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  • Title: Study of infant and childhood mortality in an ICDS block of eastern U.P.
    Author: Singh SP, Reddy DC, Mohapatra SC, Gaur SD.
    Journal: Indian J Public Health; 1993; 37(2):61-5. PubMed ID: 8138291.
    Abstract:
    Information on births and deaths was collected in 11 randomly selected AWW areas of Barhaj Mahen ICDS project area in Eastern U.P. by an independent survey team in 1988-89. The findings revealed that the births and deaths were under-reported to the tune of 36.6 and 13.9 percent respectively, by AWWs. The different demographic indicators generated from the data were as follows, CBR and CDR were 30.3 and 7.1 per 1000 population. Neonatal mortality rate, IMR, and MMR were 58.3, 74.7 and 6.5 per 1000 live births. 0-6 yr mortality was 16.3 per 1000 children and constituted 37.5% of the total deaths. ARI, diarrhoea and fever were the major causes of mortality in 0-6 yr old children accounting for 25.9, 22.3 and 14.8% respectively. The findings indicated that there was underreporting in adult mortalities despite the independent investigation, and a reduction in infant and childhood mortality possibly due to the beneficial effect of ICDS services. This analysis aims to determine the extent of underreporting of births and deaths by anganwadi workers (AWW) in Barhaj Mahen project area in Eastern Uttar Pradesh state, India, in 1988, and to identify the birth rate and childhood mortality rate. Causes of mortality are identified. The project area is known to have a high infant mortality rate. Data were obtained from 11 AWW areas serving a population of 10,206. Sampling followed the random cluster technique. Initial household data collection missed 309 births (36.6%) but only 10/72 deaths (13.9%). 35.5% of male and 37.8% of female births were unreported. 14.6% of male and 12.9% of female deaths were unreported. 18 neonatal and 5 postneonatal infants died. Early neonatal mortality was 45.3/1000 live births, and neonatal mortality was 58.3. Infant mortality was 74.7, and maternal mortality was 6.5/1000 live births. Respiratory infections accounted for the highest mortality (25.9%). Other cause of death were diarrhea (22.3%), fever (14.8%), prematurity (8.1%), tetanus (7.4%), and accident (3.7%). The total death rate (7.2/1000) was lower than the national average. The birth rate in project areas of Uttar Pradesh was almost the same as the national average. Postneonatal mortality showed the lowest rates compared to Uttar Pradesh and the nation. Since this study area had been included in the Integrated Child Development Services (ICDS) since 1981, it is likely that the lower child mortality reflects the emphasis on ICDS services. Underreporting of deaths is considered to be marginal.
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