Format

Send to

Choose Destination
WHO South East Asia J Public Health. 2012 Oct-Dec;1(4):446-456. doi: 10.4103/2224-3151.207047.

Institutionalizing district level infant death review: an experience from southern India.

Author information

1
Health Specialist, United Nations Children's Fund, Field Office, Hyderabad, India.
2
Senior Consultant, Child Health, United Nations Children's Fund, Bangalore, India.
3
Mission Director, National Rural Health Mission, Karnataka, India.
4
Professor, Department of Community Medicine, Sri Manakuala Vinayagar Medical College and Hospital, Pondicherry, India.
5
Professor, Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India.

Abstract

BACKGROUND:

An Infant Death Review (IDR) programme was developed and implemented in two districts of Karnataka.

OBJECTIVE:

We explored the processes that led to the development of the IDR programme with a view to improving the existing pilot programme and to ensuring its sustainability.

METHODS:

A sequential mixed-methods design was followed in which quantitative data collection (secondary data) was followed by qualitative data collection (in-depth interviews). Quantitative data were entered using EpiInfo (version 3.5.1) software and qualitative data were analysed manually.

RESULTS:

Apart from ascertaining the cause of infant deaths, the IDR Committee discusses social, economic, behavioural and health system issues that potentially contribute to the deaths. As a result of the IDR programme, key actors perceived an improvement in infant death reporting at district level, the development of a rapport with the local community, and elaboration of a feedback system for corrective actions. This has led to improved health care during pregnancy.

CONCLUSIONS:

We found that involvement of the different stakeholders in planning and implementing the IDR programme offered a platform for collective learning and action. Impediments to the success of the programme need to be addressed by corrective actions at all levels for its future sustainability.

PMID:
28615610
DOI:
10.4103/2224-3151.207047
Free full text

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd
Loading ...
Support Center