Characteristics & outcomes of tribal & non-tribal neonates admitted to a special newborn care unit in rural Gujarat, India

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dc.contributor.authorLusk, Rachelen_US
dc.contributor.authorDesai, Tusharen_US
dc.contributor.authorModi, Dhirenen_US
dc.contributor.authorDesai, Shreyen_US
dc.contributor.authorDonda, Jignesh Kumaren_US
dc.contributor.authorRaulji, Nirav Kumaren_US
dc.contributor.authorShah, Pankajen_US
dc.contributor.authorDesai, Gayatrien_US
dc.date.accessioned2025-05-09T09:44:52Z
dc.date.available2025-05-09T09:44:52Z
dc.date.issued2024-01
dc.description.abstractBackground & objectives: This study aimed to compare the admission characteristics and outcomes of tribal and non-tribal neonates admitted to a level II special newborn care unit (SNCU) in rural Gujarat. Methods: This was a retrospective observational study that looked at all neonates admitted to a high- volume SNCU between 2013 and 2021. A series of quality improvement measures were introduced over the study period. Admission characteristics, such as birth weight, gestational age, gender and outcomes for tribal and non-tribal neonates, were compared. Results: Six thousand nine hundred and ninety neonates [4829 tribal (69.1%) and 2161 (30.9%) non- tribal] were admitted to the SNCU. Tribal neonates had lower mean birth weight (2047 vs. 2311 g, P<0.01) and gestational week at birth (35.8 vs. 36.7 weeks, P<0.01) compared to non-tribal neonates. Common causes of admissions were neonatal jaundice (1990, 28.4%), low birth weight (1308, 18.7%) and neonatal sepsis (843, 12%). Six hundred and thirty-eight (9.1%) neonates died during the treatment in the SNCU. The odds of death among tribal neonates was similar to non-tribal neonates [adjusted odds ratio: 1.12 (95% confidence interval [CI]: 0.89, 1.42)]. The tribal neonates had significantly higher cause-specific case fatality rate from sepsis [relative risk (RR): 2.18 (95% CI: 1.41, 3.37)], prematurity [RR: 1.98 (95% CI: 1.23, 3.17)] and low birth weight [RR: 1.83 (95% CI: 1.17, 2.85)]. The overall case fatality rate in the SNCU decreased from 18.2 per cent during the year 2013-2014 to 2.1 per cent in the year 2020-2021. Interpretation & conclusions: There was a reduction in the case fatality rate over the study period. Tribal and non-tribal neonates had similar risk of death. Sepsis prevention and management, mechanical respiratory support and timely referral to a higher centre might help further reduction in mortality for these neonates.en_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Community Health & Research, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Community Health & Research, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.affiliationsKasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, Indiaen_US
dc.identifier.citationLusk Rachel, Desai Tushar, Modi Dhiren, Desai Shrey, Donda Jignesh Kumar, Raulji Nirav Kumar, Shah Pankaj, Desai Gayatri. Characteristics & outcomes of tribal & non-tribal neonates admitted to a special newborn care unit in rural Gujarat, India. Indian Journal of Medical Research. 2024 Jan; 159(1): 71-77en_US
dc.identifier.issn0971-5916
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/244894
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume159en_US
dc.source.urihttps://dx.doi.org/10.4103/ijmr.ijmr_3633_21en_US
dc.subjectNeonatal mortalityen_US
dc.subjectscheduled tribeen_US
dc.subjectspecial newborn care uniten_US
dc.titleCharacteristics & outcomes of tribal & non-tribal neonates admitted to a special newborn care unit in rural Gujarat, Indiaen_US
dc.typeJournal Articleen_US
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