scholarly journals Main indicators in the assessment of child health in the fi rst year of life in Krasnoyarsk Territory

2021 ◽  
pp. 96-103
Author(s):  
E.I. Ahmedova ◽  
◽  
A.Yu. Senchenko ◽  
T.E. Taranushenko ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Russian Federation ◽  
Federal District ◽  
Perinatal Period ◽  
Absolute Number ◽  
Infant Mortality Rate ◽  
Mortality And Morbidity ◽  
The Russian Federation

The aim of the research is to analyze indicators and structure of infant mortality in Krasnoyarsk Territory for the period from 2014 to 2018. Material and methods. Th e article studies indicators of population mortality and fertility, infant mortality in Krasnoyarsk Territory for fi ve-year period from 2014 to 2018. Th e analysis of the results obtained is carried out in comparison with other constituent entities of the Russian Federation and with the country in general. Newborns morbidity rates in Krasnoyarsk Territory over a five-year period were studied in comparison with the data for the Russian Federation during 2017 and 2018. Results. The study revealed the excess of mortality over births in the region by 2018, with the coeffi cient 0.7 for 1000 population. It was found that in the period from 2014 to 2018 there is a decrease in infant mortality rate in the Russian Federation by 31.1 %; by 21.8 % in the Siberian Federal District; by 33.7 % (from 8.8 to 5.5 for 1000 alive births) in Krasnoyarsk Territory. The main causes of infant mortality in the territory are: conditions occurring in perinatal period, external causes and congenital anomalies (malformations). Decrease of infant mortality in the territory is primarily determined by the decrease in the number of deaths among children under 1 year of age due to the above-mentioned causes. Despite the annual decrease in infant mortality rate, on average, every third death occurs in the first 28 days of a child’s life. When studying the morbidity of newborns, one can mark a steady decline of the indicator both in the Russian Federation and in Krasnoyarsk Territory. At the same time, every year more than 80 % of absolute number of sick newborns falls on full-term babies. Conclusion. Th e results obtained during the study indicate a decrease in infant mortality rate over the study period. Th e study of indicators of infant mortality and morbidity in newborn children is fundamental in the fi eld of maternal and child health. Pediatricians need to pay special attention when examining newborns and children of the first year of life; they should timely identify pathological conditions and diseases, which will help reduce the risk of complications, chronic diseases, and, deaths.

scholarly journals Morbidence of pregnant anemia and its impact on infant mortality

2019 ◽  
Vol 10 (1) ◽  
pp. 43-48
Author(s):  
Dmitry O. Ivanov ◽  
Vadim K. Iurev ◽  
Kseniia G. Shevtsova ◽  
Karina E. Moiseeva ◽  
Shalva D. Kharbedia ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Russian Federation ◽  
Federal District ◽  
Infant Mortality Rate ◽  
Successful Outcome ◽  
North West ◽  
The North ◽  
The Russian Federation

An important role in the normal development of the fetus and the successful outcome of pregnancy is played by the state of health of pregnant women. One of the significant factors of perinatal risk is anemia of pregnant women. In order to assess the level and dynamics of the incidence of anemia in pregnant women, official statistical reports and publications of the Federal State Statistics Service for 2005-2017 and Central Research Institute for Organization and Informatization of Health of the Ministry of Health of the Russian Federation for 2012-2018 were analyzed. Using a trend analysis using a trend method, a prognosis was made for the incidence of anemia in pregnant women up to 2021 in the Russian Federation as a whole and separately in the North-West Federal District. In order to assess the impact of the predictor “anemia of pregnant women” on the infant mortality rate, data from primary medical documentation was copied to 250 children who died before the age of 1 year in the North-West Federal District. It has been established that the incidence of anemia in pregnant women in the North-West Federal District significantly exceeds the average level in the Russian Federation. Provided that factors affecting the course of pregnancy remain unchanged, the incidence of anemia in pregnant women by 2021 on average in the Russian Federation will decrease to 32.2% of the number of women who have completed pregnancy, and in the North-West Federal District will increase to 37.5%. During pregnancy, the incidence of anemia in women whose child died before the age of 1 year in the North-West Federal District amounted to 44.16 ± 0.39% of the number of women who completed the pregnancy, which significantly exceeded the average figure in the district, which in 2017 was equal to 35.90 ± 0.35% (p < 0.05). A direct correlation has been established between the predictor “anemia in pregnant women” and the infant mortality rate.

