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Int J Prev Med. 2019 Mar 5;10:33. doi: 10.4103/ijpvm.IJPVM_157_17. eCollection 2019.

High Under-five Mortality Rate in Rural Madhya Pradesh, Time to Identify High-Risk Districts Using National Family Health Survey-4 Data with Comparison to Low Under-five Mortality Rate in Rural Tamil Nadu, India.

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Department of Community Medicine, LBRKM Government Medical College, Jagdalpur, Chhattisgarh, India.



India had highest number of under-five deaths, 1.2 million deaths out of 5.9 million (2015). As per the results from the first phase of National Family Health Survey (NFHS-4), 2015-2016, under-five mortality rate was highest in rural area of Madhya Pradesh (MP), 69/1000 live birth as compared to urban areas, 52/1000 live birth. The objective of the study was to identify potentially high-risk districts (HRD).


This study was carried out from the secondary data of 50 districts of MP State which was available from NFHS-4 with information from 49,164 households. Scoring method was used to identify HRD by comparing variables related to maternal and child health care of rural MP with rural Tamil Nadu.


Eleven HRDs were identified with poor maternal and child health care along with high women's illiteracy and high percentage of child marriages in women. Indore division had 3 topmost HRD, Alirajpur, Jhabua, and Barwani followed by Rewa division with 2, Singrauli and Sidhi along with Sagar division.


HRDs should be considered for targeted interventions using the strategies for reducing under-five mortality rate in rural MP.


Antenatal care; Madhya Pradesh; high-risk districts; postnatal care; under-five mortality rate

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