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<p>Birth defects, or congenital anomalies, are important causes of child mortality, morbidity and disability. Guidelines for public health activities to address birth defects is currently unavailable for low- and low-middle- income countries leading to a critical policy and service gap. We used the results of a study conducted in eight villages under a Primary Health Centre in Pune district of India to determine the needed public health interventions to address these disorders. The study identified 90 children with congenital anomalies per 10,000 children under five years [95% CI 62.2–126.8]. Congenital anomalies contributed to 13% of childhood disability. Out-of-pocket expenditure, lack of diagnosis and standard care, disability, and congenital anomaly associated maternal risk factors identified missed opportunities for public health interventions. The implications of the study are synthesized to offer a framework for essential public health interventions for a birth defects services in low- and low-middle- income countries.</p>

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Birth defects services in low resource settings: implications from a community-based study in India

  • 期刊论文

  • 发表日期：

    2025年12月14日

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  • Bhagyashree Radhakrishnan,
  • Vasundhra Chatta,
  • Anita Kar

摘要

Birth defects, or congenital anomalies, are important causes of child mortality, morbidity and disability. Guidelines for public health activities to address birth defects is currently unavailable for low- and low-middle- income countries leading to a critical policy and service gap. We used the results of a study conducted in eight villages under a Primary Health Centre in Pune district of India to determine the needed public health interventions to address these disorders. The study identified 90 children with congenital anomalies per 10,000 children under five years [95% CI 62.2–126.8]. Congenital anomalies contributed to 13% of childhood disability. Out-of-pocket expenditure, lack of diagnosis and standard care, disability, and congenital anomaly associated maternal risk factors identified missed opportunities for public health interventions. The implications of the study are synthesized to offer a framework for essential public health interventions for a birth defects services in low- and low-middle- income countries.