The modern problem of infant mortality in the Russian Federation, an integrated approach to reduction on the example of the Republic of Ingushetia

2020 ◽  
pp. 44-48
Author(s):  
H. U. Ugurchieva ◽  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Russian Federation ◽  
National Health System ◽  
Integrated Approach ◽  
Well Being ◽  
Infant Mortality Rate ◽  
Important Indicator ◽  
The Russian Federation ◽  
The Republic

Infant mortality is an important indicator of the social well-being of society and reflects the state of the national health system as a whole. According to official statistics, the infant mortality rate in the Russian Federation has reached a significant decrease in recent years, but in comparison with the leading countries of the world it still remains high. The study found that in the Russian Federation infant mortality has a territorial differentiation, which indicates different policies of the executive authorities of the regions in the direction related to the reduction of infant mortality. The review article contains data on the dynamics of infant mortality in the Republic of Ingushetia and other republics of the North Caucasus Federal District. A significant decrease in the infant mortality rate in the Republic of Ingushetia is shown as a result of the effective interaction of state authorities at all levels. The need for an integrated approach in the system of management decisions for the development of the perinatal service in the regions of the Russian Federation has been proved.

scholarly journals Analysis of infant mortality caused by sudden infant death syndrome in the Russian Federation

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
A Panchina
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Live Birth ◽  
Russian Federation ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Infant Mortality Rate ◽  
Sudden Infant ◽  
Live Births ◽  
The Russian Federation

Abstract Background Sudden infant death syndrome (SIDS) is one of the leading causes of infant death and it caused the death of 40 thousand babies around the world in 2017. In the Russian Federation, there are no large and long-term studies of the epidemiology of SIDS. Methods A descriptive study of infant mortality associated with SIDS in the regions of the Russian Federation in 2019 according to the Federal State Statistics Service. Results In 2019, SIDS caused the death of 259 children and ranked 7th in the structure of infant mortality. The infant mortality rate due to SIDS was 0.17 per 1000 live births (median for the regions of the Russian Federation - 0.13, IR 0.0 - 0.27). The infant mortality rate due to SIDS among the rural population was 0.27 per 1000 live birth in the relevant area, among the urban population - 0.14, among boys - 0.20, among girls - 0.15 per 1000 live birth of the corresponding sex. From 2008 to 2019, the indicator in the Russian Federation decreased by 56% (in 2008 - 0.39 per 1000 live birth). The highest infant mortality rate due to SIDS in 2019 was recorded in the Far Eastern Federal District (0.31 per 1000 live births), the lowest was in the Central FD (0.10). SIDS was not recorded in 28 constituent entities, in 4 of them there was not a single case for the period from 2013 to 2019. In 21 regions, the infant mortality rate was higher than 0.27 per 1000 per live birth. The relative risk of SIDS was quite variable across the regions of the Russian Federation. Conclusions The analysis revealed the scatter of the infant mortality rate due to SIDS among the regions of the Russian Federation. It is necessary to study the problem of SIDS at the state level to explain the results. Key messages The development and implementation of programs for the prevention of SIDS should be based on the study of the epidemiology of this pathology in each region separately and in the country as a whole. Significant differences in the infant mortality rate due to SIDS among the regions of Russian Federation require detailed study.

scholarly journals DYNAMICS OF THE INFANT MORTALITY RATE IN THE REPUBLIC OF SAKHA (YAKUTIA)

2019 ◽  
Vol 21 (2) ◽  
pp. 85-88
Author(s):  
D. O. Ivanov ◽  
Vasily I. Orel ◽  
V. G. Chasnyk ◽  
A. V. Kim ◽  
M. E. Okhlopkov ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Russian Federation ◽  
Neonatal Period ◽  
Infant Mortality Rate ◽  
Social Changes ◽  
The Russian Federation ◽  
The Republic ◽  
Child Mortality Rate ◽  
Demographic Policy

