Disease and Economic Burden of Stillbirths in India in 2019
Dubey, S.; Wadhwani, V.; Zadey, S.
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BackgroundIndia has the highest number of stillbirths worldwide. However, disease and economic burdens assessment of stillbirths in India remain missing. MethodsWe conducted a retrospective analysis using stillbirth data from the health management information system (HMIS), and civil and sample registration systems (CRS and SRS) for India and its 21 states. We calculated disease burden in terms of disability-adjusted life years (DALYs) and economic burden in value of life-years (VLYs). We conducted multiple sensitivity analyses for DALY and VLY assessments. ResultsIndian HMIS reported 263,342 stillbirths in 2019. Stillbirths led to 18.3 million DALYs and a monetary loss of INR 6.4 trillion. Five states contributed to more than 40% burden. Sensitivity analyses showed consistency in findings. ConclusionDue to their disease and economic burdens, stillbirths should be prioritized in the public health agenda.
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