Changes in IMR in Rajasthan over 25 years

S. D. Gupta, Preeti Gupta, Anoop Khanna

Research output: Contribution to journalArticlepeer-review

Abstract

A consistently high level of Infant Mortality Rate (IMR) in India, particularly in the northern states, is a serious concern for the health policy-makers, programme managers and academia in India. The authors had published a paper on Infant Mortality Rates and Causes of Deaths among Infants in the journal Indian Paediatrics in 1981. This paper is a follow-up study after 25 years that was conducted in 2005 to find the changes and the causes of IMR in the same group of villages. This is a cross-sectional study conducted in villages of Jaipur in Rajasthan, India. Data on infant deaths have been analysed at two different points in the same population with an interval of 25 years. Same methods were adopted for both the studies. Significant decline in IMR has been observed over a period of two-and-half decades. While IMR was 124 in 1980, the figure was 55.4 in 2005. The study findings show an increase in the proportion of neo-natal mortality (within 7 days) which was 87.5 per cent in 2005 in comparison to 51.6 per cent in 1981. While proportional mortality due to dirrhoea, severe malnutrition, fever and rashes has decreased; proportional mortality due to pre-maturity low-birth weight, asphyxia, birth-injuries and congenital injuries has increased over the years. The current interventions for reducing IMR mainly focused on post-neo-natal period of infancy such as immunization, promoting ORS use for dirrhoeal cases and management of ARIs are not enough for reducing the IMR. Strategies should also focus on redesigning interventions for safe-delivery and child-birth, improved coverage and quality ante-natal care, and nutrition supplementation among pregnant women.

Original languageEnglish (US)
Pages (from-to)105-111
Number of pages7
JournalHealth and Population: Perspectives and Issues
Volume32
Issue number2
StatePublished - Apr 2009

Keywords

  • Child survival
  • Delivery
  • Dirrhoea
  • Infant mortality rate (IMR)
  • Neo-natal

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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