The infant mortality included in the structure of the mortality of children population is considered to be one of the major demographic factors most clearly reflecting the country’s level of the development and on-going economic and social changes. The infant mortality rate is a key index of the development of the health system. The significance of the infant mortality rate is determined by its high contribution to the child mortality rate in general. So the share of deaths among children aged 0-14 years in infants of the first year of life amounts of 55% to 65%. 40% of newborns died in the early neonatal period and 30% babies - in the post-neonatal period. In accordance with the Concept of the demographic policy of the Russian Federation for the period up to 2025 approved by the decree of the President of the Russian Federation dated 09.10.07 No. 315, one of the most important tasks of the demographic policy in the country is the reduction of the infant mortality rate at least by two times. The correct and timely analysis of the infant mortality rate allows developing a set of specific measures to reduce the morbidity and mortality rate of children, to assess the effectiveness of measures to describe and to plan the work for the protection of motherhood and childhood in general. In the article there is presented the analysis of the underlying causes and dynamics of the infant mortality in the Republic of Sakha (Yakutia) over the period of the implementation of major projects in the field of health. The development and implementation of a three-level system of medical care for pregnant women and mothers in the Republic of Sakha (Yakutia) was the key to the reducing this index.

scholarly journals THE DYNAMICS OF CHANGES IN STRUCTURE INDICES OF INFANT MORTALITY IN ST. PETERSBURG DURING 2005-2017 YEARS

2019 ◽  
Vol 21 (3) ◽  
pp. 157-160
Author(s):  
A. S. Simakhodsky ◽  
L. D. Sevostianova ◽  
U. V. Gorelik ◽  
N. P. Akincheva ◽  
U. V. Kolechko
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Infant Mortality Rate ◽  
High Tech ◽  
Structural Components ◽  
Long Period ◽  
The Russian Federation ◽  
Structure Indices ◽  
The Individual ◽  
The City

The review presents the literature data and, revealed by authors, the patterns of changes in the dynamics of the infant mortality rate and its structure over a long period (2005-2017) in St. Petersburg. This index is one of the lowest in the Russian Federation. There are analyzed changes in the individual components of the structure of the infant mortality rate, related both to objective and subjective factors. In the city of St. Petersburg there was shown a persistent decline in the infant mortality rate due to the implementation of federal and city programs, closely correlated with structural components. The authors believe the positive dynamics of structural components in St. Petersburg to indicate the organization of all types of specialized and high-tech medical care for newborns.

scholarly journals Cultural Value Factors That Affect Mother and Child Health

2019 ◽  
Vol 24 (3) ◽  
pp. 165
Author(s):  
Inang Winarso ◽  
Ressa Ria Lestari
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Cultural Values ◽  
Child Mortality ◽  
Infant Mortality Rate ◽  
Cultural Elements ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>

A NOTE ON THE FETAL–INFANT MORTALITY PROBLEM

2003 ◽  
Vol 35 (2) ◽  
pp. 201-212 ◽  
Author(s):  
P. WILLIAMSON ◽  
R. I. WOODS
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
High Mortality ◽  
Perinatal Period ◽  
Infant Mortality Rate ◽  
Fetal Mortality ◽  
Early Age ◽  
Mathematical Function ◽  
Live Births ◽  
Level Of Risk

This paper considers the age pattern of mortality between conception and first birthday. It highlights the various problems that still limit our understanding of the ways in which the age components of mortality are associated, especially during the perinatal period. A mathematical function is fitted which captures the interaction between six mortality components for a typical high mortality society, one in which the infant mortality rate is 150 per thousand live births. This experiment helps to clarify the need to link infant with fetal mortality, to conduct further research on the level of risk in each component, and to consider the cumulative early-age mortality profile in its entirety.

scholarly journals Medical care for children with cancer in the Siberian Federal District

2019 ◽  
Vol 18 (1) ◽  
pp. 5-12
Author(s):  
M. Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Federal District ◽  
Siberian Federal District ◽  
Children With Cancer ◽  
Aim Analysis ◽  
Incidence And Mortality ◽  
Hospital Beds ◽  
The Russian Federation

background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.

scholarly journals Evolution of infant mortality in Ukraine

2021 ◽  
pp. 6-14
Author(s):  
Yu.G. Antipkin ◽  
◽  
R.V. Marushko ◽  
E.A. Dudina ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Respiratory Diseases ◽  
Perinatal Period ◽  
Infant Mortality Rate ◽  
First Year ◽  
Perinatal Audit ◽  
Causes Of Mortality ◽  
Rate Of Decline ◽  
First Year Of Life

