Neonatal morbidity and care-seeking behavior in urban Lucknow

Mohan Srivastava, Neeraj ; Awasti, Shally ; Mishra, Rita (2008) Neonatal morbidity and care-seeking behavior in urban Lucknow Indian Pediatrics, 45 (3). pp. 229-232. ISSN 0019-6061

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We conducted this study to assess the neonatal morbidity and care-seeking behavior amongst slum and non-slum dwellers at Lucknow. One hundred and fifty neonates were recruited within 48 hours of birth from an urban Reproductive and Child Health center and followed up at 6 weeks±15 days at home. Twenty five (16.6%) were lost to follow-up. Among those followed up, 46.4% (58/125) developed one or more morbidity; 26% (15/58) of these did not receive qualified medical care. Neonatal morbidity was 56.8% (33/ 58) among slum dwellers and 37.3% (25/67) among non-slum dwellers (absolute difference=19.5%, 95% CI=3.3 to 34.7; P=0.04). Severe neonatal illnesses were also significantly higher among neonates from slums as compared to those from non-slum areas (OR=4.50, 95%CI=1.28 to 16.38, P=0.007). Male gender was associated with any care-seeking (OR=1.24, 95% CI =1.24 to 91.99; P=0.03) and was more likely to be seen by a qualified provider (OR=3.8, 95% CI=1.05 to 13.94; P=0.04). Since nearly half of the neonates had morbidity and more than a quarter of them did not receive qualified medical care, there is a need to introduce Community Integrated Management of Neonatal and Childhood Illnesses (IMNCI) program here, emphasizing on the importance of qualified medical care for ill neonates, including females.

Item Type:Article
Source:Copyright of this article belongs to Indian Academy of Pediatrics.
Keywords:Care-seeking; Neonates; Slums
ID Code:59477
Deposited On:06 Sep 2011 06:01
Last Modified:18 May 2016 10:02

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