Stillbirth undercount in the sample registration system and national family health survey, India

Dandona, Rakhi; George, Sibin; Majumder, Moutushi; Akbar, Mohamed; Kumar, G Anil

doi:10.2471/blt.22.288906

Cited by 8 publications

(1 citation statement)

References 17 publications

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“…Although the prevalence of LBW in India has decreased from 21% to 18% in the last decade, the country may still face challenges in achieving the child health and mortality targets set by the SDGs [ 12 ]. In 2020, the Sample Registration System (SRS) report indicated a rate of 3.8 per 1000 infants born without life [ 13 ]. The prevalence of LBW and PTB in India, at 18% and 13%, respectively, is higher than in neighbouring countries such as Sri Lanka (LBW:15.9 and PTB: 7.0), Nepal (LBW:12.3 and PTB: 5.3), Myanmar (LBW:8.1 and PTB: 10.4), and China (LBW:6.9 and PTB: 0) [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Correlates of low birth weight and preterm birth in India

Jana

2023

PLoS ONE

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Background In the 21st century, India is still struggling to reduce the burden of malnutrition and child mortality, which is much higher than the neighbouring countries such as Nepal and Shri Lanka. Preterm birth (PTB) and low birth weight (LBW) predispose early-age growth faltering and premature mortality among children below the age of five. Thus, highlighting the determinants of LBW and PTB is necessary to achieve sustainable development goals. Objective The present study provides macro-level estimates of PTB and LBW and aims to highlight the nature of the association between various demographic, socioeconomic, and maternal obstetric variables with these outcomes using a nationally representative dataset. Methods Data on 170,253 most recent births from the National Family health survey (NFHS-5) 2019–21 was used for the analysis. The estimates of PTB and LBW are measured by applying sample weights. The correlates of LBW and PTB were analyzed using logistic models. Results There were cross-state disparities in the prevalence of PTB and LBW. In India, an estimated 12% and 18% of children were LBW and PTB, respectively, in 2019–21. Maternal obstetric and anthropometric factors such as lack of antenatal care, previous caesarean delivery, and short-stature mothers were associated positively with adverse birth outcomes such as LBW and PTB. However, a few correlates were found to be differently associated with PTB and LBW. Mothers belonging to richer wealth status had higher chances of having a preterm birth (OR = 1.16, 95% CI: 1.11–1.20) in comparison to poor mothers. In contrast, the odds of having LBW infants were found to be increased with the decreasing level of the mother’s education and wealth quintile. Conclusions In India, PTB and LBW can be improved by strengthening existing ante-natal care services and evaluating the effects of the history of caesarean births on future pregnancies.

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Section: Introductionmentioning

confidence: 99%