Child mortality, child growth failure indicators improve from 2000 to 2017: Study

first_img Share Heartfulness group of organisations launches ‘Healthcare by Heartfulness’ COVID care app MaxiVision Eye Hospitals launches “Mucormycosis Early Detection Centre” Phoenix Business Consulting invests in telehealth platform Healpha WHO tri-regional policy dialogue seeks solutions to challenges facing international mobility of health professionals The missing informal workers in India’s vaccine story Menopause to become the next game-changer in global femtech solutions industry by 2025 Related Posts News Comments (0) Balram BhargavaBiharchild mortalityEClinicalMedicineThe LancetUttar Pradesh Read Article Child mortality, child growth failure indicators improve from 2000 to 2017: Study By Press Trust of India on May 13, 2020 Indraprastha Apollo Hospitals releases first “Comprehensive Textbook of COVID-19” The highest number of under-five deaths in 2017 were in Uttar Pradesh (312,800 which included 165,800 neonatal deaths) and Bihar (141,500 which included 75,300 neonatal deaths)Although child mortality and child growth failure indicators have improved substantially across India from 2000 to 2017, inequality between districts has increased within many states, and there are wide variations between the districts, according to findings of the India State-Level Disease Burden Initiative released recently.The first comprehensive estimate of district-level trends of child mortality and child growth failure in India published in The Lancet and EClinicalMedicine, stated that if the trends observed up to 2017 were to continue, India would meet the SDG 2030 under-5 Mortality Rate (U5MR) target but not the SDG 2030 Neonatal Mortality Rate (NMR) target.“34 per cent of the districts in India would need higher U5MR reduction and 60 per cent districts would need higher NMR reduction to individually meet the SDG targets,” it stated.Child and maternal malnutrition were behind 68 per cent of the under-five fatalities in India, while low-birth weight and short gestation led to 83 per cent of neonatal deaths.The findings, which are part of two scientific papers on child survival, have been published at a time when the country is fighting COVID-19 pandemic.Health experts say, “They remind us that while we must do all that we can to control coronavirus infection, other crucial health issues in India should also continue to receive attention commensurate with their contribution to health loss in India.”The studies stated that the under- five Mortality Rate (U5MR) dropped in India since 2000 by 49 per cent but there is a six-fold variation in the rate between the states and 11-fold variation between districts of India.There were 1.04 million under-five deaths in India in 2017, of which 0.57 million were neonatal deaths, down from 2.24 million under-5 deaths, including 1.02 million neonatal deaths in 2000.The NMR has dropped by 38 per cent since 2000 but there is a five-fold variation in the rate between the states and eight-fold variation between districts of India, the study stated.“The reduction in NMR has been less than for U5MR, and this reduction has been quite variable across states and districts,” the study said.Child growth failure, measured as stunting, wasting and underweight has improved in India since 2000, but their rates vary four to five fold between the districts of India and the inequality between districts within many states has increased, it stated.Lower respiratory infections (17.9 per cent), preterm birth (15.6 pc), diarrhoeal diseases (9.9 per cent), and birth asphyxia and trauma (8.1 per cent) were the leading causes of under-five death in 2017Preterm birth (27.7 per cent), birth asphyxia and trauma (14.5 per cent), lower respiratory infections (11 per cent) and congenital birth defects (8.6 per cent) were the leading causes of neonatal deaths in 2017. Also,80 per cent of the neonatal deaths were in the early period of 0.6 days.“The district-level trends reported in these papers provide useful guidance for identifying priority districts in each state that need the highest attention,” ICMR Director General Balram Bhargava said.Rakhi Dandona, Professor, Public Health Foundation of India and the lead author of the child mortality paper, said, “Comparison of child mortality trends in each of the 723 districts of India with the National Health Policy and SDG targets has identified the districts with high gap where more targeted attention is needed. Bringing down death numbers among newborns in the first month of life by addressing specific causes of death is crucial. Malnutrition continues to be the leading risk factor for child death and low birth weight is the biggest component in this risk factor.”K Srinath Reddy, President, Public Health Foundation of India said, “Reductions in under-five child mortality and neonatal mortality are promising as we move towards SDG targets.”“Even neonatal mortality which was previously slow to change is now showing improvement. This decline needs to be further accelerated. Child malnutrition is a major determinant along with maternal malnutrition for these deaths and should be accorded highest priority for corrective action,” he said.While stark inter-state and inter-district differences in health and nutrition continue to be challenges, these gaps must be bridged through effective and equitable social development, nutrition and environmental health programmes.“Our preoccupation with COVID-19 should not let these development imperatives slip into the shadows,” he underlined.The highest number of under-five deaths in 2017 were in Uttar Pradesh (312,800 which included 165,800 neonatal deaths) and Bihar (141,500 which included 75,300 neonatal deaths).The study stated U5MR and NMR were lower with the increasing level of development of the states. In 2017, there was 5.7 fold variation in U5MR ranging from 10 per 1000 live births in the more developed  state of Kerala to 60 in the less developed state of UP, and 4.5 fold variation for NMR ranging from seven per 1000 live births in Kerala to 32 in UP.The annual rate of reduction from 2010 to 2017 for U5MR ranged among the states from 2.7 per cent in Nagaland to 6.5 per cent in Telangana, and for NMR from 1.8 per cent in Nagaland to 5.5 per cent in the high SDI state of Tamil Nadu.The annual rate of reduction of NMR was lower than that of U5MR in all states during 2010-2017, but this varied considerably between the states, the study stated. Add Commentlast_img read more

Everyone Orchestra Confirms Northeast Dates

first_imgMatt Butler’s improvisational experiment The Everyone Orchestra, which employs a constantly revolving cast of musicians, has just confirmed a few Northeast dates.  Conducted by Butler, each performance creates completely different sets of music through conducted musical exploration and audience participation.  Members of The Grateful Dead, Phish, moe., The String Cheese Incident, ALO, and Tea Leaf Green, among others, have all performed with The Everyone Orchestra over the years.We recently had an EO experience while on Jam Cruise 11, and it was extraordinary, to say the least.  For this string of Northeast dates, the ensemble includes (via  Al Schnier and Vinnie Amico (moe.), Kalmia Traver and Alex Toth (Rubblebucket), and Reed Mathis and Trevor Garrod (Tea Leaf Green).  For the Philly show, Marco Benevento will open and join the group as well.  Expect special surprise guest to be ann0unced for these performances in coming weeks.  Dates for these shows are as follows:4/18 – South Shore Music Hall – Quincy, MA4/19 – The Blockley – Philadelphia, PA4/20 – The Cutting Room – New York, NYEveryone Orchestra will also be playing Raleigh, NC’s Southland Ballroom on March 7th and 8th.L4LM’s exclusive interview with Matt Butler of Everyone Orchestra.Purchase tickets for these shows here.Here is a video of Everyone Orchestra set from Jam Cruise 11 w/ members of moe., Tea Leaf Green, Pimps of Joytime, Mike Dillon, Jeff Coffin, and Adam “Shmeeans” Smirnoff, just to name a few:last_img read more