Infant Mortality Rate

(Danish Rafiq, )

PAKISTAN TOPS NEW BORN DEATH RATE (the Nation)
Million babies of ‘modern world’ die within 24 hours.

NOTE:
1. A neonatal death is defined as a death during the first 28 days of life (0-27 days).

2. An intrapartum fetal death is defined as any fetus weighing 500 gm or more who entered labour alive but died while under medical care ...
A million newborns die within 24 hours in the world every year, of which 200,000 in Pakistan, charity Save the Children said in a report by Pakistan Chapter of “Save the Children”, which urged governments to tackle preventable deaths.

The report claims that Pakistan held highest rate/ratio of stillbirths globally, and stressed the government to take steps on war-footing to bring down child mortality rate.
“More than 200,000 children in Pakistan die each year during childbirth or on its first day of life which is the highest rate globally,”
The report named ‘Ending Newborn Deaths’ reveals that nearly 1-in-25 babies die during childbirth or on the day of birth.

According to the report, one half of first day deaths and stillbirths around the world could be prevented if the mothers and babies had free healthcare facilities and skilled midwife services. The report reveals that the situation in Pakistan seems to have gone from bad to worse where more than 200,000 children are dying each year as more than half of all women give birth without a skilled birth attendant present.

“The first moments of a child’s life are the most dangerous, yet too many mothers give birth without any skilled help,” quote by Ghulam Qadri, Deputy Country Director for Save the Children in Pakistan.

“It’s criminal that many of these 200,000 deaths annually in Pakistan can be averted simply by having someone around to make sure the birth takes place safely and knows what to do in crisis.”

The report which has raised many eyebrows worldwide, declared Pakistan one of the most dangerous places in the world to be a mother or baby, where approximately 70,000 babies die on the day of birth..

“The root problem is the lack of skilled health workers with the right equipment and medical supplies to support mothers, especially in the most rural and remote areas where they are needed the most. Coverage of skilled midwives is nearly five times higher among the richest women compared with the poorest,” quote Dr Qudsia Uzma.
In a bid to save millions of newborn lives, Save the Children has urged the world leaders to commit in 2014 to a blueprint for change – The five-point newborn promise which focuses on training and equipping enough skilled health workers to make sure that no baby is born without proper help, and removing fees for all pregnancy and birth services.

According to the report “Save the Children’s everyone is going to start campaign which
will focus on newborns during 2015 and ahead.
Salient features of the campaign would be that newborn promise includes issuance of a defining and accountable declaration to end all preventable newborn mortality, saving 2 million newborn lives a year and stopping the 1.2 million stillbirths during labor. The newborn promise also aims at ensuring that by 2025 every birth is attended by trained and equipped health worker who can deliver essential newborn health interventions. This can only be achieved if the government of Pakistan increases the number of frontline health workers, including CMWs and vaccinators, operating in all four provinces and Fata.

The new promise also stresses upon increasing expenditure on health to at least US$60 per person, WHO’s minimum level.

It further stresses that to pay for the training, equipping and support of health workers. The governments should remove user fees for all maternal, newborn and child health services, including emergency obstetric care.

By : Danish Muhammad Rafique

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Danish Rafiq
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