Wi go tɔk bɔt di tin dɛn we kin mek pikin dɛn day?

Tide wi go tɔk bɔt wan tɔpik we sɔm kayn we we rili impɔtant, bɔt we rili impɔtant. Dat min se, di lɔs we smɔl pikin dɛn lɔs, dat na, insay di fɔs ia we dɛn bɔn am, lɛf wi. dis na wetin dכkta εn risechכr dεm de kכl `(Infant Mortality)`. We yu yɛri dis wɔd, yu kin tink bɔt sɔm statystik, bɔt fɔ tru, biɛn dis, na wan sɔri-at we yu nɔ go ebul fɔ bia, wan pwɛl at na wan famili.

Wetin na di pikin dɛn we de day? Wi ɔndastand am gud gud wan?

Fɔ tɔk am simpul wan, `Infant Mortality` de tɔk bɔt di day we pikin day insay 12 mɔnt afta dɛn bɔn am, dat na bifo i ol wan ia. כda wכd de we dεn kכl `(Neonatal mortality)`. I de tɔk bɔt we pikin day insay di fɔs 28 dez we dɛn bɔn am. Pan ɔl we dɛn kin yuz dɛn wɔd ya fɔ statystik ɛn fɔ du risach, insay rial layf dis na tin we kin rili mek pɔsin fil pen. I tan lɛk se wan pat pan yusɛf dɔn lɔs, ɛn yu nɔ ebul fɔ imajin aw fɔ go bifo.

Bɔt wetin mek wi de tɔk bɔt dis? Bikɔs, tin dɛn lɛk dis nɔ fɔ apin. Ɛvri pikin gɛt rayt fɔ bigin layf wɛl ɛn sɛlibret nɔto jɔs in fɔs ɛn sɛkɔn batde, bɔt bɔku ɔda wan dɛn. Bɔt, ɔmɔs tin dɛn de we kin afɛkt di pikin dɛn ɛn dɛn famili dɛn wɛlbɔdi?

Sɔshial ditɛminant dɛm fɔ wɛl bɔdi, wae kin afɛkt wi wɛl bɔdi, kin gɛt fɔ du wit dis bɔrku tɛm. Imajin, if yu nɔ gɛt ivin di bɛsis tin dɛn lɛk it ɛn kia bifo yu bɔn we yu gɛt bɛlɛ, i kin at fɔ ɛkspɛkt pikin we gɛt wɛlbɔdi. Risach pipul ɛn dɔktɔ dɛn kin tray ɔltɛm fɔ pul dɛn kayn tin ya we de ambɔg dɛn ɛn mek ples usay ɔlman go gɛt bɛlɛ we gɛt wɛlbɔdi ɛn bɔn pikin dɛn we gɛt wɛlbɔdi.

Wetin na di rizin dɛn we mek smɔl pikin dɛn kin separate frɔm wi?

Frɔm di statystik dɛn we de naw na di wɔl, mɔ na kɔntri dɛn lɛk Amɛrika, sɔm men tin dɛn de we kin mek pikin dɛn day:

• di abnכmaliti dεm we dεn bכn pikin (כ bכn difεkt): Dis na difrεn prכblεm dεm na di bכdi כ di jεnεtiks we de apin we di pikin de divεlכp na di bεlε. Sɔm na smɔl smɔl tin dɛn, ɛn ɔda wan dɛn kin mek dɛn layf de pan denja.
• di pikin we dεn bכn bifo di tεm εn we dεn bכn lכw wet: di pikin dεm we dεn bכn bifo di de we dεn bכn, dat na bifo 37 wik, kin gεt difrεn kכmplikεshכn dεm biכs dεn כgan dεm nכ de divεlכp ful wan. Dɔn bak, pikin dɛn we nɔ rich 2500 gram we dɛn bɔn dɛn kin gɛt bɔku prɔblɛm.
• Sɔdɛn Infant Death Syndrome (SIDS): Dis na wan sik we rili sɔri. Na we pikin we gɛt wɛlbɔdi day wantɛm wantɛm, bɔku tɛm we i de slip, fɔ no rizin.
• Aksidɛnt dɛn we pɔsin nɔ bin de tink se go apin: Dɛn wan ya na motoka aksidɛnt, fɔdɔm, drawn, ɛn swɛla. Bikɔs bebi dɛn kin rili sɔfa, i rili impɔtant fɔ kia fɔ dɛn gud gud wan.
• Di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ: Di tin dɛn we kin apin to di mama we i gɛt bɛlɛ, lɛk ay blɔd prɛshɔn, dayabitis, ɛn infɛkshɔn kin afɛkt di pikin bak.

