'India still has the highest number of new born deaths annually'

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Written By: Editorial Team | Published : May 21, 2014 11:23 AM IST

infant deathMore than seven lakh newborn babies die in India every year, the highest number of such deaths globally, a new study has claimed. Each year 5.5 million babies enter and leave the world without being recorded and one in three newborns - over 45 million babies - do not have a birth certificate by their first birthday, according to new research co-led by the London School of Hygiene & Tropical Medicine.

5.5 million babies enter and leave the world without being recorded. Reuters Half of the newborn deaths worldwide occur in just five countries: India (779,000), Nigeria (276,000), Pakistan (202,400), China (157,000), and the Democratic Republic of Congo (118,000), although global and national figures conceal huge variations within and between different countries. In 2012, eight of nine countries with neonatal death rates greater than 40 for every 1,000 live births were in sub-Saharan Africa; half of these countries were affected by conflict. (Read:Shameful: More newborns die in India than anywhere else in the world)

The findings, from the new Every Newborn Series, published in The Lancet, provide the clearest picture to date of a newborn's chance of survival and the steps that must be taken to end preventable infant deaths. The series provides comprehensive new data for 195 countries regarding neonatal deaths, stillbirths, rankings for countries, rates of progress and coverage of birth certification. New analyses indicates that three million maternal and newborn deaths and stillbirths could be prevented annually with proven interventions including the promotion of breastfeeding, neonatal resuscitation, kangaroo mother care for preterm babies, antenatal corticosteroids, and the prevention and treatment of infections. (Read:Failure to pay Rs 200 results in newborn's death)

These interventions can be implemented for an annual cost of USD 1.15 per person. Providing quality care at birth yields a triple return on investment - saving mothers and newborns, and preventing stillbirths - and protects babies from disability, researchers said. The authors estimate that 2.9 million newborn deaths and 2.6 million stillbirths (during the last three months of pregnancy) occur worldwide each year. According to Professor Joy Lawn, who co-led the series, the results highlight an important, yet largely unacknowledged global problem. Over the last decade, the rate of reduction for newborn deaths has been about half the rate of reduction achieved for children under age five, said the researchers. As a result, newborn deaths now account for a larger proportion of under-five child deaths - 44 per cent in 2012, compared to 36 per cent in 1990. In most regions of the world, more than half of child deaths are among newborns. If current trends continue, it will be more than 110 years before an African baby has the same chances of survival as a baby born in North America or Europe, researchers said. (Read: Healthcare innovations can revolutionise maternal and infant health)

What ails India's healthcare system?

The right to good health is of paramount importance. It's sad that we, the world's most populous democracy, can't guarantee that to our citizens. India has the most inequitable healthcare scenario feasible. On one hand, our country is fast becoming the hub for medical tourism where people from other countries flock to get good quality, affordable medical treatment. On the other most of these facilities are simply not available to the natives.

Healthcare was never a top priority after independence. The initial onus was on agriculture, infrastructure and military. This led to social sectors like health and education being neglected. In fact, it wasn't until 1982-83 that the National Health Policy was endorsed by parliament. Most of the services provided thereon were preventive (vaccinations against various ailments) and very few curative healthcare services were provided. Preventive services were mostly provided by the private sector. Medical education too was neglected, a case in point being that there are no superlative medical institution brands like the IITs or the IIMs. Read more about what ails India's healthcare system

With inputs from PTI

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