Sex-specific trends in under-five mortality in rural Ballabgarh
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- Krishnan, A., Nawi, N.G., Byass, P. et al. Indian Pediatr (2014) 51: 48. doi:10.1007/s13312-014-0326-y
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To assess sex-specific differentials in child survival from 1992–2011.
We analyzed data from the electronic database of Health and Demographic Surveillance System (HDSS) site in Ballabgarh in North India.
Sex ratio at birth was adverse for girls throughout the study period (821 to 866 girls per 1,000 boys) and was lowest in the period 2004–2006 at 821 girls per 1,000 boys. Overall, under-five mortality rates during the period 1992–2011 remained stagnant due to increasing neonatal mortality rate (9.2 to 27.7 P< 0.001). Mortality rates among girls were consistently and significantly higher than boys during the post-neonatal period (160% to 200% higher) as well as in childhood (160% to 230% higher).
Strategies to address the neonatal mortality and gender differences are required for further reductions in child mortality in India.