ArticleBMC pregnancy and childbirth2014
A population-based study of neonatal mortality and maternal care utilization in the Indian state of Bihar.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed, 71 citations in OpenAlex.
- Mortality due to snakebite and other venomous animals in the Indian state of Bihar: Findings from a representative mortality study.PloS one · 2018Trial
- Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India.BMC pregnancy and childbirth · 2025Article
- Private sector delivery of care for maternal and newborn health: trends over a decade in the Indian state of Bihar.BMC medicine · 2025Article
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- The nexus between maternal antenatal care attendance, newborn postnatal care and neonatal mortality in India: a matched case-control study.BMC pregnancy and childbirth · 2024Article
- Comparative study of neonatal hypothermia and associated factors among neonates in rural and urban areas of the Shebadino Woreda, Sidama region, Southern Ethiopia: a community-based comparative cross-sectional study.BMC public health · 2024Article
- Preliminary impact of an mHealth education and social support intervention on maternal health knowledge and outcomes among postpartum mothers in Punjab, India.Research square · 2023Article
- Increase in birthweight coverage of neonatal deaths is needed to monitor low birthweight prevalence in India: lessons from the National Family Health Survey.BMC pregnancy and childbirth · 2023Article
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- The effects of completion of continuum of care in maternal health services on adverse birth outcomes in Northwestern Ethiopia: a prospective follow-up study.Reproductive health · 2022Article
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- Progressing towards SDG 2030 goals with system changes: the India Newborn Action Plan.BMJ open quality · 2022Article
- Baseline Assessment of Evidence-Based Intrapartum Care Practices in Medical Schools in 3 States in India: A Mixed-Methods Study.Global health, science and practice · 2022Article
- Maternal iron-and-folic-acid supplementation and its association with low-birth weight and neonatal mortality in India.Public health nutrition · 2022Article
- Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation.BMC public health · 2021Article
- Level of completion along continuum of care for maternal, newborn and child health services and factors associated with it among women in India: a population-based cross-sectional study.BMC pregnancy and childbirth · 2021Article
- Risk profile for drowning deaths in children in the Indian state of Bihar: results from a population-based study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019Article
- Distinct mortality patterns at 0-2 days versus the remaining neonatal period: results from population-based assessment in the Indian state of Bihar.BMC medicine · 2019Article
- Deferred and referred deliveries contribute to stillbirths in the Indian state of Bihar: results from a population-based survey of all births.BMC medicine · 2019Article
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA substantial reduction in neonatal deaths is required in India to meet the Millennium Development Goal of a two-thirds reduction in child mortality by 2015. We report neonatal mortality estimates and utilisation of maternal care in the Indian state of Bihar.
methodsA representative population-based sample of 14,293 women who had a live birth in the last 12 months based on multistage sampling from all 38 districts of Bihar was selected for interview in early 2012. We estimated neonatal mortality rate and its associations using multiple logistic regression, assessed maternal care coverage and its inequality by wealth index, and retention of mothers in the health system for the full sequence of maternal care services.
resultsNeonatal mortality rate for Bihar was 32.2 (95% confidence interval [CI] 27.6-36.8) per 1,000 live births. Postnatal care related variables were significantly associated with neonatal deaths - no delayed bathing of new born (odds ratio [OR] 3.45, 95% CI 2.47-4.81) and no kangaroo care immediately after birth (OR 2.20, 95% CI 1.49-3.25). History of maternal complications and delivery in a private sector health facility had nearly twice the odds of neonatal death; the latter was driven by the very high neonatal mortality associated with private facility delivery in the lower two wealth index quartiles. A pattern of mass deprivation was seen for coverage of 4 or more ANC visits, health facility delivery and postnatal care for the same woman, with only 5.2% of women receiving this overall; this coverage was low for the highest wealth index quartile as well at 12.2%. Coverage of 4 or more ANC visits was 7.4% and 27.7% in the lowest and the highest wealth quartiles, respectively. Giving birth in a health facility was reported by 49.5% of women in the lowest wealth index quartile and by 77.7% in the highest quartile. Only 21.2% women reported post-natal care within 2 weeks of delivery in the lowest wealth index quartile, and 42.2% in the highest quartile.
conclusionsNeonatal mortality continues to be relatively high in Bihar, and the utilization of maternal care very low and inequitable. Interventions need to address these deficiencies.
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