Biswas A B, Basu M, Das K K, Biswas R
Department of Community Medicine, N.R.S. Medical College, Calcutta.
Indian J Public Health. 1993 Jul-Sep;37(3):81-6.
This one year prospective study was carried out to determine the CBR, CDR and different underfive mortality rates in some selected rural ICDS blocks of West Bengal and also to find out the common causes of infant and childhood mortality in these areas. It was revealed that most of the above mentioned indicators in ICDS blocks were considerably lower than that of National figures, but more or less similar to those of rural Bengal as recorded in routine Govt. reports. Compared to the picture of rural West Bengal, both still birth & perinatal mortality rates were found higher in all ICDS blocks. The causes of mortality trends among under fives' were found similar to that of rural India pattern i.e. prematurity, acute respiratory infections and diarrhoea being the leaders. Neonates, who contributed the largest share of infant mortality died mainly due to prematurity. So, observations like high perinatal mortality & still birth rates, huge proportion of neonatal death during infancy, same IMR but low 5MR, and death of neonates due to prematurity etc. claim the necessity of improving maternal component of ICDS services, their nutritional care in particular.
这项为期一年的前瞻性研究旨在确定西孟加拉邦一些选定农村综合儿童发展服务(ICDS)街区的儿童出生率(CBR)、儿童死亡率(CDR)和不同的五岁以下儿童死亡率,并找出这些地区婴儿和儿童死亡的常见原因。结果显示,ICDS街区的上述大多数指标远低于全国数字,但与政府常规报告中记录的孟加拉邦农村地区的指标大致相似。与西孟加拉邦农村的情况相比,所有ICDS街区的死产率和围产期死亡率都更高。五岁以下儿童的死亡原因趋势与印度农村模式相似,即早产、急性呼吸道感染和腹泻是主要原因。在婴儿死亡率中占比最大的新生儿主要死于早产。因此,诸如高围产期死亡率和死产率、婴儿期新生儿死亡比例巨大、婴儿死亡率相同但五岁以下儿童死亡率较低以及新生儿因早产死亡等观察结果表明,有必要改善ICDS服务的孕产妇部分,特别是她们的营养护理。