Infant and Child Mortality

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INFANT AND CHILD MORTALITY

 The infant mortality rate is estimated at 15


deaths before the age of one year per 1,000 live
births, less than one-half of the infant mortality
rate in NFHS-2 of 37.
 Girls in Goa have a lower mortality risk than
boys during the neonatal period, but from age
one month to their fifth birthday, they
experience higher mortality than boys.
 However, due to their lower mortality during
the neonatal period, the infant mortality and
under-five mortality rates for girls are lower
than for boys.
 Infant mortality decreases sharply with
mother’s education.

ANTENATAL CARE
 Among women who gave birth in the five years
preceding the survey, almost all women (98%)
received antenatal care from a health
professional (97% from a doctor and 1% from
any other health professional).
 With the exception of women with no
education (88%), 90 percent or more women in
all sub-groups (by religion, caste/tribe,
education, or wealth quintile) received
antenatal care.
 Eighty-six percent of women received antenatal
care during the first trimester of pregnancy, as
is recommended. Another 10 percent had their
first visit during the fourth or fifth month of pregnancy (data not shown in
tables). Ninety-five percent of women had three or more antenatal care visits.

CHILD HEALTH
Vaccination of children
 About four-fifths (79%) of children 12-23 months of age in Margo are fully
vaccinated against the six major childhood illnesses: tuberculosis, diphtheria,
pertussis, tetanus, polio, and measles.
 Almost all children (97%) have received a BCG vaccination. However, only 91
percent have been vaccinated against measles, 88 percent have received all three
recommended doses of the DPT vaccine, and 87 percent have received at least
the recommended three doses of the polio
vaccine.
 The DPT and polio vaccines are given in a series.
Many children receive the first dose but do not
finish the series. Between the first and third
doses, the dropout rate for DPT is 9 percent, and
the dropout rate for polio is slightly higher at 11
percent.
 Notably, 86 percent of children age 12-23 months
in Goa has received the polio 0 vaccine,
compared with the national average of 48 percent.

CHILDHOOD ILLNESSES
 To the survey, 4 percent of children under age five years in Goa had symptoms
of an acute respiratory infection (cough and short, rapid breathing that was chest
related and not due to a blocked or runny nose).
 Overall, 7 percent of children under age five years had diarrhea in the two weeks
preceding the survey.

INTEGRATED CHILD DEVELOPMENT SERVICES (ICDS)


 The ICDS programmed provides nutrition and
health services for children under age six years
and pregnant or breastfeeding women, as well as
early childhood care or preschool activities for
children age 3-5 years.
 Among the 75 percent of children under six who
are in areas covered by an anganwadi centre, only
35 percent receive services of some kind from a
centre.
 Children under age three years are more likely to
receive services from an anganwadi centre than
older children.

INFANT FEEDING
 Although 97 percent of children are breastfed in Margo, only 18 percent of
children fewer than six months of age are exclusively breastfed, as recommended
by the World Health Organization.
 It is recommended that nothing be given to children other than breast milk in the
first three days when the milk has not begun to flow regularly. However, 38
percent of children are given something other than breast milk during that
period.
 Vitamin A deficiency can cause eye damage and a higher risk of dying from
measles, Diarrhea, or malaria. The Government of India recommends that
children under three years receive vitamin A supplements every six months,
starting at age nine months. However, only 42 percent of last-born children age
12-35 months were given a vitamin A supplement in the
 past six months, and 76 percent of children age 6-35 months ate vitamin A-rich
foods

ADULT HEALTH AND HEALTH CARE


Tuberculosis
 Most respondents have heard of tuberculosis (91% of women and 89% of men),
but even among people who have heard of tuberculosis, only 57 percent of
women and 47 percent of men know that it can be spread through the air by
coughing or sneezing.
 One-sixth of women and one-fourth of men have misconceptions about how
tuberculosis is spread.

Diabetes, asthma, and goitre


 2 percent of women age 15-49 and 3 percent of men in the same age group suffer
from diabetes. Prevalence of diabetes increases with age, and among the age
group 35-49, 5 percent of women and 7 percent of men report having diabetes.
Prevalence of diabetes is higher in Goa than in most other states.
 Two percent of adults suffer from asthma. The prevalence of goitre or other
thyroid disorders is higher for women than for men (841 per 100,000 women,
compared with 584 per 100,000 men). The prevalence of goitre or other thyroid
disorders is substantially higher among older women than among younger
women.

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