Fight pneumonia: Save your Child

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Bihar Facts

Child Survival in Bihar: FACTS

17% of all child deaths in Bihar occur due to pneumonia#
19,763 children die due to pneumonia in Bihar every year
81% of childhood pneumonia deaths occur during first 2 years of life
28.2% of the under-five children suffered from Acute Respiratory Infections (within 15 days preceding the survey)*.
7 million episodes of childhood pneumonia occur in Bihar every year (0.5 episodes/child/year)¹

Source: #The Million Death Study Collaborators. Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet 2010; 376: 1853-60
*Annual Health Survey, Uttar Pradesh 2012-13
1. Matthew et al 2011. Acute Respiratory Infection and Pneumonia in India: A Systematic Review of Literature for Advocacy and Action: UNICEF-PHFI Series on Newborn and Child Health, India. 2011; 48: 191-218

District-wise Infant Mortality Rates (IMR) In Bihar

Source: Annual Health Survey_2012-13

As per the AHS (2012-13) estimates, the IMR in Bihar was 48 per 1000 live births
The National IMR being 42 per 1000 live births [SRS 2012]
There are wide inter-district variations with IMR being 31 in Patna and as high as 64 in Madhepura

District-wise Under-five Mortality Rates in Bihar

Source: Annual Health Survey 2012-13

The under-five mortality rate in Bihar is high (70 per 1000 live births) as compared to the national average (52 per 1000 live births). Aggressive efforts are required to promote prompt and appropriate care-seeking for childhood pneumonia which is a major child killer.

Children who suffered from Acute Respiratory Infections (within two weeks preceding the survey)

Source: Annual Health Survey 2012-13

Prevalence of acute respiratory infections (ARI) among children in Bihar is high at 28.2 percent (within two weeks preceding the survey). Excluding the neonatal causes, childhood pneumonia is the leading child killer in Bihar. Childhood pneumonia, if identified early, is easily treatable through low-cost antibiotics. There is a need for community mobilization to promote prompt care-seeking for childhood pneumonia, training community health workers in prompt identification, first-hand management and referral of cases identified at community-level and strengthening (including human resources, supplies, equipment and treatment protocols) of public facilities in evidence-based management of childhood pneumonia.