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Abhay and Rani Bang

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Infant mortality is the death of an infant before the infant's first birthday. The occurrence of infant mortality in a population can be described by the infant mortality rate ( IMR ), which is the number of deaths of infants under one year of age per 1,000 live births. Similarly, the child mortality rate , also known as the under-five mortality rate, compares the death rate of children up to the age of five.

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162-607: Abhay Bang and Rani Bang are Indian activists and community health researchers working in the Gadchiroli district of Maharashtra , India . Together, they have developed initiatives and programmes intended to reduce infant mortality rates. Their initiatives have been endorsed by the World Health Organization (WHO) and United Nations Children's Fund (UNICEF) for work carried out across India and in parts of Africa . Abhay and Rani Bang also founded

324-512: A 12-member task force under chief minister Devendra Fadnavis for creating awareness about ill effects of using tobacco products and Abhay Bang is an advisor in the force. It will concentrate on Gadchiroli district for the first three years. A committee has also been constituted under the Gadchiroli District Collector for implementing the plans devised by the task force. A representative of Bang's organization SEARCH will be

486-493: A 56% greater risk. Among women having their second or higher birth, smokers experienced 30% greater mortality than nonsmokers. Modern research in the United States into racial disparities in infant mortality suggests a link between institutionalized racism and high rates of African American infant mortality. In synthesis of this research, it has been observed that "African American infant mortality remains elevated due to

648-451: A common pool, from which resources are drawn to meet the needs of all members, which are regulated by the heads of the family. However, with modernisation and economic development, India has witnessed a break up of traditional joint family into more nuclear families and the traditional joint family in India accounted for a small percent of Indian households. Arranged marriages have been

810-510: A conservative 12 million to 20 million-person diaspora. The British Indian community had grown to number over one million. According to the 2001 UK Census , 1,053,411 Britons had full Indian ancestry (representing 1.8% of the UK's population). An overwhelming majority of 99.3% resided in England (in 2008 the figure is thought to be around 97.0%). In the seven-year period between 2001 and 2009,

972-587: A contingent of Sikh soldiers visited the western coast of Canada, primarily British Columbia which at the time was very sparsely populated and the Canadian government wanted to settle to prevent a takeover of the territory by the United States. More than a million people of South Asian descent live in South Africa, with their ancestors having left colonial India mostly as indentured labourers, and with smaller numbers emigrating later as "Passenger Indians", in

1134-555: A daily basis should be closely watched by their doctors, including after the baby is born. Babies who live in areas with less air pollution have a greater chance of living until their first birthday, meaning babies who live in environments with more air pollution are at greater risk for infant mortality. Areas that have higher air pollution also have a greater chance of having a higher population density, higher crime rates, and lower income levels, all of which can lead to higher infant mortality rates. A key pollutant in infant mortality rates

1296-437: A difference to the society. Abhay thinks that it is important to make present generation of doctors think about social challenges. "All doctors can earn enough to make a decent living and they must think about the purpose of their lives. Change would happen the moment they start contemplating." He believes that medical students should regularly be given rural or tribal stints as part of their curriculum so that they are exposed to

1458-478: A figure higher than both the United States and Britain. South Asian Canadians account for 7.1% of Canada's population. According to Statistics Canada, Indo-Canadians are one of the fastest-growing visible minority groups in Canada, making up the second-largest group of non-European descent in the country after Chinese Canadians. The Indo-Canadian community can trace its history in Canada back 120 years to 1897 when

1620-656: A healthy child. Studies suggest that people who experience sexual violence before or during pregnancy are more likely to experience infant death. Causes of infant mortality after abuse during pregnancy range from physical side effects of the initial trauma to psychological effects that lead to poor adjustment to society. Many people who became pregnant by rape in Bosnia were isolated from their hometowns, making life after childbirth exponentially more difficult. High rates of infant mortality occur in developing countries where financial and material resources are scarce, and where there

1782-583: A hospital in the district. When the couple started holding people health assemblies they found that addressing infant mortality was a pressing need. The death of a one-month-old child within minutes of being brought to them greatly impacted the couple. They found 18 possible causes of such an infant's death, including poverty , diarrhoea , infection , pneumonia , or lack of a hospital . The Bangs and their colleagues at SEARCH conducted world-class research on practical approaches to reduce mortality of young children in resource-constrained settings. Bang's solution

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1944-775: A long history alongside its music and dance. One of the earliest known theatre play is Mṛcchakatika composed by Śudraka . Followed by Aśvaghoṣa 's Śāriputraprakaraṇa and Bhāsa 's Swapnavāsavadatta and Pancharātra . Most notable works are Kālidāsa's Abhijñānaśākuntala , Vikramorvaśīya and Mālavikāgnimitra . Harsha 's Ratnavali , Priyadarsika , and Naganandam , other notable ancient dramatists include Bhatta Narayana , Bhavabhuti , Vishakhadatta , Thirayattam and Viswanatha Kaviraja . Notable fable story-plays Panchatantra , Baital Pachisi , Kathasaritsagara , Brihatkatha and Jataka tales were performed in folk theatres since ancient period. Jataka tales has become part of Southeast and East Asian folklore with

2106-560: A lower infant mortality rate. In the late 1970s and early 1980s, the recession's impact on air quality was estimated to have saved around 1,300 US babies. It is only during deep recessions that infant mortality increases. According to Norbert Schady and Marc-François Smitz, recessions when per capita GDP drops by 15% or more increase IMR. Social class dictates which medical services are available to an individual. Disparities due to socioeconomic factors have been highlighted by advances in medical technology . Developed countries, most notably

2268-458: A member of the committee. According to Bang, spread of information and awareness for prevention, initiation of village committees and urban ward committees, implementation of laws and regulations, treatment for deaddiction, counselling via NGOs and stimulation of an alcohol and tobacco free environment in government offices, schools, colleges, markets etc. will be the methods used by the task force. The couple, through their organisation SEARCH, built

2430-519: A mixture of two major ancestral components, one component restricted to South Asia and the other component shared with Central Asia , West Asia , and Europe . Infant mortality In 2013, the leading cause of infant mortality in the United States was birth defects. Other leading causes of infant mortality include birth asphyxia , pneumonia , neonatal infection , diarrhea , malaria , measles , malnutrition , congenital malformations , term birth complications such as abnormal presentation of

2592-551: A movement for liquor ban in Gadchiroli district. Bang made the people of Gadchiroli aware about ill effects of alcohol , which led to demand from people to ban alcohol in Gadchiroli. The movement resulted in liquor ban in the district in 1992, being the first example in India of liquor ban due to public demand. In May 2012, Abhay Bang was a member of a panel to study a possible liquor ban in Chandrapur district . He advocates

2754-483: A network of village volunteers trained in providing primary care in these villages. In July 2017, the Government of Maharashtra formed a task force to control the spread of malaria in the district of Gadchiroli. Abhay Bang was appointed as the head of this task force which comprises the nonprofit SEARCH, Tata Trusts, National Institute of Research and Tribal Health (NIRTH) and the Government of Maharashtra. Abhay Bang

2916-460: A rate 44% higher than average; however, research indicates that socio-economic factors do not totally account for the racial disparities in infant mortality. While infant mortality is normally negatively correlated with GDP, there may be some beneficial short-term effects from a recession. A 2009 study in The Economist showed that economic slowdowns reduce air pollution, which results in

3078-709: A relationship with Indian spirituality, such as the Baháʼí Faith which recognises Buddha and Krishna as manifestations of the God Almighty. Despite the strong role of religion in Indian life, atheism and agnostics also have visible influence along with a self-ascribed tolerance to other people. According to the 2012 WIN-Gallup Global Index of Religion and Atheism report, 81% of Indians were religious, 13% were not religious, 3% were convinced atheists , and 3% were unsure or did not respond. Traditionally, Indian society

3240-516: A result of childhood or maternal malnutrition, with stunted growth , low body weight, and low birth weight accounting for about 2.2 million associated deaths. Socioeconomic and environmental factors contribute to malnutrition, as do gender, location, and cultural practices surrounding breastfeeding . It is difficult to assess the most pressing factor as they can intertwine and vary among regions. Children suffering from malnutrition can become underweight, and experience stunting or wasting . In Africa,

