scholarly journals Can a Multi-Component Intervention Improve Pediatric Service Delivery in Guangzhou?

2021 ◽  
Vol 9 ◽  
Author(s):  
Fang Hu ◽  
Shuaijun Guo ◽  
Jianjun Lu ◽  
Ziang Li ◽  
Yanyan Song ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Service Delivery ◽  
Child Mortality ◽  
Building Blocks ◽  
Infant Mortality Rate ◽  
World Health ◽  
Pediatric Care ◽  
Intervention Package ◽  
Pediatric Service ◽  
The Impact

Background: Accessible, equitable, and efficient pediatric service is critical to achieve optimal child health. This study aimed to evaluate the effectiveness of a multi-component intervention on the pediatric health system over two different periods in Guangzhou.Methods: Based on the World Health Organization (WHO) “six building blocks” model and Donabedian's “Structure-Process-Outcomes” framework, an intervention package was developed to increase financial and human resouce investment to strengthen basic health care and strive for a better quality of pediatric care. This multi-component intervention package was conducted in Guangzhou to improve the pediatric service delivery during two stages (2011–2014 and 2016–2019). The main outcome indicators were the changes in the allocation of pediatricians and pediatric beds, pediatric service efficiency, and the impact of pediatricians on child mortality.Results: We found that pediatricians per 1,000 children (PPTC) and pediatric beds per 1,000 children (PBPTC) increased from 1.07 and 2.37 in 2010 to 1.37 and 2.39 in 2014, then to 1.47 and 2.93 in 2019, respectively. Infant mortality rate (IMR) and under-5 mortality rate (U5MR) dropped from 5.46‰ and 4.04‰ in 2010 to 4.35‰ and 3.30‰ in 2014 then to 3.26‰ and 2.37‰ in 2019. The Gini coefficients of PPTC and PBPTC decreased from 0.48 and 0.38 in 2010, to 0.35 and 0.28 in 2014, then to 0.35 and 0.22 in 2019, respectively, representing the improvement of pediatric resources distribution according to service population. However, equalities in the spatial distribution were not improved much. The average efficiency of pediatric service fluctuated from 2010 to 2019. A unit increase in PPTC was associated with an 11% reduction in IMR and a 16% reduction in U5MR.Conclusions: Findings suggest this multi-component intervention strategy is effective, particularly on the reduction of child mortality. In future, more rigorous and multi-faceted indicators should be integrated in a comprehensive evaluation of the intervention.

Measuring Effectiveness Of Economic Growth On Reducing Infant Mortality Rate In Tamilnadu

2019 ◽  
Vol 118 (4) ◽  
pp. 129-141
Author(s):  
Mr. Y. EBENEZER
Keyword(s):  
Economic Growth ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Negative Relationship ◽  
Infant Mortality Rate ◽  
Domestic Product ◽  
Per Capita ◽  
The Impact ◽  
Adf Test ◽  
Bound Test

                   This paper deals with economic growth and infant mortality rate in Tamilnadu. The objects of this paper are to test the relationship between Per capita Net State Domestic Product and infant mortality rate and also to measure the impact of Per capita Net State Domestic Product on infant mortality rate in Tamil Nadu. This analysis has employed the ADF test and ARDL approach. The result of the study shows that IMR got reduced and Per capita Net State Domestic Product increased during the study period. This analysis also revealed that there is a negative relationship between IMR and the economic growth of Tamilnadu. In addition, ARDL bound test result has concluded that per capita Net State Domestic Product of Tamilnadu has long run association with IMR.

scholarly journals Socioeconomic, urban‐rural and sex‐based inequality in infant mortality rate: evidence from 2013 Yemen demographic and health survey

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Gebretsadik Shibre ◽  
Jemal Haidar ◽  
Gorems Lemma
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Health Equity ◽  
Formal Education ◽  
Statistical Significance ◽  
Infant Mortality Rate ◽  
World Health ◽  
Rural Residents ◽  
Poor Households ◽  
Urban Rural

