India's Sample Registration System (SRS) 2020 reported an Under-5 Mortality Rate (U5MR) of 32 per 1000 live births. Which of the following is NOT a component of the U5MR calculation?

• A Neonatal mortality rate (deaths 0–28 days per 1000 live births)
• B Post-neonatal infant mortality (29 days to <1 year per 1000 live births)
• C Perinatal mortality rate (stillbirths + early neonatal deaths per 1000 total births) ✓
• D Child mortality rate (1–4 years per 1000 children surviving to age 1)

Explanation

U5MR is the probability of dying between birth and exactly 5 years of age, expressed per 1000 live births. It consists of infant mortality rate (0–<1 year) + child mortality component (1–4 years). Infant mortality rate itself comprises neonatal mortality rate (0–28 days) + post-neonatal mortality rate (29 days–<1 year). Perinatal mortality rate—which includes stillbirths and early neonatal deaths (0–6 days) per 1000 total births—is a separate indicator and is NOT included in the U5MR denominator because stillbirths are not live births.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.