Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy

Objective: Retrospective analysis of routinely collected data using verbal and social autopsy tools to identify the medical causes of death and contribution of non-biological factors towards infant mortality Setting: The study site was Health and Demographic Surveillance System (HDSS), Ballabgarh, North India Participants: All infant deaths during year 2008 to 2012 were included for verbal autopsy whereas infant deaths from July 2012 to December 2012 were included for social autopsy. Outcome measures: Cause of death ascertained by validated verbal autopsy tool and level of delay based on three delay model using INDEPTH social autopsy tool were the main outcome measures. Results: Infant mortality rate during study period was 46.5/100 live births. Neonatal deaths contributed to 54.3% of infant deaths and 39% occurred on first day of life. Birth asphyxia (31.5%) followed by Low Birth Weight (LBW)/prematurity (26.5%) were the most common causes of neonatal death. While infective cause (57.8...