Abstract Background The occurrence of Infant Mortality Rate (IMR) varied globally with most of the cases coming from developing countries including Yemen. The disparity in IMR in Yemen however, has not been well dealt and therefore we examined the IMR inequality based on the most reliable methodology in order to generate evidence-based information for some program initiatives in Yemen. Methods Based on the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software, we analyzed the inequality across the different inequality dimensions in Yemen. The toolkit analyzes data stored in the WHO health equity monitor database. Simple and complex, and absolute and relative measures of inequality were calculated for the four dimensions of inequality (subpopulations) which included wealth, education, sex and residence. We computed a 95 % CI to assess statistical significance. Results The analysis included 31, 743 infants. Absolute and relative wealth-driven, education, urban-rural and sex-based inequalities were found in IMR. Higher concentration of IMR was observed among infants from the poorest/poor households (ACI=-4.68, 95 % CI; -6.57, -2.79, R = 1.61, 95 % CI; 1.18, 2.03), rural residents (D = 15.07, 95 % CI; 8.04, 22.09, PAF=-23.57, 95 % CI; -25.47, -21.68), mothers who had no formal education (ACI=-2.16, 95 % CI; -3.79, -0.54) and had male infants (PAF= -3.66, 95 % CI; -4.86, -2.45). Conclusions Higher concentration of IMR was observed among male infants from disadvantaged subpopulations such as poorest/poor, uneducated and rural residents. To eliminate the observed inequalities, interventions are needed to target the poorest/poor households, rural residents, mothers with no formal education and male infants.

scholarly journals THE impact of remittance inflows on poverty in Botswana: an ARDL approach

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Mercy. T. Musakwa ◽  
N. M. Odhiambo
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Household Consumption ◽  
Infant Mortality Rate ◽  
Series Data ◽  
Consumption Expenditure ◽  
Long Run ◽  
Ardl Approach ◽  
Short Run ◽  
The Impact

AbstractThe growing pressure on governments to reduce poverty among other Sustainable Development Goals (SDGs) through harnessing domestic and foreign sources has motivated studies on the relationship between poverty and different economic variables in many developing countries. This study investigates the impact of remittance on poverty in Botswana, employing time-series data from 1980 to 2017. The study employs two poverty proxies—household consumption expenditure and infant mortality rate to capture poverty in its multidimensional form and improve the robustness of the results. Using the autoregressive distributed lag (ARDL) approach, the study finds that remittance inflows reduce poverty in Botswana—both in the short run and in the long run when infant mortality rate is used as a proxy. However, when poverty is measured by household consumption expenditure, remittance was found to have no impact on poverty in the short run and in the long run. The study, therefore, concludes that remittance inflows play a crucial role in reducing poverty and that Botswana can benefit immensely from the surge in remittance inflows by putting in place policies and structures that support remittance inflow.

scholarly journals Ecuadorian infant mortality linked to socioeconomic factors during the last 30 years

2019 ◽  
Vol 19 (2) ◽  
pp. 295-301
Author(s):  
Natalia Romero-Sandoval ◽  
Diego Del Alcázar ◽  
Jacob Pastor ◽  
Miguel Martín
Keyword(s):  
Neural Network ◽  
Artificial Neural Network ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Poisson Regression ◽  
Sociodemographic Factors ◽  
Complex Interaction ◽  
Infant Mortality Rate ◽  
The Difference ◽  
The Impact

Abstract Objectives: to analyze the difference among geographical units and the evolution of infant mortality rate (IMR) based on Ecuadorian censuses (1990-2001-2010). Methods: artificial Neural Network analyzed the impact of sociodemographic factors over the variability of IMR. Poisson regression analyzed the variation of the standardized IMR (sIMR). Results: the decrease in the national IMR was 63.8%; however, 42.8% provinces showed an increase in 2001-2010. The variability was explained mainly by illiteracy decrease. The adjusted RR between provincial sIMR with illiteracy and poverty revealed a trend towards the unit. Conclusions: the variation of IMR reflects a complex interaction of the sociodemographic factors.

John Graunt, the Hartlib circle and child mortality in mid-seventeenth-century London

2016 ◽  
Vol 31 (3) ◽  
pp. 335-359 ◽  
Author(s):  
MARGARET PELLING
Keyword(s):  
Seventeenth Century ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Urban Environment ◽  
Child Mortality ◽  
Infant Mortality Rate

ABSTRACTJohn Graunt's pioneering study,Natural and Political Observations Made upon on the Bills of Mortality (1662)has been overlooked as a source for ideas about the importance of child mortality in an urban environment. Graunt seems to have been the first to arrive at an infant mortality rate (IMR), but this has been little explored. Graunt helped to define ‘the urban penalty’, but not in terms of the IMR. The article explains Graunt's focus on other aspects of urban mortality in relation to his need to reassure those in government, his methodology, and above all his gender. For context, the article looks at attitudes to childhood among members of the influential Hartlib circle of reformers, with which Graunt was connected. These male writers were greatly concerned about children, but seem to have shared with Graunt the traditional idea that children under the age of about seven were the responsibility of women.

Child Mortality After Hurricane Katrina

2010 ◽  
Vol 4 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Robert K. Kanter
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Hurricane Katrina ◽  
Child Mortality ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
Health Consequences ◽  
Daily Newspaper ◽  
Department Of Health

ABSTRACTBackground: Age-specific pediatric health consequences of community disruption after Hurricane Katrina have not been analyzed. Post-Katrina vital statistics are unavailable. The objectives of this study were to validate an alternative method to estimate child mortality rates in the greater New Orleans area and compare pre-Katrina and post-Katrina mortality rates.Methods: Pre-Katrina 2004 child mortality was estimated from death reports in the local daily newspaper and validated by comparison with pre-Katrina data from the Louisiana Department of Health. Post-Katrina child mortality rates were analyzed as a measure of health consequences.Results: Newspaper-derived estimates of mortality rates appear to be valid except for possible underreporting of neonatal rates. Pre-Katrina and post-Katrina mortality rates were similar for all age groups except infants. Post-Katrina, a 92% decline in mortality rate occurred for neonates (<28 days), and a 57% decline in mortality rate occurred for postneonatal infants (28 days–1 year). The post-Katrina decline in infant mortality rate exceeds the pre-Katrina discrepancy between newspaper-derived and Department of Health–reported rates.Conclusions: A declining infant mortality rate raises questions about persistent displacement of high-risk infants out of the region. Otherwise, there is no evidence of long-lasting post-Katrina excess child mortality. Further investigation of demographic changes would be of interest to local decision makers and planners for recovery after public health emergencies in other regions.(Disaster Med Public Health Preparedness. 2010;4:62-65)

scholarly journals "CHRONIC SORROW THEORY APPLICATION" TO OVERCOME THE FEELING OF LOSS DUE TO INFANT MORTALITY IN POST-PARTUM WOMEN

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Dedeh Sri Rahayu
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Assessment Tool ◽  
Post Partum ◽  
Infant Mortality Rate ◽  
World Health ◽  
Chronic Sorrow ◽  
The World ◽  
Theory Application ◽  
Health Organization

Data from the World Health Organization (WHO) in 2012 stated that 44% of infant deaths in the world occurred in the first 28 days of life (neonatal period). The research results of the Central Statistics Agency (CSA) in 2016 noted that the infant mortality rate (IMR) reached 25.5%, West Java Province was one of the contributors to the highest maternal mortality rate (MMR) and infant mortality rate (IMR). Infant mortality inside the womb or outside the womb triggers grief and deep sorrow that is at risk of progressive, repetitive and permanent in women. Nurses in the maternity area play an important role in overcoming the problem of loss through various approaches to either theory or intervention. The purpose of this study was to determine the application of chronic sorrow theory in post-partum women whose babies were dead at Sariningsih Hospital Bandung. Method: This research was qualitative research. Participants were 5 people selected using purposive sampling techniques. Data collection was done by interviewing using a guide from the Burke / Eakes Chronic Sorrow Assessment Tool. Results: It was identified that women's opinions about the causes of infant mortalities were planned (abortion) and unplanned. Participants had effective coping strategies in dealing with their loss such as social support, and spiritual beliefs for comfort. Conclusion: participants felt the effectiveness of the chronic sorrow theory to overcome infant loss.Keywords: chronic sorrow theory application, loss, post-partum women, Qualitative.

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>

scholarly journals The comparing of infant mortality rate in different World Health Organization regions during 1990–2017

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Firooz Esmaeilzadeh ◽  
Yousef Alimohamadi ◽  
Mojtaba Sepandi ◽  
Farzad Khodamoradi ◽  
Parisa Jalali
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Ecological Study ◽  
Infant Mortality Rate ◽  
World Health ◽  
The Public ◽  
Live Births ◽  
Health Organization ◽  
Health Situation ◽  
Community Health Status

Abstract Background Infant mortality rate is an important index of community health status and mortality rate. It is also one of the most prominent indexes showing the development of various societies. Regarding the importance of infant mortality rate (IMR), the purpose of current study was to compare and trend analysis of IMR in different areas of the WHO during 1990–2017. In current ecological study, IMR per 1000 live births in different WHO regions from 1990 to 2017 data were derived from the WHO website. The required information included the data about IMR per 1000 live births in different WHO regions from 1990 to 2017. The analysis was performed by using descriptive and analytical methods. Results The IMR during the study period had a significant decreasing trend in all the regions (p < 0.001) but the slope of decrease was greater in Africa than in other regions. The African and European regions had the highest (55.7%) and lowest (17.2%) annual decrease in the infant mortality rate (from 106.3 cases in 1990 to 50.6 in 2017, and from 24.9 in 1990 to 7.7 in 2017), respectively. Conclusion Our results showed that the trend of IMR had a decreasing trend in all WHO regions. It can be due to improving the public health situation in different areas. But the identification of effective factors on IMR needs individuals based studies.

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