Department of Pediarics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh. Correspondence to: Prof Arun Kumar Baranwal, HDF Unit, Department of Pediatrics, Advanced Pediatrics Center, PGIMER, Chandigarh 160 012.
Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh.
Indian Pediatr. 2023 Feb 15;60(1):98-102.
Post-independence, we made significant strides in childhood survival. However, there is an abysmal improvement in survival due to birth defects. Globally, India contributes the largest proportion of under-5 deaths, overall as well as due to birth defects. Congenital heart disease (CHD) is the single most common cause of birth-defect related deaths, and is the 7th most common cause of infant deaths. Scarcity of pediatric cardiac care professionals and pediatric cardiac centers has led to a huge demand-supply gap. Understanding the burden of CHD and taking imperative steps at primary, secondary and tertiary levels are essential during Amrit Kaal (2022-2047). Coverage of management of CHD under Janani Shishu Suraksha Karyakram, Rashtriya Bal Suraksha Karyakram and Ayushman Bharat programs offers a huge promise, as shown by the experience from Hridayam program in Kerala.
独立后,我们在儿童生存方面取得了重大进展。然而,由于出生缺陷,生存状况却惊人地恶化了。在全球范围内,印度在 5 岁以下儿童死亡人数方面占比最大,无论是整体情况还是由于出生缺陷导致的死亡人数。先天性心脏病(CHD)是导致与出生缺陷相关死亡的单一最常见原因,也是婴儿死亡的第 7 大常见原因。儿科心脏护理专业人员和儿科心脏中心的短缺导致了巨大的供需差距。在阿姆里特卡尔(2022-2047 年)期间,了解 CHD 的负担并在初级、二级和三级水平采取必要措施至关重要。Janani Shishu Suraksha Karyakram、Rashtriya Bal Suraksha Karyakram 和 Ayushman Bharat 计划涵盖 CHD 的管理,这为解决这一问题提供了巨大的希望,喀拉拉邦的 Hridayam 计划的经验证明了这一点。