Child Mortality Indicators

  • Siamese Twins have the highest mortality
  • The chief cause of perinatal mortality in term frank breech presentation is Intracranial hemorrhage
  • Increased perinatal mortality in diabetic pregnancy is due to
  1. Congenital malformations
  2. Hypoglycemia
  3. Hyaline membrane disease
  • A good indicator of the availability, utilization and effectiveness of health care services in a country is DALY's
  • Leading cause of neonatal mortality in India is Prematurity and congenital malformations
  • The least common cause of neonatal mortality in india is Congenital malformations
  • Malnutrition, Diarrhoeal diseases & Acute respiratory infection are common cause of post neonatal infant mortality in India
  • Neonatal mortality is calculated as Number of deaths of children < 28 days per 1000 live birth
  • Most common cause of perinatal mortality in India is Prematurity
  • Mainly included in child survival index Under 5 mortality
  • Almost 3/5' of infant mortality rate (IMR) occurs in neonatal period
  • Almost 3/4' of the under-five mortality occurs in the first year
  • Neonatal mortality is higher among female children as compared to males
  • Perinatal mortality includes deaths After 28 weeks of gestation & First 7 days after birth
  • Extended definition of perinatal mortality includes crown heel length of > 35 cm at birth
  • Infant mortality include 
  1. Early neonatal mortality
  2. Post neonatal mortality
  3. Late neonatal mortality
  • Perinatal mortality is expressed in terms of Deaths/1000 live births
  • According to 11,1DC child mortality has to be reduced by Two third much by 2015
  • Denominator for calculating perinatal mortality rate is 1000 live births
  • Mortality rates are taken into account while calculat­ing NRR
  • Current infant mortality rate in India is 42 per 1000 live births
  • Least Neonatal mortality rate is seen in Tamil Nadu
  • Best measure of socioeconomic status Child mortality rate
  • In MCH programme, best indicator for mother and child health IMR
  • To reduce mortality by CHD, best strategy is Primordial prevention
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