NEO-NATAL MORTALITY RATE
What’s in news?
National Health Mission released its data on Neo-natal deaths.
- Highest record: The neonatal death was recorded highest in Madhya Pradesh with 11.5% against the total admissions to government-run sick newborn care units (SNCUs) in the past three years across the country.
- Only one in ten sick neonates born outside a hospital is taken to an SNCU.
- Factors: The factors responsible for this high neonatal death is;
Staff crunch, low community referrals, absence of a special neonatal transport service to health centres, reliance on units in cities as last resort and the non-availability of enough units to cater to increasing institutional deliveries had contributed to the spike in the percentage of deaths
- Required and actual no.: The required nurses and surgeons, gynaecologists, physicians and paediatricians;
- Out of required no. of nurses, only half were recruited.
- Out of 5 required surgeons, gynaecologists, etc., only 1 professional were available.
- Other major reason: Lack of awareness among the pregnant women about various issues during the time of their delivery.
- Undernourishment: If a mother suffered from undernourishment, then it is possible for the baby to have health issues at the time of birth – sometimes it may result in deaths.
- Institutional deliveries: As per the National Family Health Survey-4, Institutional deliveries in the State of Madhya Pradesh was recorded with 80.8% – shows an increasing trend.
- Abysmal sex ratio: Out of 1000 boys, 663 girl children were admitted in hospital in the three years against the country average of 733.
- In Bhopal city: One in every 5 children admitted to a unit, in Bhopal, died in the three years – the highest death percentage of 19.9% in the State, ten times above the NHM’s mandated key performance indicator of below 2%.
- Urban vs Rural areas: When comparing urban and rural areas, the highest percentage were recorded in the Urban area units – due to offering tertiary care, and admit several serious cases from peripheral districts.
- Other sighted reasons: The other reason for the neonatal mortality as per the Sample Registration System;
- Premature births and low birth weight (35.9%),
- Pneumonia – 16.9%
- Birth asphyxia and birth trauma – 9.9%
- Other non-communicable diseases – 7.9%
- Diarrhoea – 6.7%
- Congenital anomalies – 4.6%
- Infections – 4.2%
Data to know:
- Neo-Natal Mortality Rate: A death during the first 28 days of life (0-27 days) after child birth.
- SDG: Under Sustainable Development Goals, every country aimed to bring down neonatal mortality to at least 12 per 1,000 live births.
- In 2018, India’s rate stood at 23 per 1,000 live births.
Links to note: