Student Dissertation

Agency : Infant Death; Causes of Infant death; Healthcare Delivery System; IMR

Objective : • To understand the levels of infants’ death according to background characteristics of infants at Kutch district, Gujarat. • To understand different causes of infant death at Kutch district, Gujarat.

Background : Today’s Children are tomorrow’s citizen; thus, it is extremely important to ensure good health for children. Child health plays a vital role in the development of a country. The first six years of life constitute the most crucial span in life. At this stage, if life, the foundation is laid for mental, physical, and social development. A consistently high level of IMR is a serious concern for the health policymakers, planners and program managers in India. SRS data reveals that infant mortality continues to decline in Gujarat state, but District statistical data shows that increment in IMR during the study period.

Methodology : Research Design: Descriptive cross-sectional Study Study Area: Kutch district, Gujarat Duration Of The Study: 3 Months(5 February to 5 May 2018) Data Analysis Procedure: Using frequency table, cross tabulation method, and graphs in Microsoft Excel. Type of Data Collection: Secondary data collection: Child Death Review reports, Infant death reports of Kutch district collected from the DPMU of district Kutch. Sample Size: 1442 Deaths of under-five age Children reported in Kutch District from April 2017 to March 2018. We included all 847 children who had died during the infancy period.

Findings : From the analysis, 70 percent of deaths in under one-year-old infants happened during the first month of their lives. The most important causes of death in neonates were low birth weight, fever, and convulsions, etc. In addition, the study showed that 20 percent of infants had died because of birth asphyxia. Moreover, the study showed a significant relationship between infant mortality and place of death, age, gender, and low birth weight

Recommendations : It is evident from the study that loads of neonatal death can be prevented only when all the procedure and protocols are followed according to the services like HBNC, NBCC etc. along with a positive supportive supervision and good communication at all levels (block-district-state) to converse and fill the gaps, are the key to deliver satisfactory services to pregnant women. Special attention to the infantile period and special care for infants born to at-risk mothers, as well as providing special health education can cause a dramatic reduction in infants’ mortality.