Study of post neonatal under five mortality pattern: A cross sectional study in children admitted to a tertiary care center.

Samata Miniyar; Vinit Warthe

Volume : IX, Issue : III, March - 2019

Study of post neonatal under five mortality pattern: A cross sectional study in children admitted to a tertiary care center.

Samata Miniyar, Vinit Warthe

Abstract :

Introduction– Analysis of causes of deaths of children of 1–60 months would not only inform about the medical causes of deaths but also tells about the regional variability. There was no data regarding under five mortality in recent years from central India region. To improve the National health, we will need to analyse the causes of mortality and their determinants in different regions of India for the effective cause specific treatment to be given to the patients at an early stage and further strengthen the strategies. Objectives– To assess the causes of mortality of children in the age group of 1–60 months admitted to a tertiary care centre, to know the mortality rate of Central India and analyse in comparison to available mortality data. Material and methods: This single centre retrospective observational study was undertaken in Government Medical College, Akola. The study population included deaths of all children of 1– 60 months who were admitted in PICU in this tertiary care hospital from January 2015 to January 2018. Results– The mortality risk was 13 deaths per 1000 admissions. There was significantly higher number of deaths during infancy (54.8% n=109 ) with increased risk of death in female children. The percentage of death was higher among patients residing in rural area, overcrowded surroundings, maternal education less than 12th std, partially and unimmunized and moderate and severe malnourished children. Our study showed that 66% of deaths occurred due to Septicaemic shock, ARI and Central nervous system infections Conclusion– Detailed analysis of the data from western Vidarbha and comparison with available mortality data will help strengthening of information and hence improvement of health care strategies.