3402-555: A result of similar causes; hence, two main classifications remain: spontaneous and medically induced causes. The risk of spontaneous PTB increases with "extremes of maternal age (both young and old), short inter-pregnancy intervals, multiple gestations, assisted reproductive technology, prior PTB, family history, substance abuse, cigarette use, low maternal socioeconomic status, late or no prenatal care, low maternal prepregnancy weight, bacterial vaginosis , periodontal disease , and poor pregnancy weight gain." Medically induced preterm birth

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3564-409: A result of their work, home-based neonatal care and community-based management of childhood pneumonia are now being implemented throughout the world in these settings. Although initially the medical fraternity objected to Bang's unconventional methods, they gradually understood his wisdom to provide an alternative to a large village community. Later, Indian paediatricians, after studying the evidence from

3726-514: A role in sanitation conditions. For example, the inaccessibility of clean water exacerbates poor sanitation conditions. The burning of inefficient fuels doubles the rate of acute respiratory tract infections in children under 5 years old. People who live in areas where particulate matter air pollution is higher tend to have more health problems regardless of age. The short and long-term effects of air pollution are associated with an increased mortality rate, including infant mortality. Air pollution

3888-463: A school which followed the tenets of Nai Taleem , a method of practical hands-on education propagated by Gandhi himself. When Abhay was 13 years old, he decided, after discussing this with his older brother Ashok, that he would work for villagers' health. Rani Chari was born in Chandrapur in 1951. She came from a family with roots in medical and public service, being the daughter of a doctor and

4050-530: A significant impact on infant mortality, but malnutrition and infectious diseases remain the main causes of death in less developed countries. For example, in the Caribbean and Latin America in the 1980s, congenital malformations only accounted for 5% of infant deaths, while malnutrition and infectious diseases accounted for 7% to 27% of infant deaths. In more developed countries, such as the United States, there

4212-523: A study published in Economic and Political Weekly , Bang and SEARCH team members showed that the rural and tribal district of Gadchiroli was spending approximately ₹73.4 crore annually on consuming tobacco and related products. More than 50% of the population was consuming tobacco. SEARCH has been conducting programs to spread awareness regarding the ill effects of tobacco use and providing de-addiction services . The Maharashtra state government has formed

4374-1529: A symbol for zero , interpolation formula , Fibonacci's identity , theorem , the first complete arithmetic solution (including zero and negative solutions) to quadratic equations . Chakravala method , sign convention , madhava series , and the sine and cosine in trigonometric functions can be traced to the jyā and koti-jyā . Notable military inventions include war elephants , crucible steel weapons popularly known as Damascus steel and Mysorean rockets . Other notable inventions during ancient period include chess , cotton , sugar , fired bricks , carbon pigment ink , ruler , lac , lacquer , stepwell , indigo dye , snake and ladder , muslin , ludo , calico , Wootz steel , incense clock , shampoo , palampore , chintz , and prefabricated homes . Indian cultural aspects, religions , philosophy , arts and architecture have developed over several millennia and have spread through much of Asia in peaceful manner. Many architectural structures of India such as Sanchi Stupa , Taj Mahal and Mahabodhi Temple are UNESCO World Heritage Sites today. In modern times, Indian people have continued to contribute to mathematics , sciences and astrophysics . Among them are Satyendra Nath Bose , Srinivasa Ramanujan , Jagadish Chandra Bose , Meghnad Saha , Homi J. Bhabha , Prasanta Chandra Mahalanobis , and notable Nobel Prize recipients C. V. Raman , Har Gobind Khorana , Venkatraman Ramakrishnan , and Subrahmanyan Chandrasekhar who

4536-839: A variety of lentils (dal), whole-wheat flour (aṭṭa), rice and millet (kutki, kodra, bājra), which has been cultivated in Indian subcontinent since 6200 BCE. Over time, segments of the population embraced vegetarianism during Śramaṇa movement while an equitable climate permitted a variety of fruits, vegetables, and grains to be grown throughout the year. A food classification system that categorised any item as saatvic , raajsic or taamsic developed in Ayurveda tradition. The Bhagavad Gita prescribed certain dietary practices. During this period, consumption of various types of meat became taboo , due to being considered sacred or impure. Indian cuisines use numerous ingredients, deploy

4698-481: A wide range of food preparation styles, cooking techniques and culinary presentation depending on geographical location. The oldest preserved examples of Indian music are the melodies of the Samaveda (1000 BC) that are still sung in certain Śrauta sacrifices; this is the earliest account of Indian musical hymns. The Samaveda, and other Hindu texts, heavily influenced India's classical music tradition, which

4860-418: Is carbon monoxide . Carbon monoxide is a colorless, odorless gas that can kill, and is especially dangerous to infants because of their immature respiratory systems. Another major pollutant that can have detrimental effects on a fetus is second-hand smoke. [I]n 2006, more than 42,000 Americans died of secondhand smoke-attributable diseases, including more than 41,000 adults and nearly 900 infants. Fully 36% of

5022-533: Is 10%, compared with a 90% survival rate in high-income countries. In the United States, the period from 1980 to 2000 saw a decrease in the total number of infant mortality cases, despite a significant increase in premature births. Based on distinct clinical presentations, there are three main subgroups of preterm births: those that occur due to spontaneous premature labor, those that occur due to spontaneous membrane ( amniotic sac ) rupture, and those that are medically induced. Both spontaneous factors are viewed to be

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5184-451: Is a high tolerance for infant deaths. There are a number of developing countries where certain cultural situations, such as favoring male babies over female babies, are the norm. In developing countries such as Brazil, infant mortality rates are commonly not recorded due to not registering for death certificates. Another cultural reason for infant mortality, such as what is happening in Ghana,

5346-587: Is a major factor in infant mortality, both historically and today. Between 1912 and 1915, the Children's Bureau in the United States examined data across eight cities and nearly 23,000 live births. They discovered that lower incomes tended to correlate with higher infant mortality. In cases where the father had no income, the rate of infant mortality was 357% higher than that for the highest income earners ($ 1,250+). Differences between races were also apparent. African-American mothers experience infant mortality at

5508-605: Is an extended family arrangement prevalent throughout the Indian subcontinent , particularly in India . The family is headed by a patriarch, the oldest male, who makes decisions on economic and social matters on behalf of the entire family. The patriarch's wife generally exerts control over the household, minor religious practices and often wields considerable influence in domestic matters. A patrilineal joint family consists of an older man and his wife, his sons and unmarried daughters, his sons' wives and children. Family income flows into

5670-989: Is chairing a 13-member expert committee set up by Union Health Ministry and the Ministry of Tribal Affairs, tasked with coming out with a nationwide status report on tribal health issues along with suggesting possible policy formulations. While the "old" problems of malaria, malnutrition and mortality persist, Abhay Bang emphasises "new" health issues among tribals partly due to outside socio-cultural influences and steady inroads by market forces. Tribal women now list alcohol addiction among men as their biggest concern. The same goes with tobacco, with over 60 per cent of adults in Gadchiroli consuming it daily. These, alongside addition of salt in their foods and stress, are contributing to increased incidence of hypertension , according to Bang. The problems of language barrier and lack of motivation among healthcare staff, besides vacancies and absenteeism when it comes to working in tribal areas, has rendered

5832-468: Is consistently associated with postnatal mortality due to respiratory effects and sudden infant death syndrome (SIDS). Specifically, air pollution is highly associated with SIDS in the United States during the post-neonatal stage. High infant mortality is exacerbated because newborns are a vulnerable subgroup that is affected by air pollution. Newborns who were born into these environments are no exception, and pregnant women exposed to greater air pollution on

5994-444: Is defined as birth before a gestational age of 37 weeks, as opposed to full term birth at 40 weeks. This can be further sub-divided in various ways, one being: "mild preterm (32–36 weeks), very preterm (28–31 weeks) and extremely preterm (<28 weeks)". A lower gestational age increases the risk of infant mortality. Between 1990 and 2010 prematurity was the second leading cause of worldwide mortality for neonates and children under

