Neonatal mortality remains a major health challenge across the world, which involves neonatal sepsis and other related factors of prematurity. Though many strides have been done in reducing NMR, there is a need for more appropriate interventions and strategies directed towards addressing the rise in the escalation of AMR. Combating AMR will be critical in improving neonatal survival rates while giving each newborn a healthier start into life globally.

The newborn period is the key period for infant health, and the first 28 days of life are critically important-both for survival and as a base to set lifetime health and development. Neonatal deaths globally have witnessed a significant decline over the past couple of decades. The neonatal mortality count has significantly reduced dropping from a high of 5 million in 1990 to as low as 2.3 million as of 2022. However, this decline notwithstanding, neonatal mortality is still staggeringly high across low-and middle-income nations.

Neonatal mortality rates are 22 per 1000 live births in India. Neonatal sepsis and prematurity are the main causes of neonatal deaths in these tragic events. Recognizing the gravity of the issue the Indian government started the Indian Newborn Action Plan (INAP) in 2014. The goal is to take NMR down to the single digits by 2030. This initiative has brought in several key interventions, including antenatal care (vaccines, micronutrient supplementation), skilled birth attendance, clean birth practices, and neonatal resuscitation techniques. More promisingly, postnatal interventions, including early initiation of breastfeeding and skin-to-skin contact, have been proven to work well in improving newborn survival rates.

Despite these improvements, one of the biggest concerns in neonatal care today is the growing problem of antimicrobial resistance (AMR) which seriously threatens efforts to reduce neonatal mortality.

What is Antimicrobial Resistance?

Antimicrobial resistance occurs when microorganisms such as bacteria, viruses and fungi evolve over time and become resistant to commonly used antibiotics and other medications. This resistance makes infections more difficult to treat, increasing the risk of mortality and complicating treatment options. The World Health Organization has classified AMR as one of the most urgent global health threats since it not only causes death and disability but also places immense pressure on healthcare systems, significantly raising the economic burden.

The sources of AMR are many, including poor hygiene and infection control in healthcare settings, overuse and misuse of antibiotics. Contributing factors to this rapidly growing problem are antibiotic prescriptions for patient needs that do not require them and failure to complete antibiotic courses, as prescribed.

AMR and Newborn Health

For neonates, the risk is much more vital for AMR. Neonates are particularly prone to developing infections due to their rather weak immune systems. Neonatal sepsis, severe bacterial infection, is one of the leading causes of neonate deaths and it often manifests complications when it is because of drug-resistant pathogens.

According to Dr. Apoorva Taduri, Consultant Neonatologist, "Neonatal sepsis accounts for a significant proportion of neonatal deaths, and AMR is making it worse. MDR pathogens cause around 30% of neonatal sepsis mortality globally.

Maternal health and care are also factors influencing AMR in neonates. Over-prescription of antibiotics during pregnancy increases the risk of neonatal sepsis and the development of multi-drug-resistant pathogens in newborns. This calls for prudent use of antibiotics during pregnancy and at the time of delivery. In fact, studies indicate that indiscriminate use of antibiotics in mothers has a direct impact on neonatal health, which may eventually lead to resistant infections in newborns.

One of the major issues is that the drug-resistant bacteria are causing an increasing number of healthcare-associated infections in the neonatal care settings, which include NICUs. Infections by such bacteria prove to be challenging to treat; they require more advanced, expensive interventions, and the period of risk of mortality and morbidity is extended.

Counteracting AMR in Neonatal Care

To combat AMR and reduce neonatal mortality a multifaceted approach is necessary. Dr. Taduri emphasizes the continuation of the strategies outlined by the Indian Newborn Action Plan (INAP), specifically in reducing neonatal sepsis and improving infection control. However, to combat AMR more must be done to ensure proper use of antibiotics in both maternal and neonatal care settings.

Key strategies for reducing AMR in neonatal care are:

1. Improving Infection Prevention Practice: This implies, therefore, that more efforts would be made regarding stricter hospital hygiene standards, strict equipment sterilization after its usage and even maintaining adequate hand hygiene. Enhanced infection control practices greatly impact minimizing AMR pathogens distribution.

2. Antibiotic Stewardship- Teaching the healthcare providers how not to use antibiotics is a crucial thing in preventing overuse prescription. Antibiotic stewardship programs are designed to promote use of antibiotics only when truly required; appropriate drug, dose and length of treatment should be taken.

