asphyxial deaths occurred in higher gestational age and larger birth weight babies. Level I care deliveries resulted in more asphyxia related deaths. Most of the asphyxia deaths occurred within 3 days 4. Lower gestational age, lower birth weight, multiple gestation and delivery at Level II centres were associated with higher mortality in respiratory distress syndrome. Male sex was not associated with poorer outcome in RDS 5. Level of parental education, place of delivery, type of delivery, birth weight, gestational age were not significantly influence sepsis related deaths. 6. Verbal autopsy as tool to assess the causes and contributory factors of neonatal deaths can help recognize the deficiencies in health care system and delivery and plan remedial measures.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Verbal autopsy ; contributory factors ; young infant death ; Chennai Corporation.
Subjects: MEDICAL > Neonatology
Depositing User: Kambaraman B
Date Deposited: 15 Jun 2018 02:08
Last Modified: 15 Jun 2018 02:08

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