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Neonatal mortality within 24 hours of birth in six low and lower-middle income countries

Baqui, Abdullah H, Mitra, Dipak K., Begum, Nazma, Hurt, Lisa, Soremekun, Seyi, Edmond, Karen, Kirkwood, Betty, Bhandari, Nita, Taneja, Sunita, Mazumder, Sarmila, Nisar, Muhammad Imran, Jehan, Fyezah, Ilyas, Muhammad, Ali, Murtaza, Ahmed, Imran, Ariff, Shabina, Soofi, Sajid B, Sazawal, Sunil, Dhingra, Usha, Dutta, Arup, Ali, Said M., Ame, Shaali M., Semrau, Katherine, Hamomba, Fern M., Grogan, Caroline, Hamer, Davidson H., Bahl, Rajiv, Yoshida, Sachiyo and Manu, Alexander 2016. Neonatal mortality within 24 hours of birth in six low and lower-middle income countries. Bulletin of the World Health Organization 94 (10) , pp. 709-784. 10.2471/BLT.15.160945

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Objective To estimate neonatal mortality, particularly within 24 hours of birth, in six low- and lower-middle-income countries. Methods We analysed epidemiological data on a total of 149�570 live births collected between 2007 and 2013 in six prospective randomized trials and a cohort study from predominantly rural areas of Bangladesh, Ghana, India, Pakistan, the United Republic of Tanzania and Zambia. The neonatal mortality rate and mortality within 24 hours of birth were estimated for all countries and mortality within 6 hours was estimated for four countries with available data. The findings were compared with published model-based estimates of neonatal mortality. Publication: Bulletin of the World Health Organization; Type: Research Article ID: BLT.15.160945 Page 2 of 14 Findings Overall, the neonatal mortality rate observed at study sites in the six countries was 30.5 per 1000 live births (range: 13.6 in Zambia to 47.4 in Pakistan). Mortality within 24 hours was 14.1 per 1000 live births overall (range: 5.1 in Zambia to 20.1 in India) and 46.3% of all neonatal deaths occurred within 24 hours (range: 36.2% in Pakistan to 65.5% in the United Republic of Tanzania). Mortality in the first 6 hours was 8.3 per 1000 live births, i.e. 31.9% of neonatal mortality. Conclusion Neonatal mortality within 24 hours of birth in predominantly rural areas of six low- and lower-middle-income countries was higher than model-based estimates for these countries. A little under half of all neonatal deaths occurred within 24 hours of birth and around one third occurred within 6 hours. Implementation of high-quality, effective obstetric and early newborn care should be a priority in these settings.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: World Health Organization (WHO)
ISSN: 0042-9686
Funders: USAID
Date of Acceptance: 9 May 2016
Last Modified: 11 Jun 2018 13:00

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