Over the past decades in Ukraine, the unfavorable indicators of population reproduction, the state of health of women and children, acquired in the previous period, have become persistent, one of the integrative indicators of which is the mortality of children under one year of age. The infant mortality rate is a sensitive indicator of the general sanitary and socio$economic well-being of the country, a strategic indicator of the health and survival of children, the level and quality of medical and social care, and the effectiveness of obstetric and pediatric services. Purpose — to study, analyze and determine the general and regional features of the state and dynamics of infant mortality and its components in Ukraine. Materials and methods. A retrospective analysis and assessment of the dynamics of infant mortality in Ukraine for the period 1990–2019 was carried out in the context of regions and separate states according to state and industry statistics, perinatal audit for the methodology of the WHO «MATRIX-BABIES». Methods of a systematic approach, statistical, graphic representation are applied. Results. The study found that the unfavorable demographic situation in Ukraine is accompanied by a still high, with a positive trend, the mortality rate of children in the first year of life — 12.8‰ in 1990, and 7.0‰ in 2019 (loss rate — 30.9%), a direct dependence of infant mortality rates on indicators of total fertility (r=0.340) and morbidity in children in the first year of life (r=0.888) was found with an excess of mortality under 1 year in boys compared with girls (OR with 95% CI 1.1 (1.0–1.2). Infant mortality rates are relatively low, below the average for Ukraine, in Vinnitsa, Volyn, Kyiv, Lviv, Poltava, Ternopil, Khmelnitsky regions and City Kyiv, and above average — in Dnepropetrovsk, Donetsk, Transcarpathian, Kharkiv regions. The decrease in the overall infant mortality rate was due to the positive dynamics of all its components — early neonatal (5.8‰ in 1990, 3.04‰ in 2019), neonatal (7.3‰, 4.57‰) and postneonatal mortality (5.7‰, 2.52‰, respectively) with a more intensive decrease in postneonatal mortality (rate of decline — 55.8%). However, there are doubts that the registered data on neonatal mortality, as well as on infant mortality in general, are real, since according to the perinatal audit data, the «MATRIX-BABIES» method revealed an underestimation of early neonatal mortality — an underestimation of its real level in general by 2.1–2.3 times. It is shown that the infant mortality rate has decreased from all the main causes of mortality with a more accelerated rate of decrease in infant losses from exogenous, manageable causes — respiratory diseases (rate of decline — 83.7%), infectious and parasitic diseases (rate of decline — 80.7%). At the same time, the key causes of mortality in children under 1 year of age throughout the entire observation period remain separate conditions that arise in the perinatal period (52.8–38.4 per 10,000 live births) and congenital malformations, deformities, and chromosomal abnormalities (38,6–17.2 per 10,000 live births). It was found that against the background of a decrease in infant losses in the structure of infant mortality by 43.2%, the part of mortality from certain conditions of the perinatal period increased with a significant decrease in the part of losses from exogenous causes of death — respiratory diseases by 66.7%, some infectious and parasitic diseases by 57.8%. Conclusions. In general, despite the positive dynamics of all components of infant mortality, its level characterizes a pronounced lag behind developed countries, and according to the rating of the countries of the world as of 2018, Ukraine ranks 61st among 193 countries of the world and administrative territories without state status. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of these Institutes. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: infant mortality, morbidity, newborns, children in the first year of life.

scholarly journals Association of maternal and child health related variables with decline in infant mortality rate in Punjab, India

2017 ◽  
Vol 4 (12) ◽  
pp. 4558
Author(s):  
Harjot Kaur ◽  
Tarundeep Singh ◽  
PVM Lakshmi
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Maternal And Child Health ◽  
Health Indicators ◽  
Infant Mortality Rate ◽  
Rapid Decline ◽  
Live Births ◽  
Children Ever Born ◽  
And Child Health

Background: Infant mortality rate (IMR) is a sensitive indicator for monitoring child health and survival. Punjab state in North India is performing better than most of the other states in various health indicators. Punjab’s IMR has shown a rapid decline from 38/1000 live births in 2008 (Sample registration system (SRS) 2008) to 24/1000 live births in 2014 (SRS 2014). This study was planned to assess which of the maternal and child health services is associated with rapid decline in infant mortality rate. Methods: Association between various components of prenatal care, intranatal care and postnatal care, and child healthcare and socio demographic variables (taken from secondary data of District Level Household Surveys) and Infant Mortality Rate (taken from SRS) of Punjab was studied. Spearman correlation coefficient was calculated to measure the association between the variables. Results: Total fertility rate (TFR), women who had institutional deliveries, safe deliveries and mean children ever born are statistically significantly associated with decline in infant mortality rate. Conclusions: In Punjab, maternal and child health indicators are directly or indirectly associated with decline in infant mortality rate. Findings of the study demonstrate that the recent rapid decline in IMR of Punjab is strongly associated with increase in institutional deliveries and decline in TFR and the mean number of children ever born. 

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