World Health Organization, Child and adolescent health and development nbbd data analysis

Source: SEAR-NBBD July 2014- May 2017 cumulative data

Surveillance of Birth Defects in South-East Asia Region
1.4 million births reported across 7 countries – July 2014 to May 2017
0.8% of the babies were born with a birth defect as reported to NBBD

Number of
Hospitals

Bangladesh
Bhutan
India
Maldives
Myanmar
Nepal
Thailand

Total

Total Births
reported


Total live Total Still
Births
Births
reported reported

Total Birth
defects
reported
(Hospital)

Total babies Total types of
Proportion of
with Birth
with Birth
children born with
defects
defects
a birth defect %
(NBBD)

(NBBD)

(x)

(y)

(z)

(a)

(b)

15
3
81
11
14
14
17


130368
10239
938589
6358
78505
194438
102614

125112
10094
907954
6311
78081
191687
102244

5256
145
30635
47

1109
2751
370

1622
270
9071
178
244
756
793

1236
251
8261
212
268
724
1405


1924
348
11065
334
307
944
1643

0.94
2.45*
0.88
3.33*
0.33
0.37
1.36

155

1461111


1421483

40313

12934

12357

16565

0.84

* Includes birth defects reported up to one year of age.
For other countries birth defects detected during first 7 days of birth.
Source: SEAR-NBBD July 2014- May 2017 cumulative data

(b/x)*100

System-wise distribution of birth
defects – among all births

50
45
40

percent

35
30

26

25
20

18

15
10
5


10

8

7

10
5

1

5

3

2

0

Musculoskeletal system was most affected system among all babies with birth defects -26%

Nervous system was the 2nd most affected system among all babies with birth defects -18%
Source: SEAR-NBBD July 2014- May 2017 cumulative data

percent

System-wise distribution of birth
defects – among liveborn babies
50
45
40
35
30
25
20
15
10
5
0

27


14
11

9

7

10
5

1

5

3

2

At 27% musculoskeletal system defect was most common among live borns


Source: SEAR-NBBD July 2014- May 2017 cumulative data

5

System-wise distribution of birth
defects – among stillborn babies
60

52

percent

50
40
30
19

20
10

3

4

2

4

2

2

4

0

52% of the stillborn were affected with a nervous system defect

Source: SEAR-NBBD July 2014- May 2017 cumulative data

2

5
None

NBBD Essential/visible birth defects
distribution – among all births
70
60

Percent

50
40
30
20
10
0

Imperforate
Talipes
Reduction
Cleft lip and
Neural Tube
Exomphalos Gastroschisis
Hypospadias
Microcephaly
Anus
equinovarus limb defects
palate
Defects

Other
systems

Live born

9.46

1.10

8.67

2.81

8.29

2.93

1.35

1.05

1.63

62.70

Stillborn

35.61

0.65

3.85

0.36

3.05

2.69

2.62

2.83

0.51

47.82

All

11.6

1.06

8.27

2.61

7.85

2.91

1.45

1.20

1.54

61.47

Source: SEAR-NBBD July 2014- May 2017 cumulative data

NTDs distribution – among all babies
80
70
60

percent

50
40
30
20
10
0

Anencephaly

Craniorachischisis

Iniencephaly

Encephalocele

Spina bifida

Liveborn

15.31

0.77

0.49

14.06

69.38

Stillborn

54.49

3.06

2.04

9.80

30.61

All

25.27

1.35

0.88

12.97

59.52

Anencephaly was most common among stillborn - 54 %
Spina Bifida was most common among live borns - 69%
Source: SEAR-NBBD July 2014- May 2017 cumulative data