Inequalities and Effect of Non-Biological Factors on Perinatal Mortality in Uttar Pradesh.

Bal Govind Chauhan, Pradeep Kumar, Sampurna Kundu
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Abstract

Approximately 6 million neonatal deaths occur globally, with approximately 99 percent of them occurring in developing countries. This study is an attempt to examine the prevalence and influence of non-biological factors on perinatal mortality in India. National Family Health Survey (2015-2016) data and bivariate and multivariate techniques have been used to fulfill the aforesaid objectives. Findings suggest that approximately 47 perinatal deaths occurred per 1,000 pregnancies lasting seven or more months during the last five years preceding the survey in Uttar Pradesh. Parental education, wealth status, variables related to pregnancy and delivery, mother's demographic factors, mother's height, and child characteristics have shown significant impact on perinatal mortality. For a policy point of view, more emphasis is needed on quality of care of National Health Mission (NHM) strategy at times of greater risk-that is, birth and the first few days of life-which could be the way forward for reducing high perinatal deaths.

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北方邦围产期死亡率的不平等和非生物因素的影响。
全球约有600万新生儿死亡,其中约99%发生在发展中国家。本研究旨在探讨非生物学因素对印度围产期死亡率的影响。全国家庭健康调查(2015-2016)数据以及双变量和多变量技术已用于实现上述目标。调查结果表明,在调查前的过去五年中,在北方邦,每1 000例持续7个月或更长时间的妊娠中,约有47例围产期死亡。父母受教育程度、财富状况、怀孕和分娩相关变量、母亲人口统计学因素、母亲身高和儿童特征对围产期死亡率有显著影响。从政策的角度来看,需要更多地强调在风险较大的时期(即出生和生命的最初几天),国家卫生特派团战略的护理质量,这可能是降低围产期高死亡率的前进道路。
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