Page 118 - 5th APA Conference Program Book Final

1126 Contextual Socioeconomic Determinants of Cardiovascular Risk Factors in
India: A Multilevel Analysis

Ayantika Biswas
International Institute for Population Sciences, Mumbai, India

Categories

4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

A recent growing interest in the pathways of contextual factors (population or place) affecting disease occurrence has spurned
studies exploring the same w.r.t. cardio-vascular diseases (CVDs), too. It has been observed that there is an increase in the
prevalence of CVDs, its risk factors, as well as the clustering of those risk factors in India. The present study utilised data from the
National Sample Survey Organisation’s 60th and 71st rounds corresponding to 2004 and 2014. This study aims to test the
independent effects of contextual socio-demographic characteristics, while adjusting for the effect of individual socio-
demographic characteristics on CVD risk factors. The mixed effects logistic regression model gave estimates which show that
communities with a higher average educational level are more likely (OR=1.53, p<0.01) to have a higher prevalence of CVDs, as
compared to communities with lower average educational level. District-level variables show that as the proportion of scheduled
caste or scheduled tribe households increases in a district, the likelihood of CVD occurrence decreases. The present study proves
that in order to maximise the effectiveness of protection against CVD occurrence, health delivery systems, health spending and
financing systems need to target not only individuals, but also communities and places.

941 Neonatal Deaths in India: Does Postnatal Care Matter?

Deepika Phukan

International Institute for Population Sciences, Mumbai, India

Categories

4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

Globally, more than half a million women die each year from complications of pregnancy and childbirth. In India,
2.7 million deaths, or roughly 45% of all under-five deaths, occur during the neonatal period. Of these, almost 1
million neonatal deaths occur on the day of birth, and close to 2 million die in the first week of life. The apprehension
of the present study is to analyze the impact of postnatal care on neonatal deaths in India. For the underlined
research, information on 259,627 live births was analyzed using the National Family Health Survey (NFHS-4) and
Sample Registration System (SRS) for trends and patterns of neonatal mortality rate from 1971 to 2018 major states
in India. The findings from the Logistic regression suggest that the child who had gone for a check-up after delivery
had a 28% lower risk of neonatal mortality. The multivariate decomposition results reveal that 10.29% (due to
endowment) and 89.71% (due to coefficients) of the overall change in neonatal mortality between children who
had gone for a postnatal check-up or who had not gone for a postnatal check-up. Focus on postnatal check-up to
reduce the gap among states and to achieve the SDG goals.

919 Understanding the impact of changing pattern of Public health expenditure on
Infant and Under-five mortality in India

Deepika Phukan

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