Abstract
International Journal of Medicine and Public Health,2020,10,4,184-188.DOI:10.5530/ijmedph.2020.4.40Published:November 2020Type:Original ArticlePredictive Factors Affecting Newborn Survival Admitted in Special Newborn Care Units of Tertiary Care HospitalsShah Harsh, Nagar Shashwat, Thomas Ebbie, and Patel Jay Shah Harsh1, Nagar Shashwat2,*, Thomas Ebbie3, Patel Jay4 1Senior Consultant, NHM, Government of Gujarat, Gujarat, INDIA. 2Department of Community Medicine, PIMSR, Parul University, Vadodara, Gujarat, INDIA. 3Statistician Cum Tutor, NAMO MERI, Silvassa, INDIA. 4Consultant, Nutrition Consultant, NHM, Govt. of Gujarat, Gujarat, INDIA. Abstract:Context: Government efforts are being made for the reduction of child mortality through the facility and community-based strategies. Studies have indicated that several other factors also have an impact on child survival. This calls for researches to be directed efforts and understanding of the local causes and factors associated with it. Aim: To analyze the sociodemographic, programmatic and clinical profile of neonates’ admitted in SNCUs. Settings and Design: A cross sectional study amon 43 SNCUs during year 2017-18. Methods and Materials: The data was recorded from the pre-defined case record registers and analyzed using simple proportions. Statistical Analysis used: Chi-square test and multivariable logistic regression analysis were carried out for finding the association between survival rate of neonates and other variables. Results: Out of 48,775 neonates admitted at selected SNCUs across the State, 68.5% were successfully discharged, 6.7% referred to higher centers, 10% left against medical advice and 15.2% died during the study period. Survival Rate was observed to be significantly associated with the Place of Delivery, Mode of Transport, Type of Admission, Maturity of child admitted, weight of a child during admission and Indications of admission. Keywords:Child Survival, Gujarat state, NMR, Regression, SNCU, U5MRView:PDF (148.64 KB)
Highlights
Millions of children die every year because of preventable or treatable causes despite the progress over the last two decades
Sustainable Development Goal (SDG) 3, target 3.2 suggests for an end to preventable deaths of new-borns and children under 5 years of age and specifies that all countries should aim to reduce neonatal mortality to at least as low as 12 deaths per 1,000 live births and under-five mortality to at least as low as 25 deaths per 1,000 live births by 2030.1 During 2000-2017, neonatal mortality (NMR; deaths within the first 28 days of life) declined by 41 per cent and in 2017 alone, 5.4 million children died before reaching their fifth birthday
If India makes progress towards a similar decline in the 12 years, it is very likely to meet the target set by the Sustainable Development Goals (SDGs) for Under 5 mortality rate (U5MR) but unlikely to meet the NMR target
Summary
Millions of children die every year because of preventable or treatable causes despite the progress over the last two decades. Sustainable Development Goal (SDG) 3, target 3.2 suggests for an end to preventable deaths of new-borns and children under 5 years of age and specifies that all countries should aim to reduce neonatal mortality to at least as low as 12 deaths per 1,000 live births and under-five mortality to at least as low as 25 deaths per 1,000 live births by 2030.1 During 2000-2017, neonatal mortality (NMR; deaths within the first 28 days of life) declined by 41 per cent and in 2017 alone, 5.4 million children died before reaching their fifth birthday. There are very few studies that provide comprehensive overview of neonatal morbidity and mortality data with factor associated with them
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