ЭНЭШТ
Objective: To review and identify the research priorities on further research on child mortality under five years old.
Research design: The systematic review of meta-analysis was used.
Materials and methods: The studies from MCHRC “Infant mortality and morbidity, and clinical solutions of lifethreatening condition “, “ The structure of child common conditions, their causes, diagnosis and updated care”, from medical school, “ Priority issues for child health” ; from PHI, “The situation assessment of basic health condition of Mongolian children, hypochromic anemia and monitoring system”; “The prevalence of “A” vitamin deficiency among some group of population, Mongolia and results of vitaminization” and “ The causes of rickets and its environment” were reviewed.
Results: The infant mortality rate is 19.4 per 1000 live birth; and under 5 mortality rate is 24. The most common causes of infant mortality and under 5 mortality were birth asphyxia, premature birth, malformation and child trauma, respiratory infections and malformation respectively.
The birth asphyxia were increased when mother has pregnancy associated medical condition (OR =3), toxemia (OR=2) and poor contraction during labour (OR = 2).
The prevalence of congenital abnormality was increased from 1.48 in period of 1990-1999 to 2.15 in 2000-2004. The latent form of “A”vitamin defieciency among children under 5 years were common and its distribution was considered as average. The lack of vitamin D deficiency and low levels of plasma “D” vitamin depo are main contributing factors for reckets.
Conclusions:
- 1.There is still high mortality under five years in some aimags, such as Bayankhongor, Khuvsgul, Dornogovi,Umnugovi, Dornod, Uvurkhangai and Uvs.
- 2.The early neonatal mortality is much higher among neonatal mortality.
