Determinants of Infant Mortality in a Developing Region in Rural Andhra Pradesh

Determinants of Infant Mortality

Authors

  • Dr. Kusneniwar G.N.
  • Dr. Mishra A. K.
  • Dr.Balasubramanian K.
  • Dr.Reddy P.S.

DOI:

https://doi.org/10.70284/njirm.v4i4.2199

Keywords:

Determinants, infant mortality, relative risk (odds ratio)

Abstract

Introduction: Background & Objectives: Despite several interventions implemented for the improvement of infant survival, the pace of decline in infant mortality in the State of Andhra Pradesh during the last two decades has been rather slow. This paper examines determinants of infant mortality in a rural population of about 45000 in Medchal region of Andhra Pradesh, India. Methods: Data obtained through continuous (longitudinal) enumeration of household population and also from the cross-sectional survey of households carried out during 2008-09 in the study area were analyzed. A univariate analysis was carried out and followed by an application of binary logistic regression model to identify significant factors associated with infant mortality. Results: Despite a substantial increase in institutional deliveries in the study area, infant mortality rate remained relatively constant at 43±1. Socioeconomic variables such as education and household economic status and environmental variables such as access to safe drinking water and sanitation facility and use of clean cooking fuel emerged as significant predictors of infant survival. Interpretation & Conclusions: Promoting institutional deliveries by providing cash assistance to women by itself cannot be expected to bring down infant mortality to a low level in the absence of an improvement in socioeconomic and environmental conditions of the households.

References

1. Population Reference Bureau, Washington. World Population Data sheet. 2010 (computed using data on population, CBR and IMR for India and the world given in the report).
2. Registrar General, India. Office of the Registrar General, New Delhi, India. Ministry of Home Affairs; and various issues of previous years. SRS Bulletin October, 2012; 47(2).
3. International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS – 3), 2005-06. Mumbai India.2007:1.
4. Registrar General, office of the Registrar General, New Delhi, India. Ministry of Home Affairs. Sample Registration System: Statistical Report 2010 (Report No.1 of 2010).
5. Government of India. Millennium Development Goals.Mid-Term Statistical Appraisal, Central Statistical Organization, Ministry of Statistics and Programme Implementation, New Delhi. India Country Report 2009.
6. Planning Commission. Mid-Term Appraisal of Tenth Five Year Plan (2002-2007). Government of India, New Delhi, 2005; 87.
7. Ministry of Health and Family Welfare. National Population Policy2000. New Delhi: Department of Family Welfare. MOHFW.
8. Ministry of Health and Family Welfare. National Rural Health Mission (2005-2012), Mission Document. New Delhi: MOHFW. 2006.
9. Ministry of Health and Family Welfare. JananiSurakshaYojana: Features and Frequently Asked Questions and Answers. Government of India, New Delhi. 2006.
10. Ministry of Health and Family Welfare, Government of India. District Level Household and Facility Survey 2007-08 (DLHS-3). Fact Sheets: India, States and Union Territories. IIPS, Mumbai: 2010.
11. Registrar General, Ministry of Home Affairs, Office of the Registrar General. Sample Registration System: Statistical Report 2008, New Delhi, India.2010.
12. Tatineni A, Vijayaraghavan K, Reddy PS, B.NarendranathB, ReddyRP. Health metrics improve childhood immunisation coverage in a rural population of Andhra Pradesh.Indian J Public Health. 2009 Jan-Mar; 53(1):41-3.
13. Petra OtterbladOlausson, Sven Cnattingius, BengtHaglund. Teenage pregnancies and risk of late fetal death and infant mortality. British Journal of Obstetrics and Gynecology.1999; 106:116-121.
14. Xi-kuan Chen, Shi Wu Wen, Nathalie Fleming, KitawDemissie, George G. Rhodes, Mark Walker. Teenage pregnancy and adverse birthoutcomes: A large population based retrospective cohort study. Int. J. Epidemiol. 2007; 36(2):368-373.
15. Olausson PO, Cnattingius S, Haglund B. Teenage pregnancies and risk of late fetal death and infant mortality. British Journal of Obstetrics and Gynaecology.1999; 106(2); 116-21.
16. Basu, AlakaMalwade and KaushikBasu. Women’s economic roles and child survival: The case of India. Health Transition Review. 1991; 1(1): 83-103.
17. SunithaKishor, SulabhaParasuraman. Mother’s employment and infant and child mortality in India. International Institute for Population Sciences, Mumbai and Macro International Inc., U.S.A., National Family Health Survey Subject Reports. 1998; 8: 34-36.
18. Vinod Mishra, Robert Rutherford. Cooking smoke increases the risk of acute respiratory
infection in children. International Institute for Population Sciences, Mumbai; and Honolulu: East-West Canter Program on Population. National Family Health Survey Bulletin.1997; 8:1-4.
19. ArvindPandey, Minja Kim Choe, Norman Y.Luther, Damodarsahu, Jagdish Chand. Infant and Child Mortality in India. International Institute for Population Sciences, Mumbai and East-West Center Program on population, Hawaii, U.S.A., National Family Health Survey subject Reports.1998 ;11:92-93.
20. National Human Development Report 2001, Govt.of India, New Delhi. Planning Commission, India. 2002.

Downloads

Published

2013-08-31

How to Cite

G.N., D. K., A. K., D. M., K., D., & P.S., D. (2013). Determinants of Infant Mortality in a Developing Region in Rural Andhra Pradesh: Determinants of Infant Mortality. National Journal of Integrated Research in Medicine, 4(4), 20–26. https://doi.org/10.70284/njirm.v4i4.2199

Issue

Section

Original Articles

Most read articles by the same author(s)