Factor analysis on trend of infant mortality and maternal health management in Henan province from 2000 to 2010 / 中华流行病学杂志

ABSTRACT

Objective To understand the trends and influential factors on infant mortality in Henan province from 2000 to 2010.Methods Descriptive method,Cox-Stuart trend test and multiple linear regression were used to study the infant mortality trends and related influential factors in the regions with monitoring programs of Henan province,fiom 2000 to 2010.Results The total urban and rural infant mortality rates dropped significantly,from 30.91 per thousand,10.05 per thousand,33.99 por thousand in 2000 to 7.12 per thousand,5.51 per thousand,8.03 per thousand in 2010,respectively.The average annual rates of decrease were 13.65 percent,5.83 percent and 13.44 percent.The downward hrends were statistically significant (P＜0.05).The infant mortality rates dropped more significantly in rural areas (25.96％) than in the urban areas(4.54％).Difference between urban and rural areas reduced from 23.49％ to 2.52％.Rates on factors as setting up matemal record cards,carrying on postpartum visits,hospital delivery,or under help by new midwives and low birth weight rate etc.were remarkably influencing the rate on nfant mortality (F=229.738,P=0.004).In order,the inpact of strengths on those factors showed ashospitalized delivery rate,low birth weight rate,the rate of ‘clean' delivery,setting up record cards on postpartum visits.Conclusion Total provincial,urban and rural infant mortality rates all showed downward trends.The infant mortality rates dropped more significantly in rural areas than in urban arcas.Difference between urban and rural areas was gradually getting small.Rates on setting up maternal record cards,carrying on postpartum visit,hospital delivery and tnder help by new midwives rate were important tactors that significantly impacting the infant mortality rate.Work on setting up record cards and hospital delivery should be further strengthened.