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Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat

BACKGROUND: Infant death depends upon the care during the infancy and also upon the service utilization during antenatal and intra-natal periods and with its decline, it is necessary to find the under-reporting if any and identify the most appropriate agency for its reporting. OBJECTIVES: (1) To doc...

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Autores principales: Patel, Amul, Kumar, Pradeep, Godara, Naresh, Desai, Vikas K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3760323/
https://www.ncbi.nlm.nih.gov/pubmed/24019600
http://dx.doi.org/10.4103/0970-0218.116351
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author Patel, Amul
Kumar, Pradeep
Godara, Naresh
Desai, Vikas K
author_facet Patel, Amul
Kumar, Pradeep
Godara, Naresh
Desai, Vikas K
author_sort Patel, Amul
collection PubMed
description BACKGROUND: Infant death depends upon the care during the infancy and also upon the service utilization during antenatal and intra-natal periods and with its decline, it is necessary to find the under-reporting if any and identify the most appropriate agency for its reporting. OBJECTIVES: (1) To document disparities between different reporting systems about infant deaths and find out the under-reporting if any and identify the most appropriate agency and (2) To identify utilization of health services during ante, intra and post-natal period for all infant deaths. MATERIALS AND METHODS: Study was conducted in 51 villages of 3 Primary Health Centers (PHCs) from a tribal dominated Taluka (block) of South Gujarat during September - November 2005. Information was gathered for 1 year (1 September 2004 to 31 August 2005) from 4 sources namely health care system, Integrated Child development services (ICDS) scheme, Civil Registration System (CRS) and Investigator himself (Gold standard). Data was collected in a designed verbal autopsy questionnaire by house to house survey and analyzed in Epi Info. RESULTS: A total of 48 infant deaths were recorded by investigator against reported 2, 10 and 8 infant deaths by CRS, Health System and ICDS respectively. While profiling these 48 infant deaths it was found that only 29.2% mothers received full antenatal care (ANC) and 60.4% delivered at home (by untrained personnel). Not a single delivery was done at PHCs or its sub centers (SC). In 25% cases there was poor cord care. 39.6% mothers did not breastfeed and 35.4% gave pre-lacteal feeding. CONCLUSIONS: There was gross underreporting of infant mortality in all 3 agencies. The utilization of ANC and post natal care (PNC) services was poor in these death cases. Health system and ICDS need to be sensitized to work in coordination to provide quality ANC, INC and PNC to prevent such avoidable infant deaths.
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spelling pubmed-37603232013-09-09 Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat Patel, Amul Kumar, Pradeep Godara, Naresh Desai, Vikas K Indian J Community Med Original Article BACKGROUND: Infant death depends upon the care during the infancy and also upon the service utilization during antenatal and intra-natal periods and with its decline, it is necessary to find the under-reporting if any and identify the most appropriate agency for its reporting. OBJECTIVES: (1) To document disparities between different reporting systems about infant deaths and find out the under-reporting if any and identify the most appropriate agency and (2) To identify utilization of health services during ante, intra and post-natal period for all infant deaths. MATERIALS AND METHODS: Study was conducted in 51 villages of 3 Primary Health Centers (PHCs) from a tribal dominated Taluka (block) of South Gujarat during September - November 2005. Information was gathered for 1 year (1 September 2004 to 31 August 2005) from 4 sources namely health care system, Integrated Child development services (ICDS) scheme, Civil Registration System (CRS) and Investigator himself (Gold standard). Data was collected in a designed verbal autopsy questionnaire by house to house survey and analyzed in Epi Info. RESULTS: A total of 48 infant deaths were recorded by investigator against reported 2, 10 and 8 infant deaths by CRS, Health System and ICDS respectively. While profiling these 48 infant deaths it was found that only 29.2% mothers received full antenatal care (ANC) and 60.4% delivered at home (by untrained personnel). Not a single delivery was done at PHCs or its sub centers (SC). In 25% cases there was poor cord care. 39.6% mothers did not breastfeed and 35.4% gave pre-lacteal feeding. CONCLUSIONS: There was gross underreporting of infant mortality in all 3 agencies. The utilization of ANC and post natal care (PNC) services was poor in these death cases. Health system and ICDS need to be sensitized to work in coordination to provide quality ANC, INC and PNC to prevent such avoidable infant deaths. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3760323/ /pubmed/24019600 http://dx.doi.org/10.4103/0970-0218.116351 Text en Copyright: © Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Patel, Amul
Kumar, Pradeep
Godara, Naresh
Desai, Vikas K
Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title_full Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title_fullStr Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title_full_unstemmed Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title_short Infant Deaths – Data Disparity and Use of Ante, Intra and Post-natal Services Utilization: An Experience from Tribal Areas of Gujarat
title_sort infant deaths – data disparity and use of ante, intra and post-natal services utilization: an experience from tribal areas of gujarat
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3760323/
https://www.ncbi.nlm.nih.gov/pubmed/24019600
http://dx.doi.org/10.4103/0970-0218.116351
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