DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200456

A cross sectional study to ascertain various causes of neonatal mortality using verbal autopsy in Etawah district

Nawazish Ali, Pankaj Kumar Jain, Sushil Kumar Shukla, Dhiraj Kumar Srivastava, Shailendra Kumar Chaurasiya, Debora Jose Mathew

Abstract


Background: Neonatal death is defined as no. of deaths during the first 28 completed days of life per 1000 live births in a given year or period.  Around 2.6 million deaths or roughly 46% of all under five deaths had occurred during this period in 2016 which means that 7000 newborn deaths occur each day. Most of the neonatal deaths occur on the first day and week accounting to about 1 million dying on the 1st day. Objective of this study was to ascertain various causes of neonatal mortality using verbal autopsy in Etawah district.

Methods: The present study was a retrospective cross-sectional study carried out for a period of 1 year (July 17 to June 2018) using WHO verbal autopsy questionnaire by finding out the study subjects from medical information system of UPUMS, Saifai and district hospital, Etawah. A total of 89 neonatal deaths were found out of which 87 were interviewed by going to their residences to get the relevant information regarding the causes of deaths.

Results: Most common cause of neonatal mortality came out to be low birth weight with prematurity 44 of 87 (50.6%), followed by birth asphyxia 23 of 87 (26.4%) and sepsis 8 of 87 (9.2%).

Conclusions: Effective interventions should be incorporated into policy decisions to reduce neonatal mortality due to these causes.


Keywords


Neonates, Neonatal deaths, Verbal autopsy

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References


Perinatal and neonatal mortality. In preparation. Geneva. World Health Organization, 2005. Available at: https://apps.who.int/iris/bitstream/ handle/10665/43444/9241563206_eng.pdf;jsessionid=039C6E3E6C351AD237D16672DB9ACBBA?sequence=1. Accessed on 20th September 2019.

Department of Economic and Social Affairs. World population prospects: the 2002 revision. Interpolated demographic indicators 1970-2010. Supplementary tabulations (POP/DB/WPP/Rev.2002/2/F1). New York, United Nations, 2003. Available at: https://www.unicef.org/publications/files/low_birthweight_from_EY.pdf. Accessed on 24 September 2019.

WHO | Global Health Observatory (GHO) data. Available at: http://www.who.int/gho/en/. Accessed on 27th September 2019.

Census of India Website: SRS Statistical Report 2017. Available at: http://www.censusindia.gov. in/vital_statistics/SRS_Reports_2017.html. Accessed on 28th October 2018.

UNICEF. Child mortality estimates, country, global and regional specific estimates, 2018. Available at: https://data.unicef.org/topic/child-survival/under-five-mortality/. Accessed on 11th October 2018.

World Health Organization (2007) Verbal autopsy standards: ascertaining and attributing cause of death. 2012. 20 Avenue Appia, 1211 Geneva 27, Switzerland, WHO Press, World Health Organization. Available at: https://www.who.int/healthinfo/statistics/WHO_VA_2012_RC1_Instrument.pdf. Accessed on 28 September 2019.

Koueta F, Nagali K, Ouedraogo L. Verbal autopsy of stillbirths and neonatal deaths in a rural area of Burkina Faso. Open J Pediatrics. 2015;5:164-70.

Jain Y, Bansal M, Tiwari R, Kasar PR. Causes of neonatal mortality: a community based study using verbal autopsy tool. Natl J Community Med. 2013;4(3):498-502.

Manortey S, Carey A, Ansong D. Verbal autopsy: an analysis of the common causes of childhood death in the Barekese Subdistrict of Ghana. Journal of public health in Africa. 2011;2(18):73.

Bapat U, Alcock G, More NS, Das S, Joshi W, Osrin D. Stillbirths and newborn deaths in slum settlements in Mumbai, India: a prospective verbal autopsy study. BMC Preg Childbirth. 2012;12:39.

Kulkarni R, Chauhan S, Shah B, Menon G, Puri C. Investigating causes of perinatal mortality by verbal autopsy in Maharashtra, India. Indian J Community Med. 2007;32(4):259-63.

Bazzano AN, Var C, Wilkosz D, Duggal R, Oberhelman RA. Neonatal deaths in Cambodia: findings from a community-based mortality review. BMC Res Notes. 2019;12(1):236.

Dhakwa JR, Bhandari NN, Shedian PR. A report on verbal autopsy to ascertain causes of neonatal deaths in Nepal. 2014. Available at: http://dohs.gov.np/wp-content/uploads/chd/Newborn/Verbal_Autopsy_Report_2014.pdf. Accessed on 28th March 2019.

Khanal S, Gc VS, Dawson P, Houston R. Verbal autopsy to ascertain causes of neonatal deaths in a community setting: a study from Morang, Nepal. JNMA J Nepal Med Assoc. 2011;51(181):21-7.

Parashar A, Gupta A, Chauhan T, Barall D, Kumar D, Kumar A, et al. Verbal autopsy to determine the timing and causes of infant deaths in the Northern states of India. Curr Pediatr Res. 2017;21(1):54-9.

Manandhar SR, Manandhar DS, Adhikari D, Shrestha J, Rai C, Rana H, et al. Analysis of health facility based perinatal verbal autopsy of electoral constituency 2 of Arghakhanchi District, Nepal. J Nepal Health Res Counc. 2015;13(29):73-7.

Majumder R, Lahiri S, Roy H, Chakraborty N, Kaviraj S. A study on infant mortality in a rural block of West Bengal, India. IOSR J Dent Med Sci. 2014;13(3):24-6.

Engmann C, Garces A, Jehan I, Ditekemena J, Phiri M, Mazariegos M, et al. Causes of community stillbirths and early neonatal deaths in low-income countries using verbal autopsy: an international, multicenter study. J Perinatol. 2012;32(8):585-92.

Maharlouei N, Maani L, Lankarani K. Neonatal Mortality in South-West of Iran: Rates and Associated Factors. Pediatric Res. 2011;70:671.

Oza S, Lawn JE, Hogan DR, Mathers C, Cousens SN. Neonatal cause of death estimates for the early and late neonatal periods for 194 countries: 2000-2013. Bull World Health Organ. 2015;93:19-28.

Baqui AH, Darmstadt GL, Williams EK, Kumar V, Kiran TU, Panwar D, et al. Rates, timing and causes of neonatal deaths in rural India: implications for neonatal health programmes. Bull World Health Organ. 2006;84(9):706-13.

Chauhan A, Shah MS, Khalique N, Eram U. A community-based study of neonatal mortality in Aligarh by using verbal autopsy. Inter J Community Med Pub Health. 2018;5(6):2491-4.

Mengesha HG, Sahle BW. Cause of neonatal deaths in Northern Ethiopia: a prospective cohort study. BMC Public Health. 2017;17(1):62.