Kɔz dɛm we kin afɛkt pikin dɛm we dɛn jɔs bɔn

di men tin dεm we kin mek di pikin dεm we dεn bכn, dat na di pikin dεm we de insay di fכs 28 dez, na:

• Bacterial sepsis: Dis na siriɔs infekshɔn.
• Respiratory distress syndrome: Dis kכndyushכn kin apin, spεshal wan pan pikin dεm we dεn bכn bifo tεm, biכs dεn lכng dεm nכ de divεlכp ful wan.
• Hat sik we dɛn bɔn wit: Prɔblɛm wit di strɔkchɔ ɔ wok we di at de du we dɛn bɔn am .
• Ɛmoraji: Blɔd we de kɔmɔt pasmak insay di bren ɔ ɔdasay.

Wetin bin de mek bebi dɛn day trade? Wetin na di tin we de apin naw?

We yu kɔmpia di tin dɛn we de mek pikin dɛn day naw, trade, dat na, insay di ia 1800, di men tin we kin mek pikin dɛn day na sik dɛn we pɔsin kin gɛt . Imajin, ɔmɔs smɔl pipul dɛn bin fɔ dɔn lɔs bikɔs ɔf sik dɛn lɛk dayarɛa, kɔf, mizɛl, nyumonia, ɛn TB da tɛm de?

Bɔt as tɛm de go, dis tin bin chenj bad bad wan. Pɔblik wɛlbɔdi tin dɛn lɛk klin wata, pasteurization of milk (we na we fɔ kil di jem dɛn we de insay milk), ɛn vaksin bin mek am pɔsibul fɔ protɛkt pikin dɛn frɔm dɛn sik dɛn ya we kin pas.

Insay di fɔs 1900 dɛm, sik dɛm we kin kam pan pɔsin bin de mek pas 60% pan di pikin dɛm we bin de day. Bɔt bay di let 1990s, da nɔmba de bin dɔn go dɔŋ to 2%. Na big big tin we dɔn apin, nɔto so?

Wetin na dis IMR (Infant Mortality Rate)? Wetin wi kin lan frɔm am?

Yu kin dɔn yɛri di wɔd `IMR`. `IMR` tinap fɔ `Infant Mortality Rate`. Fɔ tɔk am simpul wan, dis na di nɔmba fɔ di pikin dɛn we kin day bifo dɛn ol wan ia pan ɛvri 1,000 pikin dɛn we dɛn bɔn layf layf wan. I nɔ de inklud pikin dɛn we dɛn bɔn we dɔn day ɔ we dɛn nɔ gɛt bɛlɛ.

