Srivastava Neeraj Mohan, Awasthi Shally, Mishra Rita
Department of Pediatrics, King Georges Medical University (KGMU), Lucknow, India.
Indian Pediatr. 2008 Mar;45(3):229-32.
We conducted this study to assess the neonatal morbidity and care-seeking behavior amongst slum and non-slum dwellers at Lucknow. One hundred and fifty neonates were recruited within 48 hours of birth from an urban Reproductive and Child Health center and followed up at 6 weeks +/- 15 days at home. Twenty five (16.6%) were lost to follow-up. Among those followed up, 46.4% (58/125) developed one or more morbidity; 26% (15/58) of these did not receive qualified medical care. Neonatal morbidity was 56.8% (33/58) among slum dwellers and 37.3% (25/67) among non-slum dwellers (absolute difference=19.5%, 95% CI=3.3 to 34.7; P=0.04). Severe neonatal illnesses were also significantly higher among neonates from slums as compared to those from non-slum areas (OR=4.50, 95% CI=1.28 to 16.38, P=0.007). Male gender was associated with any care-seeking (OR=1.24, 95% CI =1.24 to 91.99; P=0.03) and was more likely to be seen by a qualified provider (OR=3.8, 95% CI=1.05 to 13.94; P=0.04). Since nearly half of the neonates had morbidity and more than a quarter of them did not receive qualified medical care, there is a need to introduce Community Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program here, emphasizing on the importance of qualified medical care for ill neonates, including females.
我们开展这项研究，以评估勒克瑙贫民窟和非贫民窟居民的新生儿发病率及就医行为。从一家城市生殖与儿童健康中心招募了150名出生后48小时内的新生儿，并在其6周±15天龄时进行家访随访。25名（16.6%）失访。在接受随访的新生儿中，46.4%（58/125）出现一种或多种疾病；其中26%（15/58）未获得合格的医疗护理。贫民窟居民的新生儿发病率为56.8%（33/58），非贫民窟居民为37.3%（25/67）（绝对差异=19.5%，95%CI=3.3至34.7；P=0.04）。与非贫民窟地区的新生儿相比，贫民窟新生儿的严重疾病发生率也显著更高（OR=4.50，95%CI=1.28至16.38，P=0.007）。男性与任何就医行为相关（OR=1.24，95%CI =1.24至91.99；P=0.03），且更有可能由合格的医疗服务提供者诊治（OR=3.8，95%CI=1.05至13.