6156-528: Is defined as the sudden death of an infant less than one year of age with no cause detected after a thorough investigation. SIDS is more common in Western countries. The United States Centers for Disease Control and Prevention report SIDS to be the leading cause of death in infants aged one month to one year of life. Even though researchers are not sure what causes SIDS, they have found that putting babies to sleep on their backs, instead of their stomachs, lowers

6318-596: Is grouped according to their caste . It is a system in which social stratification within various social sections defined by thousands of endogamous hereditary groups are often termed jāti or castes . Within a jāti , there exists exogamous groups known as gotras , the lineage or clan of an individuals. Caste barriers have mostly broken down in cities but still exists in some form in rural areas. Most Indian states are majority Hindu . However, Kashmir and Lakshadweep are majority Muslim ; Nagaland , Mizoram , and Meghalaya are majority Christian and Punjab

6480-499: Is known today in two distinct styles: Hindustani music and Carnatic music . Both the Hindustani and Carnatic music systems are based on the melodic base known as Rāga , sung to a rhythmic cycle known as Tāla . These principles were refined in the nātyaśāstra (200 BC) and the dattilam (300 AD). The nātyaśāstrais an ancient Indian treatise on the performing arts , encompassing theatre , dance and music . It

6642-422: Is mainly attributed to developmental immaturity, which impacts multiple organ systems in the infant's body. The main body systems affected include the respiratory system, which may result in pulmonary hypoplasia , respiratory distress syndrome , bronchopulmonary dysplasia (a chronic lung disease), and apnea . Other body systems that fully develop at a later gestational age include the gastrointestinal system ,

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6804-438: Is majority Sikh . Although participants in the Indian census may choose to not declare their religion, there is no mechanism for a person to indicate that he/she does not adhere to any religion. Due to this limitation in the Indian census process, the data for persons not affiliated with any religion may not be accurate. India contains the majority of the world's Hindus , Jains , Sikhs , Zoroastrians and Baháʼí . Christianity

6966-468: Is notable for currently accepted theory on the later evolutionary stages of massive stars, including black holes. Bharat Mata ( Hindi , from Sanskrit भारत माता , Bhārata Mātā ), Mother India , or Bhāratāmbā (from अंबा ambā 'mother') is the national personification of India as a mother goddess . The image of Bharat Mata formed with the Indian independence movement of the late 19th century. A play by Kiran Chandra Bandyopadhyay, Bhārat Mātā ,

7128-705: Is now Pakistan and Bangladesh prior to the Partition of India in 1947. Particularly in North America , the terms "Asian Indian" and "East Indian" are sometimes used to differentiate Indians from the indigenous peoples of the Americas . Although the misidentification of indigenous Americans as Indians occurred during the European colonization of the Americas , the term "Indian" is still used as an identifier for indigenous populations in North America and

7290-456: Is often conducted when continuing pregnancy poses significant risks to the pregnant parent or fetus; the most common causes include preeclampsia , diabetes, maternal medical conditions, fetal distress , or developmental problems. Despite these risk factors, the underlying causes of premature infant death are often unknown, and approximately 65% of all cases are not associated with any known risk factor. Infant mortality caused by premature birth

7452-404: Is one of the earliest form of materialistic and atheistic movement in ancient India. Sramana , Buddhism , Jainism , Ājīvika and some schools of Hinduism like Samkhya consider atheism to be valid and reject the concept of creator deity , ritualism and supernaturalism . India has produced some notable atheist politicians and social reformers . Although approximately 80% of

7614-416: Is one way to combat iron deficiency. A few public health measures used to lower levels of iron deficiency anemia include added iodine to salt or drinking water and including vitamin A and multivitamin supplements in the diet. A deficiency of this vitamin causes certain types of anemia (low red blood cell count). Babies born in low- to middle-income countries in sub-Saharan Africa and southern Asia are at

7776-641: Is problematic, and children with sudden, unexpected deaths or deaths from apparently unintentional causes often have preventable risk factors that are substantially similar to those in families with maltreatment. There is a direct relationship between the age at which maltreatment or injury occurs and the risk of death. The younger an infant is, the more dangerous the maltreatment. Family configuration, child gender, social isolation, lack of support, maternal youth, marital status, poverty , parental adverse childhood experiences , and parenting practices are all thought to contribute to increased risk. Social class

7938-475: Is that "besides the obvious, like rutted roads, there are prejudices against wives or newborns leaving the house." This makes it even more difficult for pregnant women and newborns to get the needed treatment that is available to them. In the United States cultural influences and lifestyle habits can account for some infant deaths. Examples include teenage pregnancy , obesity , diabetes , and smoking . All are possible causes of premature births, which constitute

8100-524: Is the first study in the world focusing on women's health beyond maternity care. Rani Bang first brought to the notice of the world that rural women had a large hidden burden of gynaecological diseases . She subsequently trained the Dais (traditional birth attendants) in villages to make them village level health workers. With convincing evidence she advocated the need for a comprehensive reproductive health care package for rural women in India. This study initiated

8262-895: Is the number of deaths per 1,000 live births of children under one year of age. The rate for a given region is the number of children dying under one year of age, divided by the number of live births during the year, multiplied by 1,000. Forms of infant mortality: Causes of infant mortality, or direct causes of death, differ from contributions to the IMR, as contributing factors raise the risk of death, but do not directly cause death. Environmental and social barriers that prevent access to basic medical resources contribute to an increased infant mortality rate, 86% of infant deaths are caused by infections , premature births , complications during delivery, perinatal asphyxia , and birth injuries. Many of these common causes are preventable with low-cost measures. While 99% of infant deaths occur in developing countries,

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8424-546: Is the third-largest Asian American community in the United States after Chinese Americans and Filipino Americans . After slavery was abolished in the European colonies, Indians were hired under the Indian indenture system to become indentured laborers to fill the need for cheap labor and for their skills in agriculture. In the English-speaking Caribbean and Suriname , Indians primarily came from

8586-561: Is trending away from traditional arranged marriages, they find that the marriage trends in India are similar to trends observed over last 40 years where arranged marriages were previously common, particularly in China and Japan. India's clothing styles have continuously evolved over the course of history. Cotton was first cultivated in Indian subcontinent around the 5th millennium BC. Dyes used during this period are still in use, particularly indigo , red madder , lac and turmeric . Silk

8748-491: Is usually a direct cause stemming from other medical complications such as preterm birth, poor maternal nutritional status, a lack of prenatal care , maternal sickness during pregnancy, and unhygienic home environments. Birth weight and the length of gestation are the two most important predictors of an infant's chances of survival and their overall health. According to the New England Journal of Medicine , "in

8910-526: Is widespread in Northeast India , parts of southern India, particularly in Kerala and among various populations of Central India. Muslims are the largest religious minority. India is also home to the third-largest Muslim population in the world after Indonesia and Pakistan . Historically, India had a prevailing tradition of the joint family system or undivided family . Joint family system

9072-648: The Amoghavarsha of the Rashtrakuta Dynasty was described by the Arab traveller Sulaiman as one of the four great kings of the world. The medieval south Indian mathematician Mahāvīra lived in the Rashtrakuta dynasty and was the first Indian mathematician who separated astrology from mathematics and who wrote the earliest Indian text entirely devoted to mathematics. The greatest maritime empire of

9234-631: The Caribbean . This usage is growing rarer, as terms such as indigenous, Amerindian, and specifically First Nations in Canada , and Native American in the United States , are widely used in official discourse and in law. The name Bhārata has been used as a self-ascribed name by people of the Indian subcontinent and the Republic of India since 1949. The designation "Bhārata" appears in

9396-597: The Government Medical College and Hospital, Nagpur , Maharashtra in 1972. Abhay Bang was first in the university in MBBS and had three gold medals. He did his MD (with a first position in the university) while Rani did her MD in obstetrics and gynaecology (with a first position in the university and gold medal). They helped organise and lead a national group of medical professionals concerned with health-care quality and delivery. After their medical studies,

