Causes and countermeasures of death among children under 5 years old in Tibetan areas of Shannan city, Tibet, 2013-2018
CHEN Jun1, DU Qi-yun2, PUBU Cangjue1, XIE Dong-hua2
1. Shannan Maternal and Child Health Care Hospital, Shannan, Tibet 856000, China; 2. Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan 410008, China
Abstract：Objective To analyze the mortality rate, causes of death, geographical distribution, time distribution, medical services and composition among children under 5 years old in Tibetan areas of Shannan city, and to provide a scientific decision-making basis for controlling death among children under 5 years old in Tibetan areas. Methods We collected the data regarding the deaths of children under 5 years old in Tibetan areas of Shannan city from 2013 to 2018. According to the sea level zoning of Tibetan areas, the death situation and composition of death causes were analyzed by composition ratio and chi-square test. Resultss The mortality rate of children under 5 years old in Tibetan areas of Shannan city during the 6-year period showed a downward trend in general (χ2=62.963, P=0.000). Most of the deaths of children under 5 years old were infants (92.10%), and newborn deaths accounted for 62.38% of all infant deaths. The mortality rates of boys and girls were 11.18‰ and 11.27‰, respectively. The child mortality rates in high altitude areas and areas along the Ya River were 11.33‰ and 11.15‰, respectively. Most of the deaths occurred in the first quarter. The top three major causes of death in children under 5 years old were birth asphyxia, premature birth or low birth weight, and pneumonia. The majority of the deaths of children under 5 years old occurred in hospitals (53.86%). 81.76% of the deaths were treated before death, and 87.54% of the deaths happened in province (cities) and counties. Conclusions The mortality rate of children under 5 years old in Tibetan areas of Shannan city during 2013-2018 presented a decreasing trend year by year. The majority of the deaths were infants, and most of the deaths occurred in the first quarter. Strengthening neonatal asphyxia resuscitation training, paying attention to the deaths of children under 5 years old in high altitude areas, improving midwifery techniques in provincial (municipal) and county medical and health institutions, strengthening perinatal health care, preventing premature birth and low birth weight, andpaying special attention todeaths in the first quarter are the keys to controlling the mortality rate of children under the age of 5 years in Shannan city.
陈军, 杜其云, 普布仓决, 谢冬华. 西藏山南市藏区2013－2018年5岁以下儿童死亡原因分析及对策研究[J]. 实用预防医学, 2019, 26(11): 1337-1342.
CHEN Jun, DU Qi-yun, PUBU Cangjue, XIE Dong-hua. Causes and countermeasures of death among children under 5 years old in Tibetan areas of Shannan city, Tibet, 2013-2018. , 2019, 26(11): 1337-1342.
2019, Vol. 26 
