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APHA Scientific Session and Event Listing

Dr. Mohsin Shaikh¹, Dr. R.K. Baxi², Dr. U. Nayak², Dr. F. Vora², and Mrs. A. Joshi². (1) MD - Preventive and Social Medicine, M.S.University- Medical college Baroda, Mota Ghanchiwada, house no 4992, kapadwanj-387620, Gujarat, 387620, India, +919898466482, dr_mohsinshaikh@yahoo.com, (2) NA, NA, Vadodara, India

Research Question:What are the common causes of neonatal deaths,in selected four talukas of Vadodara district?

Objectives:To find out the common causes of neonatal deaths.

Study design:Cross Sectional Study.

Method: Open ended verbal autopsy Questioner Method.

Settings:Selected villages of four talukas of Vadodara district–Naswadi,Kawant,Chhota Udepur,Pavi Jetpur.

Results:Out of the 47 neonatal deaths reported, 36.2% died due to prematurity, 21.3% due to Birth Asphyxia and 10.6% of deaths were due to Septicemia. Deaths on the first day were 42.6%; of whom 40% died due to birth asphyxia and 45% due to prematurity. In 72.4% cases death occurred in early neonatal period. 80.9% mothers had not received ANC during antenatal period, although TT coverage was 68.1%. 80.9% deaths occurred in cases where deliveries were conducted at home, of which 48.9% deliveries were conducted by untrained Dais. Treatment was not received in case of 78.7% neonatal deaths. 29.8% deaths occurred in case of fifth birth rank or more and in 66% we found family size of >5 member. 63.8% of the deaths reported were in case of illiterate mother. No neonates had received any vaccine.

Conclusion:Common causes of neonatal deaths, as per the Verbal Autopsy, were Prematurity, Birth Asphyxia and Sepsis. More number of deaths were occurred during first day of life. Majority of death occurred where mother had not received any ANC visit,also birth rank makes a difference along with the size of the family.

Statistical Analysis:Data entry and analysis was done using Epi Info 6.04.

Learning Objectives: