Neonatal, Infant, and Child Mortality in India: Progress and Future Directions.

Autor: Wahl B; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. bwahl@jhu.edu.; International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. bwahl@jhu.edu.; Johns Hopkins India, Lucknow, Uttar Pradesh, India. bwahl@jhu.edu., Nama N; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA., Pandey RR; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India.; Department of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, India., Garg T; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India., Mishra AM; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India., Srivastava S; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India., Ali S; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India., Verma SK; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; Johns Hopkins India, Lucknow, Uttar Pradesh, India., Erchick DJ; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA., Sauer M; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.; International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA., Venkatesh U; Department of Community and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, India., Koparkar A; Department of Community and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, India., Kishore S; Department of Community and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, India.
Jazyk: angličtina
Zdroj: Indian journal of pediatrics [Indian J Pediatr] 2023 Dec; Vol. 90 (Suppl 1), pp. 1-9. Date of Electronic Publication: 2023 Sep 11.
DOI: 10.1007/s12098-023-04834-z
Abstrakt: In India, considerable progress has been made in reducing child mortality rates. Despite this achievement, wide disparities persist across and socio-economic strata, and persistent challenges, such as malnutrition, poor sanitation, and lack of clean water. This paper provides a comprehensive review of the state of child health in India, examining key risk factors and causes of child mortality, assessing the coverage of child health interventions, and highlighting critical public health programs and policies. The authors also discuss future directions and recommendations for bolstering ongoing efforts to improve child health. These include state- and region-specific interventions, prioritizing social determinants of health, strengthening data systems, leveraging existing programs like the National Health Mission (NHM) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), and the proposed Public Health Management Cadre (PHMC). The authors argue that reducing child mortality requires not only scaled-up interventions but a comprehensive approach that addresses all dimensions of health, from social determinants to system strengthening.
(© 2023. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation.)
Databáze: MEDLINE
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