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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.

Author information

1
Department of Community Medicine, LBRKM Government Medical College, Jagdalpur, Chhattisgarh, India.

Abstract

Background:

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).

Methods:

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.

Results:

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.

Conclusions:

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

KEYWORDS:

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

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