9558-690: The Hindi Belt , especially the Awadh region in central and eastern Uttar Pradesh and the Bhojpur region of eastern Uttar Pradesh, western Bihar , and northwestern Jharkhand , along with a significant minority who came from South India , and a smaller minority who came from other parts of India. They arrived from the late 1830s to the early 1920s as indentured laborers to work primarily on sugarcane estates , as well as on cocoa , rice , banana , coconut , and coffee estates after indentureship. After

9720-451: The Indian subcontinent and has been influenced and shaped by a history that is several thousand years old. Throughout the history of India, Indian culture has been heavily influenced by Dharmic religions. They have been credited with shaping much of Indian philosophy , literature , architecture , art and music . Greater India was the historical extent of Indian culture beyond the Indian subcontinent . This particularly concerns

9882-528: The Institute of Medicine 's Immunization Safety Review Committee concluded that there is no relationship between these vaccines and the risk of SIDS in infants. Low birth weight makes up 60–80% of the infant mortality rate in developing countries. The New England Journal of Medicine stated that "The lowest mortality rates occur among infants weighing 3,000 to 3,500 g (6.6 to 7.7 lb). For infants born weighing 2,500 g (5.5 lb) or less,

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10044-786: The Marathas , the Rajputs , the Pathans , the Jats and the Sikhs , gained military and governing ambitions during Mughal rule, which, through collaboration or adversity, gave them both recognition and military experience. Following the death of Aurangzeb in the early 18th century, the empire saw the emergence of autonomous regional powers such as Marathas , the Rajputs and various de facto independent Mughal governors and other Hindu and Muslim princely states, though they all continued to recognise

10206-551: The Mughal emperor as their suzerain . The period also saw the emergence of the British East India Company who took control of large parts of the empire, though they nominally ruled and traded under the authority of the emperor and nominally considered him as their suzerain. The regions under Company rule witnessed a period of rapid development of infrastructure, economic decline and major famines . During

10368-522: The Roman Empire and was one of the major exports of ancient India to other parts of the world along with Indian spices and Wootz steel . Traditional Indian clothing greatly varies across different parts of the country and is influenced by local culture, geography and climate. Women traditionally wear Sari , Gagra Choli , Angarkha , Phiran , Shalwar Kameez , Gharara and Bandi with Dupatta or Ghoonghat worn over head or shoulder to complete

10530-626: The Sanskrit name of the river Indus, but also meaning "river" generically. The history of India includes the prehistoric settlements and societies in the Indian subcontinent ; the blending of the Indus Valley civilization and Indo-Aryan culture into the Vedic Civilization ; the development of Hinduism as a synthesis of various Indian cultures and traditions; the rise of sixteen oligarchic republics known as Mahajanapadas ;

10692-690: The Bangs have helped foster a renaissance in community-based primary health care . In 2016, Johns Hopkins University conferred the Distinguished Alumni Award upon them. Abhay Bang was born in Wardha, Maharashtra, India , in 1950 to Thakurdas Bang and Suman Bang. His parents were followers of the Sarvodaya movement , inspired by the thought of Mahatma Gandhi . His father, a young economist , went to Gandhi to seek his blessings when he

10854-590: The Hindi Belt made up the majority of Indians in the Anglo-Caribbean and Suriname. Hence, their dialect of Hindustani, known as Caribbean Hindustani collectively, is based mostly on Bhojpuri and Awadhi, and it became the lingua franca of the early Indians. Also, since they formed the largest group of Indians, the traditions and culture from the Bhojpur and Awadh regions became the dominant culture for

11016-468: The Indian people was the Maurya Empire having Patliputra (currently Patna , Bihar ) as its capital, conquered the major part of South Asia in the 4th and 3rd centuries BC during the reign of Chandragupta Maurya and Ashoka alongside their senior advisor, Acharya Chanakya , the world's pioneer of the fields of political science and economics. The next great ancient empire of the Indian people

11178-528: The Indian subcontinent and within the international borders of the modern country of India had been migrating to Southeast Asia , East Asia , Central Asia , North Africa , and even along Europe's Mediterranean coast, the Indian diaspora generally socio-politically or historically refers to those whose families or themselves migrated to other parts of the world after the British Empire established itself in India. Population estimates from 2016 vary from

11340-607: The Indians in those countries. France sent southern Indians to its colonies in the Caribbean as indentured laborers, hence there are also many residents of Indian descent in Guadeloupe , Martinique , and French Guiana , mostly of southern Indian descent. Many Indo-Caribbean people have migrated to the United States , United Kingdom , Canada , the Netherlands , and France , and few of them have even seasonally migrated to

11502-557: The Maa Danteshwari Hospital for the rural and tribal people of Gadchiroli. Along with OPD and IPD care, a variety of surgeries are also conducted in this setup. Doctors from throughout the state of Maharashtra come and operate in this setup. Shekhar Bhojraj, a spine surgeon from Mumbai, and his team of 6-8 other spine surgeons have been associated with SEARCH for more than 10 years and have conducted more than 100 spine surgeries in Gadchiroli. In August 2016, when Rani Bang

11664-571: The SDG target, with 13 others trending towards meeting the target by 2030. Throughout the world, the infant mortality rate (IMR) fluctuates drastically, and according to Biotechnology and Health Sciences, education and life expectancy in a country are the leading indicators of IMR. This study was conducted across 135 countries over the course of 11 years, with the continent of Africa having the highest infant mortality rate of any region studied, with 68 deaths per 1,000 live births. Infant mortality rate (IMR)

11826-482: The US are more prone to psychological stress than women of other races. Stress is a leading factor in the start of labor, and therefore, high levels of stress during pregnancy could lead to premature births that have the potential to be fatal for the infant. Early childhood trauma includes physical, sexual, and psychological abuse of a child from birth to five years old. Trauma in early childhood has an extreme impact over

11988-455: The United States, have seen a divergence in IMR between those living in poverty who cannot afford medically advanced resources, and those who can. Developing nations with democratic governments tend to be more responsive to public opinion, social movements , and special interest groups on issues like infant mortality. In contrast, non-democratic governments are more interested in corporate issues than in health issues. Democratic status affects

12150-792: The Wellcome Trust of UK and the department of biotechnology of the government of India. Yogeshwar Kalkonde, Neurologist and Senior Research Officer at SEARCH is the main author of the study. The team also included three young MBBS doctors from NIRMAN. The study was published in July 2015 in Stroke , an international journal published by the American Stroke and Heart Association and was presented at 5th International Conference on Neurology and Epidemiology (18-20 November 2015) in Australia. In

12312-557: The age of five. More than 60% of the deaths of children under-five are seen as avoidable with low-cost measures such as continuous breastfeeding , vaccinations, and improved nutrition. The global under-five mortality rate in 1950 was 22.5%, which dropped to 4.5% in 2015. Over the same period, the infant mortality rate declined from 65 deaths per 1,000 live births to 29 deaths per 1,000. Globally, 5.4 million children died before their fifth birthday in 2017; by 2021 that number had dropped to 5 million children. The child mortality rate (not

12474-545: The age of five. The overall PTB mortality rate in 2010 was 11.1% (15 million deaths) worldwide and was highest in low to middle-income countries in sub-Saharan Africa and south Asia (60% of all PTBs), compared with high-income countries in Europe or the United States. Low-income countries also have limited resources to care for the needs of preterm infants, which increases the risk of infant mortality. The survival rate in these countries for infants born before 28 weeks of gestation

12636-517: The average weight of a population will drop substantially. Expectant mothers are affected even more by a lack of access to food and water. During the Yugoslav Wars in Bosnia, the number of premature babies born increased and the average birth weight decreased. There have been several instances in recent years of systematic rape as a weapon of war. People who become pregnant as a result of war rape face even more significant challenges in bearing

12798-636: The centuries, there has been significant integration of Hindus , Jains , and Sikhs with Muslims across India. India is the birthplace of Hinduism , Buddhism , Jainism and Sikhism , collectively known as Indian religions . Indian religions, also known as Dharmic religions, are a major form of world religions along with Abrahamic ones. Today, Hinduism and Buddhism are the world's third- and fourth-largest religions respectively, with over 1 billion followers altogether, and possibly as many as 1.5 or 1.6 billion followers. Throughout India's history, religion has been an important part of