3. Improved access to WASH: Access to clean water and sanitation is a fundamental aspect of preventing infections in mothers and newborns. WASH interventions such as clean birthing practices, can reduce the risk of neonatal sepsis due to unsanitary conditions.

4. Maternal Health Strengthening: Proper maternal care, such as proper vaccination, antenatal steroids, and supplementation of micronutrients, can reduce the risk of prematurity and neonatal infection. Prevention of infection in mothers is the first step towards prevention of infection in newborns.

5. Early Diagnosis and Treatment: Early identification and treatment of neonatal infections are very important. This includes proper screening for sepsis and the use of appropriate antibiotics based on the local resistance patterns. It also involves ensuring that infants receive adequate neonatal care, such as those provided in Special Newborn Care Units (SNCUs).

The rise of antimicrobial resistance is a global health challenge that requires urgent action. Combating AMR requires a coordinated effort from governments, healthcare systems and communities worldwide. In neonatal care, addressing AMR is essential to further reducing neonatal mortality rates and ensuring that every newborn has the opportunity to thrive.

As Dr. Taduri concludes, "While we have made substantial progress in reducing neonatal mortality, the emerging risk of antimicrobial resistance creates a major challenge for our efforts. Combating AMR requires a global collective effort, with priorities on infection prevention, responsible use of antibiotics, and enhancement of healthcare practices to ensure a healthier future for all newborns."

Dr Apoorva Taduri is a Consultant Neonatologist at Fernandez Hospital

An estimated 4.9 million children died before reaching their fifth birthday in 2024, including 2.3 million newborns, according to the latest United Nations report on global child mortality. The findings were released in the report Levels and Trends in Child Mortality, which examines the leading causes of deaths among children worldwide.

The report notes that many of these deaths could have been prevented through simple and affordable health measures. Access to quality healthcare, timely treatment, vaccination, and better nutrition remain key factors in reducing child deaths.

Over the past two decades, the world has made significant progress. Global under five deaths have dropped by more than half since 2000. However, the pace of improvement has slowed in recent years. Since 2015, the rate of decline in child mortality has fallen by more than 60 percent, raising concerns among health experts.

India Shows Steady Progress In Reducing Child Mortality

Despite global challenges, India has made notable progress in improving child survival rates through sustained public health efforts.

According to the United Nations Inter Agency Group for Child Mortality Estimation (UNIGME) Report 2025, India has steadily reduced deaths among newborns and young children over the past decades. The Union Health Ministry said the country has played an important role in lowering child mortality across South Asia.

India’s Neonatal Mortality Rate, which measures deaths within the first 28 days of life, has seen a major decline. In 1990, the rate stood at 57 deaths per 1,000 live births. By 2024, it had dropped to 17.

A similar trend was seen in the Under Five Mortality Rate. In 1990, India recorded 127 deaths per 1,000 live births among children under five. By 2024, that number had fallen sharply to 27.

Health officials attribute this progress to targeted public health programmes, improved hospital deliveries, and wider vaccination coverage.

Malnutrition And Infections Still Claim Many Young Lives

The report highlights that several preventable health conditions continue to drive child deaths across the world.

For the first time, the report estimated deaths directly caused by severe acute malnutrition. It found that more than 100,000 children aged between one month and five years died due to severe malnutrition in 2024.

Experts believe the real impact may be even higher because malnutrition often weakens the immune system. This makes children more vulnerable to common infections such as pneumonia, diarrhea, and malaria, which can become life threatening.

Some countries reporting high numbers of malnutrition related deaths include Pakistan, Somalia, and Sudan.

Newborn Complications Remain A Major Concern

Nearly half of all deaths among children under five occur during the newborn stage. This reflects slower progress in preventing deaths around the time of birth.

The leading causes of newborn deaths include complications related to premature birth, which account for about 36 percent of cases. Problems during labor and delivery contribute to around 21 percent of deaths.

Other important causes include infections such as neonatal sepsis and certain birth defects.

After the first month of life, infectious diseases remain the main threats to children’s survival. Malaria, diarrhea, and pneumonia are among the biggest causes of death.

Health Experts Stress Need For Continued Investment

The report also points out that global funding for maternal and child health programmes is facing increasing pressure. This could slow progress in reducing child deaths in the coming years.

