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Category: Volume 08 Issue 06 June 2020
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Title: Morbidity Profile of Children Admitted to a Regional Hospital of Hilly Region

Authors: Shikha Verma, Ravinder Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.31

Abstract

Introduction: Annual child mortality rates in India have decreased between 1.7% and 2.3% in the last two decades. Still, the United Nations (UN) estimates that about 2.35 million (M) children died in India in 2005. This corresponds to over 20% of the world's under-five deaths, more than any other country. Children illness requires more frequent hospital care and younger children are more vulnerable to mortality. This study was, therefore, undertaken to evaluate the morbidity pattern in hospitalized children less than twelve years with all disease in a regional hospital of hilly region of India.

Methods: This was a hospital data based retrospective observational study carried out from August 2016 to July 2017. Hospitalized children were enrolled for the study and evaluated for morbid events leading to hospitalization.
Results: A total of 1068 patients were admitted in the pediatric ward of the hospital within the period under review. Out of these boys constituted 62.26% (n=665) boys and 37.73% (n=403) girls with boys to girls preponderance ratio of 1.65:1. The age group less than 5 years constituted the main chunk with total 784 (73.40%) admissions. Seasonal variation in admission rate was also documented with maximum 378 (35.39%) children admitted during hot weather season (July-Sept). Among morbidities respiratory tract infection was the leading cause with 300 (28.08%) patients followed by patients with gastrointestinal diseases 214 (20.03%). It was found that febrile seizures were quite prevalent in this region with 81 (7.58%) admissions.  

Conclusion: Research on morbidity is rather scanty. Yet it is very important and useful indicator of the health status of the people. The concept morbidity has more than one meaning. The findings indicate that there is a need to improve utilization of primary health care services including the vital MCH services for better child health and survival.

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Corresponding Author

Ravinder Singh

Medical Officer, Dermatology DR RKGMC Hamirpur H.P India