Abstract:
Objective
To analyze the deaths of children under 5 years old in Shenyang City from 2013 to 2017, and explore intervention measures.
Methods
Choose all living births and dead children under 5 years old in the 13 districts and counties in Shenyang from October 1, 2012 to September 30, 2017 (according to the national mortality monitoring program for children under 5 years old; the annual monitoring and statistical period was: from October first of the previous year to September 30th of the present year) (with Shenyang household registration and nonShenyang household registration for more than one year; those who had been away from Shenyang for more than one year were not included in the monitoring), and their death monitoring data were statistically analyzed.
Results
Underfive mortality, infant mortality and neonatal mortality had shown a downward trend in Shenyang City from 2013 to 2017. The underfive mortality rate dropped from 5.42% in 2013 to 3.70% in 2017. The infant mortality rate dropped from 4.57% in 2013 to 3.18% in 2017, and the neonatal mortality rate dropped from 3.07% in 2013 to 2.15% in 2017. The death of children under 5 years old was mainly infant death, and the death of infants was mainly neonatal death. The change was not obvious in the 5 years.  From 2013 to 2017, the cause of death of major diseases in children under 5 years old changed significantly. The premature birth and low body weight was the first cause of death in 2013-2016. In 2015, other congenital anomalies were the top three causes of death and became the first cause of death in 2017.
ConclusionIt is necessary to strengthen the health care during pregnancy and perinatal period, and take various measures to improve the ability of prenatal screening and diagnosis. At the same time, strengthening the quality of basic pregnancy and child health care services, reducing the incidence of preterm birth, and promoting neonatal asphyxia resuscitation techniques are also keys to reducing the mortality rate of children under 5 years old.

Key words: Children under 5 years old, Mortality, Cause of death