Abstract
To identity the individual and household level variables associated with increased risk of mortality, 159 infant and 50 child deaths (cases) and equal number of age matched live infants and children (controls) and their families were studied in a rural area of Haryana. The social, economic, educational and environmental characteristics of the case and control families were similar. Increased risk of infant and child mortality was associated with maternal age less than 20 and more than 30 years, birth order 4th or higher, unclean cord care at the time of child birth, failure of breast feeding during the first 3 months of age, lack of immunizations, and previous infant or child death(s) in the family (Odds ratio > 2; P < 0.05-0.01 by X2 test). An emphasis on the interventions directed at control of the above mentioned variables may prove most helpful in reducing infant and child mortality in a rural area.
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References
Caldwell JC. Education as a factor in child mortality.World Health Forum 1981; 2: 75–78.
DaVanzo J. A household survey of child mortality determinants in Malaysia.Population and Development Review 1981; 10 (Suppl): 307–324.
Nag M. Impact of social development and economic development on mortality: Comparative study of Kerala and West Bengal.Economic and Political Weekly 1983; 18 : 877–900.
Pebley AR. Intervention projects and study of socio-economic determinants of mortality.Population and Development Review 1984; 10 (Supplement): 281–306.
Pickering H, Hayes RJ, Ngandu N, Smith PG. Social and environmental factors associated with the risk of child mortality in a peri-urban community in The Gambia.Trans Royal Soc Trop Med Hyg 1986; 80: 311–316.
Tekce B, Shorter FC. Determinants of child mortality: a study of squatter settlements in Jordan.Population and Development Review 1984; 10 (Supplement) : 257–280.
Ware H. Effects of maternal education, women’s roles, and child care on child mortality.Population and Development Review 1984; 10 (Supplement): 191–214.
Dyson T, Moore M. On kinship structure, female autonomy and demographic behaviour in India.Population and Development Review 1983; 9: 35–39.
Jain AK. Determinants of regional variations in infant mortality in rural India. Seminar on the determinants of infant mortality in India. The Gujarat Institute of Area Planning and The Population Council, Ahmedabad, October 1–4, 1984.
Mosley WH, Chen LC. An analytical framework for the study of child survival in developing countries.Population and Development Review 1984; 10 (Supplement): 25–45.
Kumar V, Datta N. Lay reporting and verbal autopsy in assessment of infant mortality.Indian J Pediatr 1986; 53: 672–674.
Morris JA, Gardner MJ. Calculating confidence intervals for relative risks (odds ratio) and standardised ratios and rates.Brit Med J 1988; 296:1313–1316.
Schlesselman JJ. Case-control studies — design, conduct, analysis. Oxford University Press 1982; 207–213.
Greenberg RS, Ibrahim MA. The case-control study. In: Holland WW, Detels R, Knox G ed.Oxford Textbook of Public Health, Volume 3. Oxford University Press, New York 1985 : 134–135.
Jain AK, Visaria P. Infant mortality in India: An overview. In : Jain AK and Visaria P, Editors “Infant Mortality in India; differentials and determinants”, New Delhi, Sage Publication 1988: 22–64.
Kanitkar T, Murthy BN. Factors associated with infant mortality in Rajasthan and Orissa. In: Jain AK, Visaria P. ed. “Infant mortality in Indiadifferentials and determinants”, Sage Publications, New Delhi 1988 : 297–322.
Gandotra MM, Das N. An analysis of recent births in Gujarat. In: Jain AK., Visaria P. ed. “Infant mortality in India-differentials and determinants”, Sage Publications, New Delhi 1988: 275–296.
Talwar PP. Infant mortality-some evidence from rural Madhya Pradesh. In: Jain AK, Visaria P. ed. “Infant mortality in India—differen tials and determinants”, Sage Publications, New Delhi 1988 : 259–274.
Khan ME. Infant mortality in Uttar Pradesh: A micro-level study. In : Jain AK, Visaria P. ed. “Infant mortality in India-differentials and determinants”, Sage Publications, New Delhi 1988: 227–246.
Ramanujam C.Correlates of infant mortality in Indiadifferentials and determinants, Sage Publications, New Delhi 1988: 259–274.
Kumar V, Datta N, Saini SS. Infant mortality in a rural community development block in Haryana.India J Pediatr 1982; 49: 795–802.
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Singhi, S., Kumar, R., Raina, N. et al. Determinants of Infant and Child Mortality in Rural Haryana. Indian J Pediatr 56, 753–763 (1989). https://doi.org/10.1007/BF02724460
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DOI: https://doi.org/10.1007/BF02724460