Evidence map›Paper›PMID 28801384›Full record

ArticleBMJ open2017

Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy.

Sanjay Kumar Rai, Shashi Kant, Rahul Srivastava, Priti Gupta, Puneet Misra, Chandrakant Sambhaji Pandav, Arvind Kumar Singh

Open access · goldAbstract readValidation Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 41 citations in OpenAlex.

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  20. Epidemiological Profile and Spatio-Temporal Pattern of Infant Deaths in a District of North India during 2016-2019.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Sanjay Kumar RaiCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Shashi KantCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Rahul SrivastavaIndependent researcher, New Delhi, India.
Priti GuptaCentre for Chronic Disease Control, Gurgaon, India.
Puneet MisraCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Chandrakant Sambhaji PandavCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Arvind Kumar SinghDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
All India Institute of Medical Sciences · INIndepth Network · GHAll India Institute of Medical Sciences Bhubaneswar · INCentre for Chronic Disease Control · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the medical causes of death and contribution of non-biological factors towards infant mortality by a retrospective analysis of routinely collected data using verbal and social autopsy tools.

settingThe study site was Health and Demographic Surveillance System (HDSS), Ballabgarh, North India

participantsAll infant deaths during the years 2008-2012 were included for verbal autopsy and infant deaths from July 2012 to December 2012 were included for social autopsy. OUTCOME MEASURES: Cause of death ascertained by a validated verbal autopsy tool and level of delay based on a three-delay model using the INDEPTH social autopsy tool were the main outcome measures. The level of delay was defined as follows: level 1, delay in identification of danger signs and decision making to seek care; level 2, delay in reaching a health facility from home; level 3, delay in getting healthcare at the health facility.

resultsThe infant mortality rate during the study period was 46.5/1000 live births. Neonatal deaths contributed to 54.3% of infant deaths and 39% occurred on the first day of life. Birth asphyxia (31.5%) followed by low birth weight (LBW)/prematurity (26.5%) were the most common causes of neonatal death, while infection (57.8%) was the most common cause of post-neonatal death. Care-seeking was delayed among 50% of neonatal deaths and 41.2% of post-neonatal deaths. Delay at level 1 was most common and occurred in 32.4% of neonatal deaths and 29.4% of post-neonatal deaths. Deaths due to LBW/prematurity were mostly followed by delay at level 1.

conclusionA high proportion of preventable infant mortality still exists in an area which is under continuous health and demographic surveillance. There is a need to enhance home-based preventive care to enable the mother to identify and respond to danger signs. Verbal autopsy and social autopsy could be routinely done to guide policy interventions aimed at reduction of infant mortality.

Indexed as

Maternal-Child Health ServicesAsphyxia NeonatorumAutopsyCause of DeathFemaleHealth Services AccessibilityHumansIndiaInfantInfant, Low Birth WeightInfant MortalityInfant, NewbornInfant, PrematureMaleMalnutritionModels, StatisticalCommunity child healthPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID28801384
PMCPMC5577880
OpenAlexW2744529056

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.