12960-490: The citizens of India are Hindus , the country has a substantial population of Muslims, Christians, Sikhs, Buddhists, Jains, Parsis and adherents of tribal faiths. Zoroastrianism and Judaism each has several thousands of Indian adherents, and also have an ancient history in India. India has the largest population of people adhering to Zoroastrianism and Baháʼí Faith in the world, even though these two religions are not native to India. Many other world religions also have

13122-521: The concept of zero and the Hindu–Arabic numeral system decimal system during this period. During this period Indian cultural influence spread over many parts of Southeast Asia which led to the establishment of Indianized kingdoms in Southeast Asia . During the early medieval period the great Rashtrakuta dynasty governed most of the Indian subcontinent from the 8th to 10th centuries and

13284-473: The confines of big hospitals and high tech units and be so simplified that it can be provided in any village in any home. After this research the global newborn care has never been the same. This approach, which brought down the infant mortality rate in rural Gadchiroli from 121 per 1000 live births to 30, was honoured by The Lancet in 2005 as one of the Vintage Papers. The editor and the historian of

13446-481: The country's culture. Religious diversity and religious tolerance are both established in the country by the law and by custom ; the Constitution of India has declared the right to freedom of religion to be a fundamental right . Atheism and agnosticism have a long history in India and flourished within Śramaṇa movement . The Cārvāka school originated in India around the 6th century BCE and

13608-671: The couple as "the pioneers of health care in rural India". Abhay and Rani Bang were the first recipients of the Distinguished Alumni Award from the Department of International Health at the Johns Hopkins Bloomberg School of Public Health . They were also inducted into the Johns Hopkins Society of Scholars, for their leadership in community-based health care that is helping to save the lives of millions of newborns and children. During their careers,

13770-552: The couple moved to Wardha and co-founded Chetna Vikas, a non-profit organization. While working in villages of Wardha district, Abhay Bang published a study challenging the minimum wages fixed for agriculture labour in Maharashtra, which were subsequently raised by the government. They both then completed Masters in Public Health from Johns Hopkins University, Baltimore, United States, in 1984. Following Gandhian principles,

13932-596: The couple returned to India following their masters to work with the poor. After returning to India they started working in Gadchiroli. They founded SEARCH (Society For Education, Action and Research in Community Health) in December 1985 and started working on community health problems in the tribal and rural areas of Gadchiroli. SEARCH established a partnership with communities in Gadchiroli for health and development and helped create "tribal-friendly" clinics and

14094-730: The course of a lifetime and is a significant contributor to infant mortality. Developing organs are fragile, when an infant is shaken, beaten, strangled, or raped, the impact is exponentially more destructive than when the same abuse occurs to a fully developed body. Studies estimate that 1–2 per 100,000 U.S. children are fatally injured annually, and it is reasonable to assume that these statistics underrepresent actual mortality. Almost three-quarters (70.6%) of child fatalities in FFY 2018 involved children younger than 3 years, and children younger than 1 year accounted for half (49.4%) of all fatalities. In particular, correctly identifying deaths due to neglect

14256-432: The dependency a nation has on its economic state via exports, investments from multinational corporations, and international lending institutions. Levels of socioeconomic development and global integration are inversely related to a nation's infant mortality rate, meaning that as they increase, IMR decreases. A nation's internal impact is highly influenced by its position in the global economy, which has adverse effects on

14418-495: The developing world. Diarrhea is the second-largest cause of childhood mortality in the world, while malaria causes 11% of childhood deaths. Measles is the fifth-largest cause of childhood mortality. The infant mortality rate is one measure of a nation's health and social conditions. Its causes are a composite of a number rates that each have their own separate relationships with each other and with various other social factors. As such, IMR can often be seen as an indicator to measure

14580-401: The difference being dependent on environmental, social, and economic conditions. More specifically, males are biologically more vulnerable to infections and conditions associated with prematurity and development. Before 1970, the reasons for male infant mortality were infections and chronic degenerative diseases. However, since 1970, male sex favoritism in certain cultures has led to a decrease in

14742-401: The environment, mental modification, and public policy. Preterm birth is the leading cause of newborn deaths worldwide. Even though America has a higher survival rate for premature infants, the percentage of Americans who deliver prematurely is comparable to those in developing countries. Reasons for this include teenage pregnancy , an increase in pregnancy after the age of 35, an increase in

14904-673: The establishment of British India ; and the subsequent independence movement that led to the Partition of India and the creation of the Republic of India . The Indian people established during the ancient and medieval periods to the early eighteenth century some of the greatest empires and dynasties in South Asian history like the Maurya Empire , Satavahana dynasty , Gupta Empire , Rashtrakuta dynasty , Chalukya Empire , Chola Empire , Karkota Empire , Pala Empire , Vijayanagara Empire , Delhi Sultanate , Mughal Empire , Maratha Confederacy and Sikh Empire . The first great empire of

15066-437: The extent that it is treated as a religion in itself. Sports like hockey, volleyball, football are quite popular while polo, golf and tennis are preferred sports for affluent sections of the society. In recent times with government support Olympic sports like shooting, archery, wrestling, javelin throw, swimming, badminton have gained prominence in the Indian society. Although, population groups originating in different parts of

15228-779: The fetus, umbilical cord prolapse , or prolonged labor . One of the most common preventable causes of infant mortality is smoking during pregnancy. Lack of prenatal care, alcohol consumption during pregnancy, and drug use also cause complications that may result in infant mortality. Many situational factors contribute to the infant mortality rate, such as the pregnant woman's level of education, environmental conditions, political infrastructure, and level of medical support. Improving sanitation , access to clean drinking water, immunization against infectious diseases , and other public health measures can help reduce rates of infant mortality. In 1990, 8.8 million infants younger than one-year-old died globally out of 12.6 million child deaths under

15390-619: The field, wholeheartedly backed Bang's initiative to save newborns. Today, based on Bang's Gadchiroli model, 800,000 village women in India are now being trained by the government under the ASHA programme. A report from the Harvard University South Asia Institute states that "SEARCH is world renowned for its pioneering work in home-based neonatal care", "the landmark paper, published in The Lancet , changed

15552-606: The first half of the 20th century, a nationwide struggle for Indian independence movement was launched, the Indian subcontinent gained independence from the United Kingdom in 1947, after the British provinces were partitioned into the dominions of India and Pakistan and the princely states all acceded to one of the new states. India is one of the world's oldest civilisations. The Indian culture, often labelled as an amalgamation of several various cultures, spans across

15714-490: The first wave of migration of indentured laborers, more Indians from Gujarat , Sindh , Kutch , Punjab , Bengal , and South India came to the Caribbean for business and professional occupations from the 1930s till present-day. There are more than a million Indo-Caribbean people . In Trinidad and Tobago , Guyana , and Suriname they are the largest ethnic groups. The Indians from the Bhojpuri and Awadhi-speaking areas of

15876-423: The following awards and honours, in chronological order: Indian people Indian people or Indians are the citizens and nationals of the Republic of India . In 2022, the population of India stood at 1.4 billion people, of various ethnic groups . According to United Nations forecasts, India overtook China as the world's most populous country by the end of April 2023, containing 17.50 percent of

16038-441: The formal public healthcare system virtually dysfunctional. Started in 2006, NIRMAN brings together a group of youth aged between 18 and 28 years who are looking to give meaning to their lives. Amrut, Abhay and Rani Bang's younger son actively manages NIRMAN. NIRMAN looks at identifying and nurturing young social change-makers in Maharashtra. It is an educational process to train the youth to take up crucial issues and problems in

16200-567: The global population. In addition to the Indian population, the Indian overseas diaspora also boasts large numbers, particularly in the Arab states of the Persian Gulf , former British colonies, and the Western world . While the demonym "Indian" applies to people originating from the present-day Republic of India , it was also used as the identifying term for people originating from what