Experts stress that investing in child health remains one of the most effective public health strategies. Basic interventions such as vaccination, treatment for severe malnutrition, and skilled care during childbirth can save millions of lives.

According to the report, such measures not only improve health outcomes but also strengthen economies by creating healthier and more productive populations.

Matcha has quickly become one of the trendiest drinks among young adults in India. From cafés to home kitchens, the bright green powder now appears in lattes, smoothies, desserts and wellness drinks. Many people see it as a healthier alternative to coffee, especially because of its antioxidant properties and calming effect.

The popularity of matcha has also been fueled by celebrities and social media influencers who often promote it as a superfood. However, as the drink gains popularity, questions have also started circulating online about whether matcha could affect fertility.

Experts say the concern needs careful understanding rather than panic.

Why matcha has become so popular

Matcha is a finely powdered form of green tea made from specially grown tea leaves. Unlike regular green tea, where the leaves are steeped and then removed, matcha involves consuming the entire leaf in powdered form mixed with water or milk.

Because of this, matcha contains a higher concentration of antioxidants, caffeine and plant compounds known as catechins. These compounds are associated with several potential health benefits, which is one reason the drink has attracted so much attention.

Dr Rashmi Agarwal, Fertility Specialist at Nova IVF Fertility in Gurugram, says that while matcha can be part of a healthy lifestyle, the key issue is how much people consume.

“Matcha itself does not directly cause infertility. However, excessive consumption may have an indirect impact on reproductive health,” she explains.

The role of caffeine

One of the main reasons experts advise moderation is the caffeine content in matcha.

Although matcha is often seen as gentler than coffee, it still contains caffeine. Drinking several cups a day can increase overall caffeine intake.

Dr Agarwal notes that “high caffeine intake may affect hormone balance and fertility in some individuals.”

Caffeine can influence hormonal regulation in the body. In women, excessive intake may affect ovulation, while in men it may have an impact on sperm quality.

This does not mean that occasional matcha consumption harms fertility. Problems may arise only when it is consumed in very large amounts over a long period of time.

Sleep and stress can also play a role

Another indirect factor linked to high caffeine intake is sleep disturbance.

Dr Agarwal explains that drinking large quantities of matcha, particularly later in the day, may interfere with sleep patterns because of its caffeine content.

Poor sleep and chronic stress can disrupt hormone levels in the body. Over time, this imbalance may contribute to fertility problems.

Maintaining proper sleep cycles and managing stress are both considered important for reproductive health.

The risk of replacing proper nutrition

Experts also point out another modern lifestyle pattern linked with trendy beverages.

Dr Agarwal says some people rely heavily on drinks such as matcha lattes or wellness beverages while neglecting balanced meals.

“Sometimes people replace balanced meals with trendy drinks like matcha lattes. This may lead to nutritional deficiencies that can affect reproductive health,” she says.

A healthy diet that includes proteins, healthy fats, vitamins and minerals plays an essential role in supporting fertility.

Moderation is the key

According to fertility experts, there is no evidence that moderate matcha consumption causes infertility.

Dr Agarwal recommends limiting intake to about one cup a day. In moderate quantities, matcha is generally safe and can even provide antioxidant benefits.

For individuals planning a pregnancy or dealing with fertility issues, discussing dietary habits with a doctor can be helpful.

Along with mindful caffeine intake, maintaining a balanced diet, exercising regularly and managing stress remain the most reliable ways to support reproductive health.

After Karnataka and Andhra Pradesh, now Bihar plans to implement social media for children. The Indian government is also reportedly mulling at a larger plan.

The move is largely aimed at curbing cyberbullying, addiction, and poor mental health. But given India's rapidly evolving digital landscape, can it work, or will it have serious repercussions? Lets, take a look.

While Karnataka banned social media for children under 16 to combat negative mental health effects, in Andhra Pradesh, the ban will be applied to children aged 13 and below within the next 90 days.

Globally, Australia and Indonesia have also effected similar bans.

The social media bans in India came as the central government, in its Economic Survey, tabled in the Parliament in January this year, stated the need for an age-based access to online platforms and also implored cutting down online teaching to avoid digital addiction.

"The intent to protect young minds from addiction, misinformation, and harmful content is welcome. However, effectiveness will depend less on restricting children and more on regulating platforms," Dr. Rajendra Pratap Gupta, chairman- Health Parliament, creator of SHE App and former advisor to the Union Health Minister, told HealthandMe.

