Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2023  |  Volume : 21  |  Issue : 1  |  Page : 37-43

Missing the trees for the forest: A survey of sub-district-level mortality pattern in North Bihar, India

1 Department of Community Medicine, Government Medical College; Department of Community Medicine, Kotagiri Medical Fellowship Hospital, Nilgiris, Tamil Nadu, India
2 Department of Community Medicine, Government Medical College, Nilgiris, Tamil Nadu; Department of Endocrinology, Believers Church Medical College and Hospital, Thiruvalla, Kerala, India
3 Department of Community Medicine, Government Medical College, Nilgiris, Tamil Nadu; Department of General Medicine, ICMDA, New Delhi, India
4 Department of Community Medicine, Government Medical College, Nilgiris, Tamil Nadu; Department of Epidemiology and Research, Duncan Hospital, Raxaul, Bihar, India

Correspondence Address:
Dr. Sharon Cynthia
Department of Community Medicine, Government Medical College, Nilgiris - 643 001, Tamil Nadu
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_92_22

Rights and Permissions

Background and Objective: The paucity of knowledge on mortality patterns in a state such as Bihar with its population of 200 million contributes to misdirected planning and prioritization of health expenditure. This study aims to estimate the regional differences in mortality rates between a region in North Bihar and the rest of state and country. Methodology: Using a multi-stage cluster design, 4159 households were interviewed across six Community Development blocks in North Bihar, identifying deaths between the Chhath festivals of 2014 and 2015. The cause of death was assessed by verbal autopsy and coded using the International Classification of Disease 10. Proportionate and specific mortality rates were calculated. Results: Of 229 deaths, only 7% were registered. The epidemiological transition level for the region was 1.12 with an infant mortality rate of 72 per 1000 live births (95% confidence interval [CI] 55.7–88.4) and under-five mortality rate of 93.2 per 1000 live births (95% CI 74.6–111.7). These rates were double that of the state estimates. Among infant deaths, infections predominated over prematurity while in adult deaths diseases of the respiratory system exceed diseases of the circulatory system as seen in the state and country mortality rates. Conclusions: This study indicates that regional mortality patterns widely differ from state and national average estimates. Deaths due to maternal and neonatal conditions along with communicable diseases still predominate over other causes. Obtaining disaggregated information on causes of death by strengthening the vital registration system will bring these variations into focus.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded34    
    Comments [Add]    

Recommend this journal