16362-494: The granddaughter of a prominent Congress Party Member of Parliament (MP) from Chandrapur. Abhay and Rani studied at Nagpur University and both gained their M.B.B.S. in 1972. They stayed on at Nagpur University and Rani gained her M.D. (OB-GY) in 1976 while Abhay gained his M.D. (Medicine) in 1977. After completing their M.D.s, they married in 1977 and both then went on to study Masters in Public Health at Johns Hopkins University . Abhay and Rani Bang completed their MBBS from

16524-736: The greatest percentage reduction in infant mortality occurs in countries that already have low rates of infant mortality. In the United States, a primary source of infant mortality risk is infant birth weight, with lower birth weights increasing the risk; the causes of low birth weight include socioeconomic, psychological, behavioral, and environmental factors. There are three main leading causes of infant mortality: conditions related to preterm birth , congenital anomalies , and SIDS (sudden infant death syndrome). In North Carolina between 1980 and 1984, 37.5% of infant deaths were due to prematurity, congenital anomalies accounted for 17.4% and SIDS accounted for 12.9%. Premature, or preterm birth (PTB),

16686-439: The highest risk of neonatal death. Bacterial infections of the bloodstream, lungs, and the brain's covering ( meningitis ) are responsible for 25% of neonatal deaths worldwide. Newborns can acquire infections during birth from bacteria present in the birth canal, the person may not be aware of the infection, or they may have an untreated pelvic inflammatory disease or a sexually transmitted disease . These bacteria can also move up

16848-716: The infant mortality rate) was an indicator used to monitor progress towards the Fourth Goal of the Millennium Development Goals of the United Nations for the year 2015. A reduction in child mortality was established as a target in the Sustainable Development Goals —Goal Number 3: Ensure healthy lives and promote well-being for all at all ages. As of January 2022 , an analysis of 200 countries found 133 already meeting

17010-455: The infants who died of low birth weight caused by exposure to maternal smoking in utero were black, as were 28% of those dying of respiratory distress syndrome, 25% dying of other respiratory conditions, and 24% dying of sudden infant death syndrome. Compared with nonsmoking women having their first birth, women who smoked less than one pack of cigarettes per day had a 25% greater risk of mortality, and those who smoked one or more packs per day had

17172-543: The journal considered Bang's paper on newborn care to be one of the milestone ones published in 180 years. This approach was incorporated in the national program by the Government of India and was accepted by the WHO , UNICEF and USAID for reducing newborn mortality in developing countries. In May 2017, the High Court of Bombay invited Abhay Bang to provide suggestions about how to reduce child mortality and malnutrition in

17334-769: The late 19th and early 20th centuries. They are concentrated around the city of Durban . They were classified as members of an "Indian" race under the country's defunct Apartheid system. About 40,000 people of Indian origin live in Tanzania mostly in the urban areas. According to the American Community Survey of the United States Census Bureau , the Indian American population in the United States grew from almost 1.67 million in 2000 to 3.1 million in 2010 which

17496-828: The learning he has gained due to it. The book won the Kelkar Award for the Best Literary Book in Marathi, 2000.) (This book won the Literary Award of the Government of Maharashtra. Goin means Friend in the Gondi language of tribal people. The book describes the relationship of tribal women with various trees in Gadchiroli district.) (This book is about the perceptions of rural women regarding various issues of reproductive health .) Abhay and Rani Bang and their organization SEARCH have collectively received

17658-443: The level of socioeconomic disparity within a country. Organic water pollution is a better indicator of infant mortality than health expenditures per capita. Water contaminated by animal waste houses various pathogens including a host of parasitic and microbial infections. Areas of low socioeconomic status are more prone to inadequate plumbing infrastructure and poorly maintained facilities. Climate and geography often play

17820-465: The medical community's perception of community health workers and the power of home based care for neonates forever" and "the success of the HBNC program spawned the creation of over 800,000 "ASHA" workers through India's National Rural Health Mission." India has incorporated this model in 12th national five-year plan to reduce infant mortality. This field trial showed that newborn care can be brought out of

17982-678: The medieval Indians was the Chola dynasty . Under the great Rajaraja Chola I and his successor Rajendra Chola I the Chola dynasty became a military, economic and cultural power in South Asia and South-East Asia . The power of the Chola empire was proclaimed to the eastern world by the expedition to the Ganges which Rajendra Chola I undertook and by the occupation of cities of the maritime empire of Srivijaya in Southeast Asia , as well as by

18144-498: The midst of war often collapse, and obtaining basic medical supplies and care becomes increasingly difficult. During the Yugoslav Wars in the 1990s, Bosnia experienced a 60% decrease in child immunizations. Preventable diseases can quickly become epidemics during war. Many developing countries rely on foreign aid for basic nutrition, and transport of aid becomes significantly more difficult in times of war. In most situations,

18306-423: The mortality rate rapidly increases with decreasing weight, and most of the infants weighing 1,000 g (2.2 lb) or less die. As compared with normal-birth-weight infants, those with low weight at birth are almost 40 times more likely to die in the neonatal period; for infants with very low weight at birth the relative risk of neonatal death is almost 200 times greater." Infant mortality due to low birth weight

18468-523: The most frequent cause of death. One in seven (14%) deaths in these villages occurs due to stroke, showing that the places like Gadchiroli are now passing through an 'epidemiological transition'. 87.3% stroke deaths occurred at home, indicating that rural people don't approach hospitals for treatment. Taking the study ahead, the SEARCH team now plans to test village based solutions to minimize deaths caused due to stroke in Gadchiroli villages in collaboration with

18630-610: The most notable of their studies demonstrated the feasibility and effectiveness of community-based management of childhood pneumonia and the provision of home-based neonatal care by community health workers. The Home Based Neonatal Care (HBNC) model developed by Bang has resulted in reduction in infant mortality in the study villages of Gadchiroli. The home-based neonatal care interventions developed at SEARCH ignited worldwide interest and research on preventing neonatal deaths in high-mortality, resource-constrained settings. Prior to that, such deaths were considered nearly impossible to avoid. As

18792-730: The need for an alcohol - and tobacco -free society since, per the Global Burden of Diseases 2015, alcohol and tobacco are two of the top ten causes of death and disease in India. Abhay Bang is developing a multi-pronged approach named "Muktipath" in the district of Gadchiroli to reduce the prevalence of alcohol and tobacco consumption there. He also welcomed the Supreme Court of India 's ban on liquor shops on state and national highways. Rani Bang has worked extensively on women's medical issues. The community based study of gynaecological problems in rural area that she conducted in 1988

18954-499: The neighboring Latin American and other Caribbean countries as migrant workers. A majority of Indo-Caribbean are Hindus , while there is significant minority of Christians and Muslims , along with smaller numbers of recently arrived Indian Jains , Sikhs , Buddhist , and Baháʼís . Indo-Caribbean people are known as the descendants of the jahajis or girmityas . Recent genome studies appear to show that South Asians are

19116-662: The non-profit Society For Education, Action and Research in Community Health (SEARCH) , which is involved in rural health service and research. They won the Maharashtra Bhushan Award , and have been awarded honorary doctorates from the Sanjay Gandhi Postgraduate Institute of Medical Sciences at Lucknow. SNDT Women's University , Mumbai has also awarded honouris causa to Rani Bang. The Lancet described

19278-533: The number of Indian-born people in the UK increased in size by 38% from 467,634 to around 647,000 (an increase of approximately 180,000). There are approximately 1.86 million people of Indian origin or ancestry in Canada, the majority of which live in Greater Toronto and Vancouver , with growing communities in Alberta and Quebec. Roughly 5.1% of the total Canadian population is of Indian ancestry,

19440-567: The number of stunted children has risen, while Asia has the most children under 5 suffering from wasting. Inadequate nutrients adversely affect physical and cognitive development, increasing susceptibility to severe health problems. Micronutrient deficiency has been linked to anemia , fatigue, blindness , goiter , poor brain development, and death. Malnutrition also decreases the immune system's ability to fight infections, resulting in higher rates of death from diseases such as malaria, respiratory disease, and diarrhea. Folic acid during pregnancy

