Mortality in children under 5: prevalence of congenital malformations and its associated demographic variables

Rozita Zakaria, and Lim, Ming Tsuey and Norsiah Ali, and Nurainul Hana Shamsuddin, and Norseha Isnin, and Siti Hafsah Abdul Halim, and Aminah Bee Mohd Kasim, and Rozita Abd Rahman, and Fauzia Abd Majid, and Kok, Sim Hui and Norizzati Ismail Bukhary, and Rawa Bau, and Suzaini Mat Daud, (2017) Mortality in children under 5: prevalence of congenital malformations and its associated demographic variables. International Journal of Public Health Research, 7 (2). pp. 871-877. ISSN 2232-0245


Official URL:


Introduction Congenital malformations (CM) comprise a wide range of abnormalities of body structure or function that are present at birth and are of prenatal origin. It has contributed to a significant proportion of infant morbidity and mortality. The aims of this study were to determine the extent and investigate the relationship between CM and its associated demographic variables. Methods Data was extracted from Ministry of Health (MOH) database compiled from the reports on Stillbirth & Under 5 Mortality from year 2013 to 2014. Results Out of 9,827 child death, 2,840 (28.9%) were classified under CM as defined under ICD-10 classification. Majority of those with CMs died at neonatal stage (62.7%) and among mothers aged between 20 to 35 years old (67.3%). The mean age of mothers among CM children was 30.8±6.5 years old. Approximately 5.8%, 6.7% and 3.3 % of total CM were neural tube defects, heart defects and hydrops fetalis respectively. The prevalence of CM in males was 15% higher than females. The difference were evident between CM and age of death of children under 5 years old (p<0.001) as well as between CM and maternal age groups (p<0.001). Conclusions CM is responsible for 28.9% of total causes of child death with higher occurrence of malformation in males. A significantly higher risk of CMs among mother aged between 20 to 35 years old was observed. This emphasises the importance of raising awareness and the need to strengthen appropriate response for surveillance and prevention program of common CM in Malaysia.

Item Type:Article
Keywords:Congenital malformations; Child death; Neonatal; Neural tube defects; ICD-10
Journal:International Journal of Public Health Research
ID Code:11582
Deposited By: ms aida -
Deposited On:12 Apr 2018 03:28
Last Modified:13 Apr 2018 21:36

Repository Staff Only: item control page