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INFANT MORTALITY RATE IN FILABAVI: 10 YEARS FOLLOW UP Tran Kim Thanh _ Filabavi.
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INFANT MORTALITY RATE IN FILABAVI: 10 YEARS FOLLOW UP Tran Kim Thanh _ Filabavi
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Transcript of INFANT MORTALITY RATE IN FILABAVI: 10 YEARS FOLLOW UP Tran Kim Thanh _ Filabavi.
INFANT MORTALITY RATEIN FILABAVI: 10 YEARS FOLLOW UP
Tran Kim Thanh _ Filabavi
Contents
BackgroundObjectiveMethodResultConclusion
Background
Mortality is an important health indicator and essential information for developing public health action. Particularly the Infant Mortality Rate is of great interest both in its own right and as an important input in life expectancy estimation
Many studies have shown a close relationship between IMR with economic conditions, mother's educational level and ability to access health services. This study is a preliminary report on the situation of infant mortality over 10 years follows up
Objective
To describe Infant mortality rate during 1999 – 2009
To examine the associations between infant mortality patterns and socio-economics status (SES), mother’s education, birth weight in Bavi district
Method
Object: all children under one year-old was immigrated or new born in the field
Period time: 1999-2009 Venue study: Bavi district Method of collecting information: interview by
questionnaire
Method
Longitudinal follow-up study in Bavi districtF1 F2 F3 F4 F5 F6 1999
2000F7 R1
F8F9 F10 F11 F12 F13 F14 2001
2002F15 R2
F16F17 F18 F19 F20 F21 F22 2003
2004F23 R3
F24F25 F26 F27 F28 F29 F30 2005
2006F31 R4
F32F33 F34 F35 F36
F37 F3820072008
F39R5F40
F41 F42 F4320092010
BASELINE
Variable
Household: income: wealth index quintile was used Mother:
– Age at the delivery– Education– Pregnant period: birth date – the first day of last
Child– Sex: male or female– Birth weight– Death
Result
There are 9639 children under 1 year during the period (from 1999 to 2009). The total person year we followed-up is 8640
2510 deaths have occurred in FilaBavi during 1999-2009 with 71 boys and 39 girls under the age of one year
Mortality rate by age group and sex
Age(years) Female Male Total Female Male Total Female Male Total
<1 4089 4561 8640 39 71 110 9.54 15.57 12.55
01-04 13381 14515 27897 13 24 37 0.97 1.65 1.33
05-09 18131 19846 37977 8 20 28 0.44 1.01 0.74
10-14 23754 25131 48885 10 15 25 0.42 0.6 0.51
15-20 25950 27924 53873 18 22 40 0.69 0.79 0.74
20-24 18202 21060 39262 21 28 49 1.15 1.33 1.25
25-30 14582 14723 29304 14 37 51 0.96 2.51 1.74
30-34 15157 13957 29114 11 32 43 0.73 2.29 1.48
35-40 16625 15663 32288 11 56 67 0.66 3.58 2.08
40-44 17332 16165 33497 23 65 88 1.33 4.02 2.63
45-50 14130 12745 26876 26 75 101 1.84 5.88 3.76
50-54 9641 8469 18110 32 58 90 3.32 6.85 4.97
55-60 7011 6109 13119 22 68 90 3.14 11.13 6.86
60-64 6599 5340 11939 40 67 107 6.06 12.55 8.96
65-70 6894 4787 11681 63 139 202 9.14 29.04 17.29
70-74 6483 3908 10391 110 169 279 16.97 43.24 26.85
75-80 5084 2588 7671 174 168 342 34.23 64.92 44.58
80-84 3509 1343 4852 158 129 287 45.02 96.08 59.15
> 85 2632 676 3308 344 130 474 130.69 192.39 143.29
Total 229186 219510 448696 1137 1373 2510 4.97 6.27 5.61
Person-Year Dealths Mortality rate per 1000
Infant mortality rate by quintile
Wealth quintile
2000 - 2001 2002 - 2003 2004 - 2005 2006 - 2007 2008 - 2009
Deaths P-Y Rate Deaths PY Rate Deaths PY Rate Deaths PY Rate Deaths PY Rate
Lowest 5 345 14.49 6 313 19.14 4 316 12.66 4 344 11.64 3 317 9.45
Second 4 344 11.62 6 346 17.33 5 338 14.81 5 356 14.06 4 315 12.69
Third 6 286 20.96 5 312 16.03 1 325 3.08 4 366 10.92 3 365 8.22
High 8 274 29.17 6 276 21.72 3 322 9.31 3 348 8.61 5 377 13.26
Highest 3 253 11.87 2 248 8.05 2 315 6.36 3 301 9.97 1 351 2.85
Infant mortality rate by quintile
0.00
5.00
10.00
15.00
20.00
25.00
2002-2003 2004-2005 2006-2007 2008-2009 Total
year
Infa
nt
mo
rtal
ity
rate
per
100
0
Lowest Second
Third High
Highest
IMR by sex and year
IMR
2000 - 2002
IMR
2003 - 2005
IMR
2006 - 2009
Male 19 16 12
Female 12 9 9
Total 16 13 11
IMR by birth weight
Low birth weight (BW < 2500g)
Normal birth weight
(BW>2500g)
Death 56 54
Person year 366 7267
Mortality rate per 1000
153.006 7.431
IMR by birth weight
0.000
20.000
40.000
60.000
80.000
100.000
120.000
140.000
160.000
180.000
200.000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
year
Infa
nt
mo
rtality
rate
pear
1000 BW<2500
BW>2500
IMR by mother’s education
0
20
40
60
80
100
120
140
illiteracy Primary level Secondary level High school Higher school
Mother's grade
IMR
per
100
0
2000-2001
2002-2003
2004-2005
2006-2007
2008-2009
Infant mortality rate by pregnant time
Deaths Person year
Rate CI 95%
Premature delivery
64 2987 22.43 16.74 - 27.26
Delivery with enough time
46 5653 8.67 6.28 – 19.09
IMR by mother’s age group
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Total
Year
Mo
ther
's a
ge
<20
20-30
30-40
>40
Conclusion
IMR is lower in highest wealth group The child with low birth weight has higher
mortality risk than child with normal birth weight
IMR relates mother’s education. IMR is high among mother with illiteracy
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