Risk Factors Associated with Infant Mortality in Punjab, Pakistan

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DOI: 10.21522/TIJPH.2013.07.04.Art011

Authors : Mohammad Nasir Alvi

Abstract:

Pakistan was among the pioneers in the developing world to introduce national programs in maternal and child health (MCH) and family planning. However, the pace of development in the social sector could not be maintained over decades of political instability within the country and the perpetually volatile geopolitical situation outside the country.

Despite advances in medical science, infant mortality continues to Pakistan. Given the paucity of reliable information this study was undertaken to examine risk factors associated with infant mortality in Punjab, Pakistan.

A total of 240 respondents (health workers) were recruited for the study using simple random sampling from selected public hospitals in Punjab, Pakistan. These hospitals were selected applying a purposive sampling approach and were used as a study site.

A formal request was made to the authorities of the hospital's understudy for the recruitment/inclusion of respondents (health workers) in the study in order to obtain data.

A pre-tested structured questionnaire was administered to the respondents for primary data collection. The questionnaire was formed under three subheadings: pre-pregnancy factors, antenatal factors and post-natal factors.

Presentation and analysis of data is done using descriptive statistics and chi-square test. Results obtained showed the existence of a highly significant difference between the parameters that were considered in this study. Therefore, it is surmised that the parameters studied under pre-pregnancy, antenatal and post-natal risk factors contribute to infant mortality in Punjab, Pakistan.

Keywords: Infant Mortality, Risk Factors, Pregnancy, IMR.


References:

[1].   Afsheen A, Mushtaq M, Mehreen S, Nosheen J. Pattern of severe acute maternal morbidity at CMH Quetta. Pakistan Armed Forces Med J 2012; 62(3): 258-65.

[2].   Averting Maternal Death and Disability, United Nations Children’s Fund, and United Nations Population Fund special data compilation, 2015.

[3].   AlirezaAnsari-Moghaddam, Simin Sadeghi-Bojd , Mahmoud Imani, Safaneh Movahedinia, Aboozar Pourrashidi A multivariate analysis of factors associated with infant mortality in South-East of Iran Journal of the Pakistan Medical Association (JPMA)October 2014, Volume 64, Issue 10.

[4].   Bhutta Z, Dean S, Imam A, Lassi Z (2011) A systematic review of preconception risks and interventions. Karachi: The Aga Khan University.

[5].   B. Larroque, G. Breart, M. Kaminski, M. Dehan, M. Andre, A. Burguet, H. Grand Jean, B. Ledesert, C. Leveque, F. J. Maillard, "Survival of very Preterm Infants, " A Pop Based Cohort Study, 89 (2):139- 144, 2004.

[6].   Center for Disease Control and Prevention, "Infant Mortality," www. CDC. gov/reproductive health/maternal-infant health/infant mortality. HTML, August 12, 2014.

[7].   Global Health Workforce Statistics database, World Health Organization, Geneva. (http://www.who.int/hrh/statistics/hwfstats/).

[8].   Jyoti Vijay, Kamalesh Kumar Patel Risk factors of infant mortality in Bangladesh. https://doi.org/10.1016/j.cegh.2019.07.003

[9].   K. Wisborg, U. Kesmodel, and T. B. Henrikesen, “Exposure to tobacco smoke in utero and the risk of stillbirth and death in the first year of life,” Am J. Epidermiol, 15; 154 (4): 322-327.2000.

[10].  Maria Volpato Kropiwiec, Selma Cristina Franco, Augusto Randüz do Amaral Factors Associated with Infant Mortality in a Brazilian City with high Human Development Index 2017 Oct-Dec; 35(4): 391–398.

[11].  Megan S Coggeshall. Global, regional, and national levels and causes of maternal mortality during 1990–2013. The Lancet Sept 2014; 384(9947): 980–1004.

[12].  M. Norton, "New Evidence on Birth Spacing: Promising findings for Improving Newborn, Infant, Child, and Maternal Health," International Journal of Gynecology & Obstetrics 89: 1–6, 2005.

[13].  National Population Commission (NPC) [Nigeria] and ICF Macro. Nigeria Demographic and Health Survey 2013. Abuja: NPC and ICF Macro; 2014.

[14].  Nwaokoro Joakin Chidozie1, Ibe Sally N. O., Ihenachor Chinenye A., Emerole Chima O. Nwufo Regina C., Ebiriekwe Sabinus Chidubem, Onwuliri Viola A. Risk Factors Associated with Infant Mortality in Owerri Metropolis, Imo State, Southeastern Nigeria 2015; 3(5-1): 64-71

[15].  O. O. Ayoola, "A Five-year Childhood Mortality of the University College Hospital, Ibadan, Nigeria," West Africa Journal at Med, 24 (2):175-179, 2005.

[16].  Pakistan Demographic and Health Survey 2017 – 2018.

[17].  P. S. Blair, P. J. Flemming, D. Bensley, I. Smith and C. Bacon, "Smoking and the Sudden Infant Death Syndrome: Results from 1993-5 Case Study for Confidential Inquiry into Stillbirths and Deaths in infancy," BMJ, 27; 313 (7051): 195-198, 1996.

[18].  Singh S, Sedgh G, Hussain R (2010) Unintended pregnancy: worldwide levels, trends, and outcomes. Studies in Family Planning 41: 241–250.

[19].  RCOG. Why mothers die 2005-2007. Confidential enquiry into maternal and child health. London: RCOG Press, 2008.

[20].  T. O. Lawoyin, "Risk Factors for Infant Mortality in a Rural Community in Nigeria," The Journal of the Royal Society for the Promotion of Health 121 (2):114-118, 2001.

[21].  United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Prospects: The 2015 Revision.

[22].  World Health Organization (2010) Package of interventions for family planning, safe abortion care, maternal, newborn and child health. Geneva.