19602-598: The official Sanskrit name of the country, Bhārata Gaṇarājya . The name is derived from the ancient Vedic and Puranas , which refer to the land that constitutes India as Bhārata varṣam and uses this term to distinguish it from other varṣa s or continents. The Bhāratas were a vedic tribe mentioned in the Rigveda , notably participating in the Battle of the Ten Kings . India is named after legendary Emperor Bharata who

19764-608: The orbitals of planets. The Mughal Empire consolidated much of the Indian sub-continent under a single realm. Under the Mughals, India developed a strong and stable economy, leading to commercial expansion and greater patronage of culture, greatly influencing Indian society. The Mughal Empire balanced and pacified local societies through new administrative practices and had diverse and inclusive ruling elites, leading to more systematic, centralised, and uniform rule. Newly coherent social groups in northern and western India, such as

19926-450: The outfit. Men traditionally wear Angarkha , Achkan , Bagalbandi , Kurta , Kameez , Phiran , Sherwani and Koti for upper garment, lower garment includes Dhoti , Churidar , Shalwar , and Lungi . Pagri is usually worn around head to complete the outfit. In urban centres, people often wear western clothing and variety of other contemporary fashion. Indian food varies from region to region. Staple foods of Indian cuisine include

20088-423: The past two decades, the infant mortality rate (deaths under one year of age per thousand live births) in the United States has declined sharply." The rate of low birth weights among African Americans remains twice as high as the rate for white people. Low birth weight, the leading cause of infant deaths, is preventable by effective programs to help prevent low birth weight are a combination of health care, education,

20250-471: The pathology of preterm birth, but they are not always useful if not acquired at the appropriate gestational time-frame. For example, biomarkers such as fibronectin are accurate predictors of premature birth at over 24 weeks of gestation but have poor predictive values before then. Additionally, understanding the risks associated with different gestational ages is a helpful determiner of Gestational age-specific mortality . Sudden infant death syndrome (SIDS)

20412-420: The possible negative effects of globalization and trade in relation to more developed countries. Even with a strong economy and economic growth (measured by a country's gross national product ), the advances of medical technologies may not be felt by everyone, increasing social disparities. In England, from 2014 to 2017, a rise in infant mortality was disproportionately experienced by the poorest regions, where

20574-586: The previously declining trend was reversed and an additional 24 infant deaths per 100,000 live births occurred annually. Infant mortality rates correlate with war , political unrest, and government corruption . In most cases, war-affected areas will experience a significant increase in infant mortality rates. Having a war take place when planning pregnancy is not only stressful on the mother and fetus but also has several detrimental effects. Many other significant factors influence infant mortality rates in war-torn areas. Health care systems in developing countries in

20736-433: The programme of women's reproductive health all over the world specifically in developing countries. She has written a book, Putting Woman First , which throws light on women's issues in rural India. Their research showed that nearly 92 percent of women had some kind of gynaecological issues. Her research in this field has changed the understanding of this issue worldwide and global policy has changed accordingly. Rani Bang

20898-431: The real challenges. He thinks that it is equally important to reward doctors who shun the charm of corporate world to serve the real people in need. Abhay and Rani Bang and their team at SEARCH work on non-communicable diseases as those are emerging as a priority area. A study conducted by SEARCH in 86 villages of Gadchiroli district has shown that rural people fall prey to lifestyle diseases like stroke which emerged as

21060-498: The recommended immunization schedule . They recommend against the use of a pacifier and recommend avoiding exposure to smoke, alcohol, and illicit drugs during and after pregnancy. Congenital malformations are present at birth and include conditions such as cleft lip and palate, Down Syndrome, and heart defects. Some congenital malformations may be more likely when the mother consumes alcohol, but they can also be caused by genetics or unknown factors. Congenital malformations have had

21222-535: The repeated embassies to China. During the late medieval period the great Vijayanagara Empire ruled most of southern India from the 14th to 16th centuries and reached its peak during the reign of Sri Krishnadevaraya The medieval Kerala School of Astronomy and Mathematics flourished during this period under such well known south Indian mathematicians as Madhava ( c.  1340  – c.  1425 ), who made important contributions to Trigonometry and Calculus, and Nilakhanta (c. 1444–1545), who postulated on

21384-457: The rise of the Śramaṇa movement ; the birth of Jainism and Buddhism in the 6th century BCE, and the onset of a succession of powerful dynasties and empires for more than two millennia throughout various geographic areas of the subcontinent, including the growth of Muslim dynasties during the Medieval period intertwined with Hindu powers; the advent of European traders resulting in

21546-457: The risk. Campaigns like Back to Sleep have used this research to lower the SIDS death rate by 50%. Though the exact cause is unknown, the "triple-risk model" presents three factors that together may contribute to SIDS: smoking while pregnant, the age of the infant, and stress from conditions such as prone sleeping, co-sleeping , overheating, and covering of the face or head. In the early 1990s, it

21708-603: The second-highest cause of infant mortality. According to the Journal of the American Medical Association, "the post neonatal mortality risk (28 to 364 days) was highest among continental Puerto Ricans" compared to non-Hispanic babies. Ethnic differences are accompanied by a higher prevalence of behavioral risk factors and sociodemographic challenges that each ethnic group faces. Historically, males have had higher infant mortality rates than females, with

21870-402: The skin, the immune system , the cardiovascular system , and the hematologic system . Poor development of these systems increases the risk of infant mortality. Understanding the biological causes and predictors of PTB is important for identifying and preventing premature birth and infant mortality. While the exact mechanisms responsible for inducing premature birth are often unknown, many of

22032-484: The social arrangements that exist between groups and the lifelong experiences responding to the resultant power dynamics of these arrangements." It is important to note that infant mortality rates do not decline among African Americans if their socio-economic status improves. Parker Dominguez at the University of Southern California has made some headway in determining the reasons behind this, claiming black women in

22194-440: The society. NIRMAN provides guidance, expertise and environment to inculcate self learning and encourages youth for social action. NIRMAN includes a series of 3 camps, each separated by 6 months. A group of NIRMAN participants will go through 3 camps in a period of one year. A camp generally runs for 7–10 days at SEARCH, Gadchiroli with a view encourage young Indian students to step out of their generally secure urban surroundings into

22356-617: The spread of Hinduism , Buddhism , architecture , administration and writing system from India to other parts of Asia through the Silk Road by the travellers and maritime traders during the early centuries of the Common Era . To the west, Greater India overlaps with Greater Persia in the Hindu Kush and Pamir Mountains . During medieval period, Islam played a significant role in shaping Indian cultural heritage. Over

22518-447: The spread of Buddhism. These literature's were also influential in development of One Thousand and One Nights during medieval period. Indian people have played a major role in the development of the philosophy , sciences , mathematics , arts , architecture and astronomy throughout history . During the ancient period, notable mathematics accomplishment of India included Hindu–Arabic numeral system with decimal place-value and

22680-415: The state of Maharashtra. The High Court accepted the suggestions made by Abhay Bang and directed the state government to incorporate the recommendations in its policy decisions and take appropriate actions. Abhay and Rani Bang were the driving force for the ban in Gadchiroli district. Gadchiroli is the first district in Maharashtra where liquor is banned due to demand by the public. In 1990, the couple raised

22842-427: The survival of children in developing countries. Countries can experience disproportionate effects from trade and stratification within the global system, which contributes to the global division of labor , and distorts the domestic economies of developing nations. The dependency of developing nations can reduce the rate of economic growth, increase income inequality inter- and intra-nationally, and adversely affect

23004-429: The tradition in Indian society. Marriage is considered a union of the two families rather than just the individuals, the process involved in an arranged marriage can be different depending on the communities and families. Recent survey study found that fewer marriages are purely arranged without consent and that the majority of surveyed Indian marriages are arranged with consent. The study also suggested that Indian culture

23166-502: The tribal communities in the forest area of Gadchiroli district in Maharashtra since 1986. They found malaria to pose the biggest health concern for this population. They sought to make the local Adivasis aware about the importance of using insecticide-treated mosquito nets in addition to regular medical treatment. They also run a mobile medical unit in the forty eight tribal villages in the Dhanora block of Gadchiroli district and have

