MORTALITY
OF BABIES
B.Lovcevic
Medical
Center - Kumanovo, Macedonia
“11 Noemvri” 11, 1300
Kumanovo, Macedonia
The trend of the mortality of babies in Kumanovo community is
constant but unsatisfied (1953 – 160.8‰,
1999 – 13.5‰). As a complex
problem it is in correlation with the natality (1953 – 39‰, 1999 – 17.2 ‰), natural accession (1953 – 21.4‰, 1999 – 8.4 ‰),
literacy (1953 – 60.3 %, 1994 – 93.4 % literate), hygienic habits, social
and economic conditions, availability of healthy service, transport
connections, delivery in hospital or at home with professional help, the
length of breast feeding, two kind and mixed food, anti-rachitic
prophylaxis, permanent immunization, clean drinking water. The population
structure is multi-national: Macedonians, Albanians, Gypsies, Turks, Serbs,
etc. The population has been increased by natural accession and by
migration (1953 – 65530, 1994 – 127814). Health education – the doctors
gave popular lectures everywhere. A big quantity of industrially prepared
baby food has been distributed. The percentage of the immunization and
re-immunization in 2000 for all vaccines is 93% to 97%. The obstetric Ward
has been organized according the highest European and American standards
with project “Hospitals – friends to babies”. In the structure of the
mortality of the babies have priority pneumonias, diarrheas, prematures and
congenital malformations. The preventive protection has been done by the
pediatricians and patronage service: 3 visits to nursing mother in average,
doctors checkups of newborn at home; in counseling service for newborn and
children: for healthy children 8 checkups in average, and for risky ones –
10 checkups and more. The most relevant index for all these is the decrease
of the mortality of the babies.
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