Skip to main content

India's two-thirds of under-5 deaths occur among newborns in first 28 days: Report

By Rajiv Shah
Top global NGO Save the Children’s latest report marking its 100 years of existence, “Changing Lives in Our Lifetime: Global Childhood Report 2019” has said that, while there is “much child survival progress to celebrate around the world, the job is nowhere near done”, India has scored poorly on this score. Especially focusing on deaths in early infanthood, the report, even as refusing to provide comparative figures, says, death rates of children in the first days after birth in India “have remained stubbornly high.”
“In India”, it says, “The latest figures indicate that close to two-thirds of all under-5 deaths (605,000) occur among newborns in the first 28 days of life”, even though pointing out that “the number of Indian children dying after the first month and before age 5 has fallen by 70 percent since 2000 – from 1.3 million to 384,000 – but the number of newborn deaths has declined by only 52 percent.”
At the same time, providing comparative figures, the report says that under-5 mortality rate (deaths per 1,000 live births) in India is 39.4, which is higher than five of its neighbours, Sri Lanka 8.8, China 9.3, Bhutan 30.8, Bangladesh 32.4, Nepal 33.7, and. Two of the neighbours perform worse than India – Pakistan 74.9 and Myanmar 48.6.
Blaming this on poorest children being “still vulnerable to ill-health”, according to the report, “Lack of universal health coverage, inadequate diets and unsafe water still put the most disadvantaged children at the highest risk of death in almost every country.” Thus, globally, “An estimated 5.4 million children still die before their fifth birthday each year. At a time when the knowledge and technology to save lives is available, 15,000 child deaths each day is unacceptable.”
Suggesting India’s relative lag, the report states, “In South Asia, Bangladesh, Bhutan, India and Nepal have achieved great reductions in child mortality since 2000. Bangladesh’s child death rate is down 63 percent, Bhutan’s is down 60 percent, Nepal’s is down 59 percent and India’s is down 57 percent.”
The report further finds that while India may have “greatly reduced child marriage through legal reforms, programmes to educate and empower girls, and public awareness campaigns”, the progress is much slower in India than all the South Asian countries.
The report’s End of Childhood Index, which scores countries calculating on a scale of 1 to 1,000, measures the extent to which children in each country experience “childhood enders” such as death, severe malnutrition, being out of school and shouldering the burdens of adult roles in work, marriage and motherhood.
Thus, a high score 940 or above would mean that few children miss out on childhood, while a score of 379 or below would mean nearly all children missing out on childhood, the report states.
Referring to the progress of India vis-à-vis other neighbouring countries between 2000 and 2019, the report says, “In South Asia, Bhutan achieved a 194-point increase, rising from 617 to 811, mostly by getting more children into school… Bangladesh’s score rose 153 points, from 575 to 728, primarily because of improvements in child survival. Nepal’s score is up 142 points, from 543 to 685, due mostly to decreases in mortality, malnutrition and teen births. And India’s score is up 137 points, from 632 to 769, largely because of improvements in child health and survival.”
Only Pakistan failed to as well as India – its score improved from 540 to 626, a rise of 86 points during the period in question.
The report states, India’s improvement is part of several countries – including Burkina Faso, Malawi and Sierra Leone – coming up with legislation “addressing the basic right of children not to be married at an early age. Practitioners have found that coordinated investments in education, health, poverty reduction, water and sanitation (i.e., “whole systems” approaches) can have a much greater impact on improving the lives of children than interventions from individual sectors.”
It adds, “India’s comprehensive approach to tackling child marriage, for example – including policy reforms and investments in education, livelihoods and community mobilization for change – has been the key to its success.”
The report continues, “Rising education rates among women and girls have been critical to improvements in child health in Bangladesh and child protection in Afghanistan and India. Female legislators also tend to increase foreign aid, particularly for education and health. At the grassroots level, women and girls are leading efforts to end child marriage in India, Indonesia, Lebanon, Mexico, Pakistan, Senegal and other countries.”
The report says, “Almost all the children saved from stunting live in Asia. Mongolia and Kyrgyzstan have cut their stunting rates by an impressive 76 and 64 percent, respectively. China’s 54 percent reduction means there are nearly 8 million fewer stunted children in that country.” However, it regrets, “Progress in populous India” was less dramatic (30 percent decline)”, though it has “resulted in 23 million fewer stunted children.”
The only major gain India has achieved, according to the report, is in child marriage, which are “down 51 percent since 2000 (from 30 to 15 percent) and 63 percent since 1990.” On the other hand, as for other countries, “Afghanistan has cut its rate by 44 percent (from 29 to 16 percent). Bangladesh, Nepal and Pakistan have each cut rates by more than one-third since 2000.”
---
Download report HERE

Comments

Uma said…
While the figures are shameful, we can only hope that the improvement shown so far keeps going and picks up speed.

