Fight pneumonia: Save your Child

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Uttar Pradesh Facts

Causes of Deaths in under-five children in India and Uttar Pradesh

UP Facts

17% of all child deaths in UP occur due to pneumonia
27.9% children suffered from Acute Respiratory Infections (within 15 days preceding the survey)*.
14 million episodes of childhood pneumonia occur in UP every year (0.5 episodes/child/year)¹
52,094 children die due to pneumonia in UP every year
81% of pneumonia deaths occur during first 2 years of life
Care-seeking from public facilities for childhood ARIs was only 7.4 percent in UP².

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
2. District level houshold survey (DLHS-3).

District-wise Infant Mortality Rates (IMR) in Uttar Pradesh

Source: Annual Health Survey 2012-13

As per the AHS (2012-13) estimates, the IMR in U. P. was 68 while as per the SRS estimates it was 53 per 1000 live births
The National IMR being 42 per 1000 live births [SRS 2012]

Infant Mortality Rates are high in majority (63/75) of districts in Uttar Pradesh (range: 52-96 per 1000 thousand live births). In order to achieve the 12th Five Year Plan target of IMR being 25 per 1000 live births (or lower), significant efforts would be required to promote evidence-based interventions to reduce infant mortality through out the state.

District-wise Under-five Mortality Rates in Uttar Pradesh

Source: Annual Health Survey 2012-13

Under-five mortality rate in India is 52 per 1000 live births while that in the state of Uttar Pradesh is 90 per 1000 live births

The under-five mortality rate in UP is very high (90) as compared to the national average (52). None of the districts in UP are poised to meet the Millennium Development Goal (MDG)-4. 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 UP is high. Excluding the neonatal causes, childhood pneumonia is the leading child killer in Uttar Pradesh. 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.