Risach pipul dεm de yuz dis `IMR` valyu fכ stכdi aw pikin dεm we de day de apin bitwin difrεn populeshכn grup dεm (e.g., insay wan kכntri, rijyכn, rεs, inkכm lεvεl). Dis kin mek dɛn ɔndastand bɔku tin dɛn:

• Fɔ no us pipul dɛn ɛn us eria dɛn nid mɔ tin dɛn ɛn sɔpɔt fɔ mek uman gɛt bɛlɛ ɛn bɔn pikin we gɛt wɛlbɔdi.
• Dis nכ de כnli gi insayt fכ di pikin dεm we de day, bכt i de gi bak di כvala hεlth fכ wan sosayti כ grup כf pipul dεm. Bikɔs bɔku pan di tin dɛn we kin afɛkt di pikin dɛn we de day (lɛk fɔ gɛt wɛlbɔdi savis ɛn tin dɛn we dɛn nid) kin afɛkt ɔlman na da grup de.
• We wi yuz dis data, wi kin mek polisi ɛn mek chenj dɛn we nid fɔ mek uman gɛt bɛlɛ we gɛt wɛlbɔdi ɛn pikin dɛn we gɛt wɛlbɔdi.

Smɔl tin fɔ no bɔt di tin dɛn we de apin na di wɔl ɛn wi rijɔn

Ivin na divɛlɔp kɔntri lɛk Amɛrika, di `IMR` insay 2022 na bin 5.6 pan ɛvri 1,000 pikin dɛn we dɛn bɔn layf layf wan. Dɔn bak, pan sɔm etnik grup dɛm na da kɔntri de (e.g. Afrikan Amɛrikin dɛm), dis rit na lɛk tu tɛm di nashɔnal avɛrej. Dis de sho aw difrɛns de ivin insay wan kɔntri.

Dis `IMR` valyu de difrɛn bad bad wan bitwin difrɛn kɔntri dɛn na di wɔl. Fɔ ɛgzampul:

• Sɔm pan di kɔntri dɛn we gɛt di ay ay `IMR` na: Siera Liɔn, Sɛntral Afrika Ripɔblik, Nayjiria, Sɔmalia. Sɔm pan dɛn kɔntri ya gɛt pas 70 pikin dɛn we de day pan ɛvri 1000 pikin dɛn we dɛn bɔn.
• Sɔm pan di kɔntri dɛn we gɛt di `IMR` we smɔl pas ɔl na: Japan, Singapɔ, Nɔwe, Slɔvenia. Dɛn kɔntri ya gɛt rili smɔl rit we na 2 pikin dɛn we de day pan ɛvri 1000 pikin dɛn we dɛn bɔn.

Dis de sho klia wan aw di chans fɔ mek pikin sɛlibret in fɔs batde kin difrɛn difrɛn wan bay usay dɛn bɔn am ɛn di tin dɛn we i gɛt (espɛshali wɛlbɔdi savis). Insay Sri Lanka, wi de bifo bɔku kɔntri dɛn we de divɛlɔp pan dis. Wi fri wɛlbɔdi biznɛs, mɔ di mama ɛn pikin klinik sistɛm, na big trɛnk fɔ dis. Bɔt wi gɛt bɔku tin fɔ du fɔ mek dis tin bɛtɛ mɔ.

Wetin wi go du fɔ mek dɛn pikin dɛn ya nɔ day?

Bɔt i sɔri fɔ no se nɔto ɔl di bebi dɛn we de day, dɛn kin ebul fɔ stɔp. Sɔm tin dɛn de we kin mek pɔsin nɔ ebul fɔ kɔntrol am, ivin if dɛn yuz di bɛst tɛknɔlɔji ɛn di bɛst dɔktɔ dɛn. Bɔt wi no se di kia we dɛn kin kia fɔ yu we yu gɛt bɛlɛ ɛn afta dɛn bɔn di pikin kin mek big difrɛns.

