Online Program

Mortality rate for children under 5 years of age in Zhejiang Province, China from 1997 to 2012

Monday, November 2, 2015

Wei Fang Zhang Sr., Ph.D, LL.M, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China
Objectives: This is a population based descriptive study that examined the trends in childhood mortality among under five children and the major causes under five mortality in Zhejiang Province, China.

Methods: A population-based survey was conducted through a province-level surveillance network. The mortality rate and leading causes of death for children under 5 years of age were analyzed. The trend in the mortality rate for children under five and cause-specific mortality rates were analyzed by chi-square with SPSS 13.0 software.

Results: In Zhejiang Province, during 1997-2012, mortality rates in neonates, postneonatal infants, and children under 5 years were reduced by 64.2% (from 7.85 to 2.81 per 1000 livebirths), 66.7% (from 12.73 to 4.24 per 1000 livebirths), and 63% (from 15.76 to 5.85 per 1000 livebirths), respectively. The mortality rates in children under 5 years of age decreased by 59.5% (from 11.09 to 4.49 per 1000 livebirths) and 65.8% (from 19.30 to 6.61 per 1000 livebirths) in urban and rural areas, respectively. Prematurity/low birth weight and congenital heart disease were in the top five causes of death in children under 5 years of age during 1997-2012.

Conclusions: Zhejiang province has achieved great progress in the reduction of mortality rates in children under five-years-old during the past two decades. The future tasks on reduction of mortality rate still rely on how to improve the management of premature birth/low birth weight, reduce birth defects and prevent accidental deaths in Zhejiang Province.

Learning Areas:

Administration, management, leadership
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Describe the trends in childhood mortality among under five children and the major causes under five mortality in Zhejiang Province, China. Analyze a preventive health care plan to steadily reduce mortality rate of children under five-years-old in Zhejiang Province, China.

Keyword(s): Mortality, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in the provincial children's hospital for 25 years. During my child health care career, I have been the principal or co-principal of multiple provincial grant focusing on the newborn screening and child epidemiology. among my scientific interest has been the development of newborn screening strategies and implement administration, public health care in children.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.