DefinitionRate of death occurring from 28 days to 364 days of age in a given year per 1,000 live births in the same year
Infant mortality is death within the first year of life. This is divided into two components: death before the 28th day of life is neonatal mortality; death between 28 days and one year is postneonatal mortality.
NumeratorNumber of resident deaths occurring from 28 days to 364 days of age in a given year
DenominatorNumber of live births to resident mothers in the same year
Why Is This Important?Postneonatal mortality is an important indicator of infant and maternal health status and medical care (pre and post delivery), as well as a measure of how certain behavioral factors affect infant health.
Healthy People Objective: Postneonatal deaths (between 28 days and 1 year)U.S. Target: 2.0 postneonatal deaths per 1,000 live births
How Are We Doing?One-third of infant deaths occur in the postneonatal period. The postneonatal mortality rate among children of Black mothers is three to five times that of other racial/ethnic groups.
The leading causes of postneonatal mortality are sudden infant death syndrome (SIDS) and congenital anomalies (birth defects). These two causes account for about 40% of postneonatal deaths.
How Do We Compare With the U.S.?The postneonatal mortality rate among New Jersey residents is consistently below that of the U.S.
What Is Being Done?The [http://www.nj.gov/health/fhs/ Division of Family Health Services] in the New Jersey Department of Health administers several programs aimed at improving children's health, including reducing infant mortality. Infant deaths are reviewed by the [http://www.nj.gov/health/fhs/maternalchild/outcomes/mortality-reviews/ Fetal Infant Mortality Review Team] and recommendations to reduce future deaths are made to public and private sources of care including hospitals, clinics, and health care professionals throughout the state.
The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Efforts are continuing to increase public and provider awareness of needs for greater access to maternal preconception care, more awareness of risky preconception and post-conception behavior, and for better general maternal health care.
New Jersey is a participant in the [http://www.nichq.org/project/collaborative-improvement-and-innovation-network-reduce-infant-mortality-im-coiin Collaborative Improvement and Innovation Network to Reduce Infant Mortality] (CoIIN-IM). CoIIN is a multiyear national movement engaging federal, state, and local leaders; public and private agencies; professionals; and communities to employ quality improvement, innovation, and collaborative learning to reduce infant mortality and improve birth outcomes.
In an effort to improve health outcomes among Black infants and mothers in New Jersey, six maternal and child health agencies across the state were awarded $4.3 million in grant funding in July, 2018, as part of the Department of Health's "[https://nj.gov/health/news/2018/approved/20180711a.shtml Healthy Women, Healthy Families]" initiative. In addition to these funds, the Department devoted $450,000 to implement a doula pilot program in municipalities with high Black infant mortality rates.
Health Program InformationThe [http://www.rwjms.rutgers.edu/sids/index.html SIDS Center of New Jersey] (SCNJ) is a program of Rutgers Robert Wood Johnson Medical School and the Joseph M. Sanzari Children?s Hospital. The program is funded in part by a grant from the New Jersey Department of Health.