High Infant Mortality Rate Puzzles Macedonia

The Macedonian authorities are sending out inspectors and promising new equipment for gynecology clinics following more disturbing cases of new-borns dying unexpectedly.

On Wednesday, media reported a new case in the northwestern town of Tetovo. The infant's mother had already died during child birth.

On September 29, media reported four babies dying in just two days at the country's largest gynecology clinic in Skopje. These deaths had occurred a week earlier, on September 21 and 22.

The State Health and Sanitary Inspectorate has now sent inspection teams to the Skopje clinic to find out what is going on.

In a week's time, they must determine whether this clinic, which handles most childbirths in Macedonia, suffers from lack of capacity, poor hygiene and unqualified staff.

"We will make a complete inspection of the load that the hospital faces, of the number of patients, the number of beds and incubators and the load at the operating rooms, as well as of the available personnel," Irina Sotirova Buhova, the head of the inspectorate, said.

The problem of a high mortality rate among babies is not new in Macedonia. The infant mortality rate within the first week of childbirth in Macedonia rose from 7.5 per 1,000 live births in 2011 to 9.9 in 2014.

According to the State Statistical Office, the number reached a European record of 14.3 deaths per 1,000 live births in 2015. By comparison, the European average for that year was 5.2 deaths per 1,000 live births.

In 2015, the then Health Minister Nikola Todorov survived a no-confidence vote in parliament instigated by the then opposition Social Democrats, SDSM. Among other things he was blamed for allowing the rate of infant deaths to spiral out of control....