The UK Dept of Health target is a 10% reduction in the relative gap
(i.e. percentage difference) in infant mortality rates between "routine
and manual" socio-economic groups and England as a whole from the
baseline year of 1998 (the average of 1997-99) to the target year 2010
(the average of 2009-2011).
Infant mortality rates are falling in all socio-economic groups, but
until recently this gap was actually very slowly increasing. The latest
figures show that the mortality gap between routine and manual group
(the target group) and the rest of the population has stopped widening.
A joint paper with the NHS, Dept. for Children Schools, and Families, +
Communities & local government Agency has explored ways of reducing gap
further, some of which recognise the importance of SDOH e.g. poverty,
social exclusion & inequity of access to services especially for BME
communities , poor housing , etc. These mirror the latest finding of
the 3 yearly independent Confidential Enquiry into Child & Maternal
Health which also reported in Dec. 2007. This review of all UK maternal
Deaths in the past 3 years, showed that dying mothers & were
disproportionately likely to be Black / poor / young, socially excluded,
obese women with little or no English. The babies of such or similar
mothers were much more vulnerable I n the 1st year of life.
Implementation plan for reducing health inequalities in infant
mortality: a good practice guide
Department of Health Dec 2007
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publicati
onsPolicyAndGuidance/DH_081337
Review of the health inequalities infant mortality PSA target Department
of Health Feb 2007
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publicati
onsPolicyAndGuidance/DH_065544
Saving Mothers' Lives 2003-2005 CEMACH 2007 http://www.cemach.org.uk/
Lindsey Ahmet,
Middlesex University,
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