Also read: Karnataka’s Social Media Ban To Help Children Find Life Beyond Screens

Social Media And Teen Health

A 2025 report by NITI Aayog revealed that children in India aged up to five spent 1.5 hours online on average in 2023, accessing educational videos and games.

Children between six and 10 years old spent 2.5 hours online using services such as social media, gaming, and videos.

Further, the Economic Survey 2025-26 also mentioned the high prevalence of social media addiction among those aged 15-24 and linked it with an increase in anxiety, depression, low self-esteem, and cyberbullying stress.

Coupled with compulsive scrolling and gaming disorders, Indian youth are increasingly experiencing sleep disruption, aggression, social withdrawal, and depression, with adolescent populations being especially vulnerable.

According to a study published by the Pew Research Center in 2025, showed roughly half of teens (48 percent) say social media sites have a mostly negative effect on people their age.

A December 2025 study by Karolinska Institutet in Sweden showed social media is tied to rising attention problems in teens.

Several other studies globally have indicated that those teens who spend more time on social media tend to show more symptoms of depression.

These showed that excessive social media use can lead to:

• Social isolation
• Decrease physical activity and time spent outdoors
• Sleep loss
• Increase stress

“For developing young brains, excessive social media exposure has been linked to anxiety, depression, sleep disruption, and, most importantly, difficulty with regulating attention and emotions. Algorithms intensify comparison, validation-seeking, and exposure to harmful content, which children lack the maturity to process,” Dr. Sachin Pradeep Baliga, Associate Consultant Mental Health & Behavioural Sciences, Fortis Healthcare, told HealthandMe.

In 2023, former US Surgeon General Vivek Murthy named social media as a major threat to the mental health of teens. He also released a social media advisory about social media and mental health.

The advisory indicates that frequent social media use could be associated with changes in parts of the brain related to emotions and learning. Additionally, it can affect impulse control, social behavior, emotional regulation, and sensitivity to social punishments and rewards.

In serious cases, social media can also contribute to self-harm or suicidal thoughts, especially among teens and children facing cyberbullying or trolling. Young people are particularly vulnerable to online pressures, negative comparisons, and feelings of rejection.

At the same time, social media in some ways can also benefit mental health. It provides many teens with a community that helps them through difficult times.

Many social media platforms also encourage

• help-seeking behaviors
• initiates mental health care
• Affirms sexual identities
• Provides social support

“The goal should be age-appropriate access, digital literacy, parental supervision, and platform accountability. Like traffic rules for a busy highway, regulations can protect young minds while still allowing them to access the healthy benefits of digital connection and learning,” the expert said.

A Blanket Ban By The Government?

The Economic Survey stated that as digital access cannot be fully restricted, the establishment of offline youth hubs, particularly in urban slums and rural areas, can be provide alternatives to digital spaces. It also urged moderated online safe spaces hosted by schools or similar institutions.

“Schools play a critical role in shaping digital habits, and hence, they should introduce a Digital Wellness Curriculum covering screen time literacy, cyber safety, and mental health awareness,” it said, while calling for a “holistic approach, including physical and mental health, is essential to ensure a resilient future”.

Recently, the Indian Express reported that the government is not in favor of a ban on social media for children.

It is instead considering a more nuanced and graded approach in specifying restrictions for children under 18 years as suggested in the Economic Survey, and is likely to be brought forth in the Monsoon session of the Parliament, later this year.

The restrictions will be age-based and categorized among:

• 8-12 years age,
• 12-16 year olds,
• 16-18 years

“Stronger platform accountability, age-appropriate design, and algorithmic responsibility are crucial. Combined with digital literacy and parental awareness, Oversight and control, such measures can create a healthier digital ecosystem; without platform control, regulations risk remaining largely symbolic,” Dr. Gupta said.

What Parents Can Do?

Carol Vidal, child and adolescent psychiatrist at Johns Hopkins Children’s Center, urges parents to become a role model and teach children and teens to have a healthy relationship with social media.

“Delaying the purchase of smartphones until the child is ready is a good first step. But, it is also important to instill healthy habits in children’s use of screens given that technology — and social media in particular — will be present throughout their lives,” Vidal said.

The expert urges parents to apply strategies such as :

• Taking regular breaks from digital devices
• Turning off notifications
• Establishing phone-free hours and spaces
• Discussing appropriate boundaries and behaviors when interacting online.