Indian Journal of Community Medicine

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 38  |  Issue : 3  |  Page : 152--156

Infant deaths - data disparity and use of ante, intra and post-natal services utilization: An experience from tribal areas of Gujarat


Amul Patel1, Pradeep Kumar2, Naresh Godara3, Vikas K Desai3 
1 Department of Community Medicine, GMERS Medical College, Gotri, Vadodara, India
2 Department of Community Medicine, GMERS Medical College, Sola, Ahmedabad, India
3 Department of Community Medicine, Government Medical College, Surat, Gujarat, India

Correspondence Address:
Pradeep Kumar
A 1/7, Swagat City, Sabarmati Kalol Road, Adalaj, Gandhi Nagar - 382 421
India

Background: Infant death depends upon the care during the infancy and also upon the service utilization during antenatal and intra-natal periods and with its decline, it is necessary to find the under-reporting if any and identify the most appropriate agency for its reporting. Objectives: (1) To document disparities between different reporting systems about infant deaths and find out the under-reporting if any and identify the most appropriate agency and (2) To identify utilization of health services during ante, intra and post-natal period for all infant deaths. Materials and Methods: Study was conducted in 51 villages of 3 Primary Health Centers (PHCs) from a tribal dominated Taluka (block) of South Gujarat during September - November 2005. Information was gathered for 1 year (1 September 2004 to 31 August 2005) from 4 sources namely health care system, Integrated Child development services (ICDS) scheme, Civil Registration System (CRS) and Investigator himself (Gold standard). Data was collected in a designed verbal autopsy questionnaire by house to house survey and analyzed in Epi Info. Results: A total of 48 infant deaths were recorded by investigator against reported 2, 10 and 8 infant deaths by CRS, Health System and ICDS respectively. While profiling these 48 infant deaths it was found that only 29.2% mothers received full antenatal care (ANC) and 60.4% delivered at home (by untrained personnel). Not a single delivery was done at PHCs or its sub centers (SC). In 25% cases there was poor cord care. 39.6% mothers did not breastfeed and 35.4% gave pre-lacteal feeding. Conclusions: There was gross underreporting of infant mortality in all 3 agencies. The utilization of ANC and post natal care (PNC) services was poor in these death cases. Health system and ICDS need to be sensitized to work in coordination to provide quality ANC, INC and PNC to prevent such avoidable infant deaths.


How to cite this article:
Patel A, Kumar P, Godara N, Desai VK. Infant deaths - data disparity and use of ante, intra and post-natal services utilization: An experience from tribal areas of Gujarat.Indian J Community Med 2013;38:152-156


How to cite this URL:
Patel A, Kumar P, Godara N, Desai VK. Infant deaths - data disparity and use of ante, intra and post-natal services utilization: An experience from tribal areas of Gujarat. Indian J Community Med [serial online] 2013 [cited 2020 Dec 2 ];38:152-156
Available from: https://www.ijcm.org.in/article.asp?issn=0970-0218;year=2013;volume=38;issue=3;spage=152;epage=156;aulast=Patel;type=0