摘要
Abstract
Objective To understand death status and related factors of children under 5 years old in Yuzhong District of Chongqing from 2009 to 2013 to provide scientific basis for reducing the mortality rate of children below 5 years old. Methods A retrospective analysis was carried out by the surveillance data of death of children below 5 years old in Yuzhong District from 2009 to 2013. Upon the investigation and quality control to the children birth and death by the three-tertiary medical and preven-tive health care network under the jurisdiction according to China′s Maternal and Child Health Monitoring Programme and Death Monitoring Programme of Children under 5 Years Old Programme in China concerning regulations related to death monitoring of children under 5 years old and ICD-10 code of international disease classification.The data adoptedχ2 test. Results The mortality rate of infant,newborns and children under 5 years old in Yuzhong District from 2009 to 2013 was decreased firstly and then in-creased. There was no statistical significance of mortality rate between the male and female children[0.378%(50/13 225) vs. 0.311%(39/12 536)](χ2=0.838,P>0.05). The proportion of premature and low birth weight in the constitution of causes of death was raised significantly,of which,the premature ratio was from 11.76% up to 56.00%,whose difference had statistical significance (trend inspectionχ2=11.650,P<0.05),and the low birth weight was from 23.53%to 56.00%,the difference was statistically sig-nificant(trend inspectionχ2=9.950,P<0.05). Conclusion Strengthening the perinatal health care,reducing the occurrence of birth defect and premature,increasing business skills training for the maternal and child health care,it improves the diagnostic abili-ty of children′s diseases. Meanwhile,relying on the family doctor service mode to strengthen children health management system, strengthening the social medical security ability are the important measures to reduce the mortality rate of children under 5 years old.关键词
死亡率/早产/婴儿,出生时低体重/儿童/重庆Key words
Mortality/Premature birth/Infant,low birth weight/Child/Chongqing