TRENDING

'Draconian' Kerala health law follows WHO diktat: Govt readies to take harsh measures

By Dr Maya Valecha*  The Governor of Kerala has signed the Kerala Public Health Bill, which essentially reverses the people’s campaign in healthcare services in Kerala for decentralisation. The campaign had led to relinquishing of state powers in 1996, resulting in improvement of health parameters in Kerala. Instead, now, enforcement of law through the exercise of power, fines, etc., and the implementation of protocol during the pandemic, are considered of prime importance.

Reject WHO's 'draconian' amendments on pandemic: Citizens to Union Health Minister

By Our Representative  Several concerned Indian citizens have written to the Union Health Minister to reject amendments to the International Health Regulations (IHR) of the World Health Organization (WHO) adopted during the 75th World Health Assembly (WHA75) in May 2022, apprehending this will make the signatories surrender their autonomy to the “unelected, unaccountable and the whimsical WHO in case of any future ‘pandemics’.”

A Hindu alternative to Valentine's Day? 'Shiv-Parvati was first love marriage in Universe'

By Rajiv Shah*   The other day, I was searching on Google a quote on Maha Shivratri which I wanted to send to someone, a confirmed Shiv Bhakt, quite close to me -- with an underlying message to act positively instead of being negative. On top of the search, I chanced upon an article in, imagine!, a Nashik Corporation site which offered me something very unusual. 

Bihar rural women entrepreneurs witness 50% surge in awareness about renewal energy

By Mignonne Dsouza*  An endline survey conducted under the Bolega Bihar initiative revealed a significant increase in awareness of renewable energy among women, rising from 25% to 76% in Nalanda and Gaya. Renu Kumari, a 34-year-old entrepreneur from Nalanda, Bihar, operates a village eatery that serves as the primary source of income for her family, including her husband and five children. However, a significant portion of her profits was being directed toward covering monthly electricity expenses that usually reach Rs 2,000. 

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.

Work with Rajasthan's camel herders: German scientist wins World Cookbook Award 2023

By Rosamma Thomas*  Gourmand World Cookbook Awards are the only awards for international food culture. This year, German scientist  Ilse Kohler Rollefson , founder of Camel Charisma, the first of India’s camel dairies, in Pali district of Rajasthan, won the award for her work with camel herders in Rajasthan, and for preparing for the UN International Year of Camelids, 2024. 

Why is electricity tariff going up in India? Who is the beneficiary? A random reflection

By Thomas Franco*  Union Ministry of Power has used its power under Section 11 of the Electricity Act, 2003 to force States to import coal which has led to an increase in the cost of electricity production and every consumer is paying a higher tariff. In India, almost everybody from farmers to MSMEs are consumers of electricity.

'Very low rung in quality ladder': Critique of ICMR study on 'sudden deaths' post-2021

By Bhaskaran Raman*  Since about mid-2021, a new phenomenon of extreme concern has been observed throughout the world, including India : unexplained sudden deaths of seemingly healthy and active people, especially youngsters. In the recently concluded Navratri garba celebrations, an unprecedented number of young persons succumbed to heart attack deaths. After a long delay, ICMR (Indian Council for Medical Research) has finally has published a case-control study on sudden deaths among Indians of age 18-45.

'Pro-corporate agenda': Odisha crackdown on tribal slum dwellers fighting for land rights

By Our Representative  The civil rights network Campaign Against State Repression (CASR), even as condemning what it calls “brutal repression” on the Adivasi slum dwellers of Salia Sahi in Bhubaneshwar by the Odisha police, has said that the crackdown was against the tribals struggling for land rights in order to “stop the attempts at land-grab by the government.”

Deplorable, influential sections 'still believe' burning coal is essential indefinitely

By Shankar Sharma*  Some of the recent developments in the power sector, as some  recent news items show, should be of massive relevance/ interest to our policy makers in India. Assuming that our authorities are officially mandated/ committed to maintain a holistic approach to the overall welfare of all sections of our society, including the flora, fauna and general environment, these developments/ experiences from different parts of the globe should be clear pointers to the sustainable energy pathways for our people.