Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India 695011.
J Trop Pediatr. 2013 Feb;59(1):49-53. doi: 10.1093/tropej/fms043. Epub 2012 Sep 10.
We examined data from a cohort of births that occurred in the period 2004-08 in the SEWA-Rural project area, covering a population of ∼175000, in Gujarat, India, to assess the trends and risk factors for neonatal mortality.
In this population living in 168 villages, there has been a significant declining trend in infant and neonatal mortality, more marked in the tribal population, in whom this paralleled a rise in the proportion of women delivering in hospitals. The more important risk factors for neonatal mortality risk to emerge from multivariate analysis are low birth weight, prematurity, young age of mother, older mother and high birth order.
Although community based interventions along with promotion of hospital birth has an impact in reducing neonatal deaths in this community, sustaining this momentum may demand more long-term policy interventions to promote better living standards and better reproductive health.
我们分析了印度古吉拉特邦 SEWA-Rural 项目地区 2004-08 年期间出生队列的数据，该地区覆盖约 175000 人，以评估新生儿死亡的趋势和危险因素。
在这个居住在 168 个村庄的人群中，婴儿和新生儿死亡率呈显著下降趋势，在部落人口中更为明显，这与在医院分娩的妇女比例上升相吻合。多变量分析显示，新生儿死亡的更重要危险因素是低出生体重、早产、母亲年龄较轻、母亲年龄较大和高出生顺序。
尽管以社区为基础的干预措施以及促进医院分娩对减少该社区的新生儿死亡有一定影响，但要保持这一势头，可能需要更长期的政策干预，以促进更好的生活水平和更好的生殖健康。
