Environmental Health Problems Among Children in North Eastern States of India

IF 1 Q4 HEALTH POLICY & SERVICES Journal of Health Management Pub Date : 2023-09-22 DOI:10.1177/09720634231196961
Atanu Ghosh, Sourav Dey, Rajdeep Singha
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Abstract

In 2015, India has faced the largest number of under 5 (U5) death than all other countries, with regional disparities. Childhood diarrhoea and pneumonia are the major cause of U5 death. Using the data from the fourth round of National Family Health Survey (NFHS-IV, 2015–2016) for the eight North Eastern state we have tried to understand the prevalence of environmental health problems like ARI and diarrhoea and their correlates. These two diseases are the major cause of U5 deaths in low- and middle-income countries including India. Apart from bivariate analysis and logistic regression analysis we have also conducted spatial association to identify the regional variation in diarrhoea and ARI among U5 children in NE states. Household’s environmental factors and socio-economic characteristics are found to have significant impact on child mortality. Among the NE states Sikkim found to be better off and Meghalaya is worse in terms of child health outcome. Policies aimed at achieving the goal of reduction of child mortality should be directed on improving the household’s environmental and or socio-economic status if this goal is to be realised. India must analyze the process achieved and contemplate the consequences for reaching the Sustainable Development Goal’s targets for child survival.
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印度东北部各邦儿童的环境健康问题
2015年,印度面临的5岁以下儿童死亡人数比其他所有国家都多,而且存在地区差异。儿童腹泻和肺炎是5岁以下儿童死亡的主要原因。利用第四轮全国家庭健康调查(NFHS-IV, 2015-2016年)对东北部八个邦的数据,我们试图了解急性呼吸道感染和腹泻等环境健康问题的流行情况及其相关因素。这两种疾病是包括印度在内的低收入和中等收入国家5岁以下儿童死亡的主要原因。除了双变量分析和逻辑回归分析,我们还进行了空间关联,以确定东北各邦U5儿童腹泻和急性呼吸道感染的区域差异。家庭环境因素和社会经济特征对儿童死亡率有重大影响。在东北部各邦中,锡金的儿童健康状况较好,梅加拉亚邦的儿童健康状况较差。如果要实现这一目标,旨在实现降低儿童死亡率目标的政策应着眼于改善家庭的环境和/或社会经济地位。印度必须分析已取得的进程,并考虑实现可持续发展目标关于儿童生存的具体目标的后果。
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来源期刊
Journal of Health Management
Journal of Health Management HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
84
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