Ecological context of infant mortality in high-focus states of India
Document Type
Article (peer-reviewed)
Publication Date
2016
Abstract
Objectives: This goal of this study was to shed light on the ecological context as a potential determinant of the infant mortality rate in nine high-focus states in India. Methods: Data from the Annual Health Survey (2010-2011), the Census of India (2011), and the District Level Household and Facility Survey 3 (2007-08) were used in this study. In multiple regression analysis explanatory variable such as underdevelopment is measured by the non-working population, and income inequality, quantified as the proportion of households in the bottom wealth quintile. While, the trickle-down effect of education is measured by female literacy, and investment in health, as reflected by neonatal care facilities in primary health centres. Results: A high spatial autocorrelation of district infant mortality rates was observed, and ecological factors were found to have a significant impact on district infant mortality rates. The result also revealed that non-working population and income inequality were found to have a negative effect on the district infant mortality rate. Additionally, female literacy and new-born care facilities were found to have an inverse association with the infant mortality rate. Conclusions: Interventions at the community level can reduce district infant mortality rates.
DOI
10.4178/epih/e2016006
Language
English
Recommended Citation
Ladusingh, Laishram, Ashish Kumar Gupta, and Awdhesh Yadav. 2016. "Ecological context of infant mortality in high-focus states of India," Epidemiology and Health 38: e2016006.