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Understanding the age pattern of mortality from gestation to age five years in India

Project description

Preventing preventable deaths before age 5

The prevention of stillbirths is an important public health priority worldwide. With a focus on India, the EarlyLife project will study human mortality in the early stages of life. India has the highest number of stillbirths and neonatal deaths in the world, and under-5 mortality is higher for girls than for boys. With the support of the Marie Skłodowska-Curie Actions programme, the project will analyse data to identify the ages at which fetuses and babies are most vulnerable and the underlying factors. It will study the causes of excess neonatal mortality, potential excess fetal mortality, and the age-specific impact of climate change. The project’s hypothesis is that fetal growth restriction through maternal malnutrition has a large impact on excess fetal and neonatal mortality.

Objective

The prevention of stillbirths, together with ending newborn and child deaths, are first-order human development priorities. Sustainable Development Goals (SDG) aim to end all preventable deaths before age 5 years by 2030. The research project aims to contribute to this goal by radically enhancing our understanding of human mortality at the beginning of life using novel data and methods suited to study mortality by detailed age before and after birth. The innovation of this project lies in its ambitious goal to (1) identify the ages at which fetuses and children are the most vulnerable, and (2) identify the underlying factors of such vulnerability. The research project is focused on India, the home of the highest number of stillbirths and neonatal deaths (ie, deaths before 28 days of age) in the world (respectively 340,000 and 490,000 in 2020). India is also the only large country where under-5 mortality is higher for girls than for boys. Using public and non-public data, I aim to identify for the first time and with focus on gender discrimination (1) the causes of excess neonatal mortality, (2) potential excess fetal mortality, and (3) the age-specific impact of climate change on under-5 mortality. The central hypothesis that I propose to test is the large impact of fetal growth restriction through maternal malnutrition on excess fetal and neonatal mortality. The research project also calls attention to the vulnerability of older children (above age 1 year) to infectious and parasitic diseases that are increased by climate change. By providing new scientific evidence and policy recommendations about the age-specific vulnerability of fetuses and children, the project will be of significant value to researchers, policymakers, but also actors involved in field trials of health interventions in India. The results of this project will also have policy relevance in a broader context, including south Asia and sub-Saharan Africa.

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Topic(s)

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HORIZON-TMA-MSCA-PF-EF - HORIZON TMA MSCA Postdoctoral Fellowships - European Fellowships

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Call for proposal

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(opens in new window) HORIZON-MSCA-2022-PF-01

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Coordinator

CENTRO DE ESTUDIOS DEMOGRAFICOS
Net EU contribution

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€ 165 312,96
Address
CERDANYOLA V GR UNIVERSITAT AUT BARCELONA EDIFICI E
08193 Barcelona
Spain

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Este Cataluña Barcelona
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