23328-550: The underlying risk factors are associated with inflammation. Approximately "80% of preterm births that occur at <1,000 g or at <28 to 30 weeks of gestation" have been associated with inflammation. Biomarkers of inflammation, including C-reactive protein , ferritin , various interleukins , chemokines , cytokines , defensins , and bacteria , have been shown to be associated with increased risks of infection or inflammation-related preterm birth. Biological fluids have been utilized to analyze these markers in hopes of understanding

23490-451: The use of in vitro fertilisation (which increases the risk of multiple births), obesity, and diabetes. Also, pregnant people who do not have access to health care are less likely to visit a doctor, therefore increasing their risk of delivering prematurely. Malnutrition or undernutrition is defined as inadequate intake of nourishment, such as proteins and vitamins, which adversely affects the growth, energy, and development of people all over

23652-566: The vaginal canal into the amniotic sac surrounding the baby causing in utero transmission. Maternal blood-borne infection is another route of bacterial infection. Neonatal infection is more likely with the premature rupture of the membranes (PROM) of the amniotic sac. Seven out of ten childhood deaths are due to infectious diseases like acute respiratory infection , diarrhea , measles , and malaria . Acute respiratory infections such as pneumonia , bronchitis , and bronchiolitis account for 30% of childhood deaths; 95% of pneumonia cases occur in

23814-502: The wellbeing of a nation's population. Collective cooperation between countries plays a role in development policies in the poorer countries of the world. These economic factors present challenges to governments' public health policies . If the nation's ability to raise its own revenues is compromised, governments will lose funding for their health service programs, including those that aim to decrease infant mortality rates. Less developed countries face higher levels of vulnerability to

23976-509: The word Indian and India is derived from Greek Ἰνδία ( Indía ), via Latin India . Indía in Koine Greek denoted the region beyond the Indus ( Ἰνδός ) river, since Herodotus (5th century BC) ἡ Ἰνδική χώρη , hē Indikē chōrē ; "the Indian land", Ἰνδός , Indos , "an Indian", from Old Persian Hinduš and medieval term Hindustani . The name is derived ultimately from Sindhu ,

24138-444: The world of rural and tribal Indians to help them come face to face with the nation's plethora of social issues and with people working hard to solve them. NIRMAN is a learning process based on Nai Talim way of education introduced by Mahatma Gandhi. It believes in problem based learning instead of classroom based learning. NIRMAN initiative is providing a common platform for youth to engage, self-educate and decide on how they can make

24300-435: The world. It is especially prevalent during pregnancy and in infants and children under 5 who live in developing countries within the poorer regions of Africa, Asia, and Latin America. Children are especially vulnerable as they have yet to fully develop a strong immune system and are dependent on their parents to provide the necessary food and nutritional intake. It is estimated that about 3.5 million children die each year as

24462-769: Was a descendant of the Bhāratas tribe , scion of Kuru Dynasty who unified the Indian Subcontinent under one realm. In early Vedic literature, the term Āryāvarta ( Sanskrit : आर्यावर्त) was in popular use before Bhārata . The Manusmṛti (2.22) gives the name Āryāvarta to "the tract between the Himalaya and the Vindhya ranges, from the Eastern (Bay of Bengal) to the Western Sea (Arabian Sea)". While

24624-844: Was a rise in infant deaths due to congenital malformations, mostly heart and central nervous system problems. In the 20th century, there was a decrease in the number of infant deaths from heart conditions, from 1979 to 1997, there was a 39% decline. Causes of infant mortality and deaths that are related to medical conditions include: low birth weight, sudden infant death syndrome , malnutrition, congenital malformations, infectious diseases, and low income for health care, including neglected tropical diseases . The American Academy of Pediatrics recommends that infants need multiple doses of vaccines such as diphtheria–tetanus–acellular pertussis vaccine , Haemophilus influenzae type b (Hib) vaccine , hepatitis B (HepB) vaccine , inactivated polio vaccine (IPV), and pneumococcal vaccine (PCV). Research conducted by

24786-472: Was about to go to the United States for his doctoral studies. Gandhi said that if he wanted to study economics, he should instead go to the villages of India. Thakurdas then cancelled his trip, remaining in India to study the economics of Indian villages. Abhay spent his childhood in Gandhi's Sevagram Ashram at Wardha, with Gandhi's foremost disciple Acharya Vinoba Bhave . Until ninth standard, he studied in

24948-513: Was argued that immunizations could contribute to an increased risk of SIDS; however, more recent support the idea that vaccinations reduce the risk of SIDS. In the United States, approximately 3,500 infant deaths are sleep-related, a category that includes SIDS. To reduce sleep-related infant deaths, the American Academy of Pediatrics recommends providing infants with safe-sleeping environments, breastfeeding, and immunizing according to

25110-790: Was awarded the National Award for Women's Development through Application of Science & Technology in recognition of her outstanding and pioneering contribution for the past two and a half decades on improving women's health in rural India through an innovative and powerful approach of research with the people and for the people. The award was conferred upon her by the President of India at the National Conference on Showcasing Cutting Edge Science & Technology by Women in New Delhi. Abhay and Rani Bang have been working with

25272-408: Was first performed in 1873. She is usually depicted as a woman clad in an orange or saffron sari holding a flag and sometimes accompanied by a lion . Sports in India are mainly in two categories: traditional sports and global sports. Traditional sports like gilli danda , kho kho , kabaddi are quite popular. On the other hand, Indians are highly enthusiastic about the game of cricket, to

25434-912: Was one of the principal speakers in Tietze symposium in Rio de Janeiro, Brazil in 1990. She served as a consultant to INCLEN (International Clinical Epidemiology Network) for Reproductive health, IWHAM (International Women's Health Advocates on Microbicides), 10th Five Year Plan Maharashtra Health and Nutrition Committee Member. She was nominated for the Nobel Peace Prize in 2003 as a member of 1000 women worldwide for peace prize. Rani Bang has worked on women's reproductive health issues, sexually transmitted diseases , AIDS control , adolescent sexual health , tribal health, and alcoholism . She conducts sex education sessions called 'Tarunyabhaan' for adolescents and teenagers across Maharashtra. In 2008, Rani Bang

25596-668: Was the Gupta Empire . This period, witnessing a Hindu religious and intellectual resurgence, is known as the classical or " Golden Age of India ". During this period, aspects of Indian civilisation, administration, culture, and Hinduism and Buddhism spread to much of Asia , while the Chola Empire in the south had flourishing maritime trade links with the Roman Empire during this period. The ancient Indian mathematicians Aryabhata , Bhāskara I and Brahmagupta invented

25758-434: Was to train the village women in neonatal care . He wrote a draft of the action research to be conducted and sought comments from his mentor, Carl E. Taylor , the founder of the Department of International Health at Johns Hopkins University. In a handwritten note on the draft, Taylor wrote "Abhay, this will be the most important work that you will ever do in your life". Subsequent work by Abhay Bang and his colleagues in two of

25920-457: Was to undergo spinal surgery herself, she too was operated in the SEARCH hospital by Shekhar Bhojraj and his wife Shilpa, an anaesthetist in Mumbai. Apart from being the founder directors of SEARCH, Abhay and Rani Bang have served on various national and state level committees. Some of them are as follows: (In this book Abhay Bang has written about his experiences during his heart disease and

26082-489: Was woven around 2450 BC and 2000 BC. In the 11th century BC Rig-veda mentions dyed and embroidered garments known as paridhan and pesas respectively and thus highlights the development of sophisticated garment manufacturing techniques during this period. In the 5th century BCE, Greek historian Herodotus describes the richness of the quality of Indian textiles. By the 2nd century AD, cotton , muslins and silk textiles manufactured in India were imported by

26244-512: Was written during the period between 200 BCE and 200 CE in classical India and is traditionally attributed to the Sage Bharata . Natya Shastra is incredibly wide in its scope. While it primarily deals with stagecraft, it has come to influence music , classical dance , and literature as well. It covers stage design , music , dance , makeup , and virtually every other aspect of stagecraft . Indian drama and theatre has

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