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Estimates of Neonatal and Under-five Mortality at District Level

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  • Subodh
    Dear All, Please find link to an article published in Lancet. This article provides estimates of NMR and U5MR at district level in India using data from
    Message 1 of 1 , Sep 20, 2013
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      Dear All,

      Please find link to an article published in Lancet.  This article provides estimates of NMR and U5MR at district level in India using data from various surveys (DLHS/ SRS).


      Salient points:
      - Under-5 mortality fell at a mean rate of 3·7% (IQR 3·2–4·9) per year between 2001 and 2012. 
      - 222 (37%) of 597 districts are on track to achieve the MDG 4 of 38 deaths in children younger than 5 years per 1000 live births by 2015, but an equal number (222 [37%]) will achieve MDG 4 only after 2020. These 222 lagging districts are home to 41% of India’s live births and 56% of all deaths in children younger than 5 years. 
      - Most Indian districts will only achieve the MDG for under-5 mortality well beyond 2015 and India as a whole will only achieve it by about 2020.
      - More districts lag behind the relevant goal for neonatal mortality (251 [42%]) than for 1–59 month mortality (197 [33%]). 
      - Just 81 (14%) districts account for 37% of deaths in children younger than 5 years nationally. 
      - Female mortality at ages 1–59 months exceeded male mortality by 25% in 303 districts and by more than 50% in 169 districts in nearly all states of India, totalling about 74 000 excess deaths in girls.
      - Excess female deaths at ages 1–59 months are seen across India, even in districts in Kerala and Tamilnadu with relatively low under-5 mortality.
      - Districts lagging in relative terms are more often seen in the richer states
      (except for Tamil Nadu and Kerala) than are districts lagging in absolute terms. 
      - 42 districts had yearly relative declines of 2% or less in under-5 mortality between 2001 and 2012 (figure 2); 18 of these 42 districts are in the richer states, including five in Andhra Pradesh and six in Gujarat

      Thanks and best regards,
      Subodh

      --
      Dr. Subodh S Gupta,
      Professor (Social Pediatrics)
      Dr. Sushila Nayar School of Public Health 
      (incorporating the Department of Community Medicine)
      MGIMS, Sewagram
      Wardha - 442102
      Maharashtra
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