Wan prɔblɛm we de ɔlsay na di wɔl na dat nɔto ɔlman gɛt di sem wɛlbɔdi savis ɛn di sem tin dɛn we dɛn nid. Risach pipul dɛm ɛn pipul dɛm we de mek polisi de tray ɔltɛm fɔ sɔlv dis prɔblɛm. Di gol na fɔ mek ɔlman gɛt di tin dɛn we i nid fɔ protɛkt in yon wɛlbɔdi ɛn in pikin dɛn, we nɔ gɛt ɛnitin fɔ ambɔg am.

pan yu pasכnal lεvεl, sכm tin dεm de we yu kin du fכ mek sכh se yu bεlε bεlε εn bεlε pikin:

• Fɔ kia fɔ yu wɛlbɔdi bifo yu gɛt bɛlɛ: If yu gɛt ɛni sik we nɔ de mɛn (e.g. dayabitis, ay blɔd prɛshɔn), go to dɔktɔ ɛn kɔntrol am bifo yu gɛt bɛlɛ.
• Fɔ atɛnd klinik dɛn we yu de bɔn bifo yu bɔn lɛk aw dɛn dɔn plan: Atɛnd ɛvri klinik jɔs lɛk aw yu dɔktɔ/midwayf tɛl yu. Dis go mek shɔ se dɛn de wach yu ɛn yu pikin in wɛlbɔdi ɔltɛm.
• Fɔ fala yu dɔktɔ in advays: Fɔ fala yu dɔktɔ in advays gud gud wan bɔt wetin yu fɔ du (e.g., it we gɛt fayn fayn tin dɛn, vaytamɛn dɛn we dɛn dɔn gi yu) ɛn wetin yu nɔ fɔ du (e.g., smok, rɔm) we yu gɛt bɛlɛ.
• Fɔ mek yu pikin slip fayn: Dis rili impɔtant fɔ mek yu nɔ gɛt SIDS. Nɔ put yu pikin fɔ slip fes dɔŋ, put yu pikin na in bak pan matres we strɔng. Nɔ put tɔys ɔ blankit na di say we yu de slip.
• Yuz motoka sit fɔ yu pikin in sef we yu de travul wit motoka: Yuz motoka sit we dɛn dɔn instɔl fayn fayn wan we fit yu pikin ɛvri trip.

Dɔktɔ dɛn kin chɛk di pikin wantɛm wantɛm afta dɛn bɔn am na ɔspitul. Dis kin mek dɛn ebul fɔ no kwik kwik wan ɛni wɛlbɔdi prɔblɛm ɛn bigin di tritmɛnt we dɛn nid.

Fɔ dɔn, di tin we impɔtant pas ɔl we yu fɔ mɛmba (Take-Home Message) .

Wi no se dis nɔto izi tɔpik fɔ tɔk bɔt ɔ tink bɔt. As yu de rid dis, yu kin fil fɔ fred, wɔri, ɔr kin fil bad, mɔ if yu dɔn gɛt dis kayn tin. Sɔntɛm yu de luk fɔ rizin dɛn fɔ dis. Ɔ, if yu na pɔsin we dɔn kam fɔ lan mɔ bɔt dis, yu go fil lɛk se yu nid fɔ du sɔntin bɔt am.

Ilɛk wetin na yu yon stori, i impɔtant fɔ no dis: Di wan dɛn we sabi bɔt wɛlbɔdi biznɛs, di wan dɛn we de du risach, ɛn di gɔvmɛnt dɛn ɔlsay na di wɔl de wok tranga wan ɛvride fɔ ridyus dɛn pikin dɛn ya we de day ɛn gi ɔl pikin dɛn layf fayn fayn wan.

Na bikɔs no famili nɔ fɔ gɛt fɔ go tru di pen we dɛn nɔ go ebul fɔ bia we dɛn lɔs pikin. Di mɔ wi de lan bɔt dis, na di mɔ wi de fɛn nyu tin dɛn wit sayɛns advans, na di mɔ wi go ebul fɔ ɛp wi famili ɛn mek ples usay dɛn go wɛlkɔm ɛvri smɔl pikin na dis wɔl wit lɔv.

` Bebi we de day, Bebi we de day, Wɛlbɔdi, Kia we uman gɛt bɛlɛ, SIDS, Bɔn pikin we nɔ fayn, we dɛn bɔn smɔl, Mama in wɛlbɔdi, Pikin wɛlbɔdi