ArticleBulletin of the World Health Organization2016
Neonatal mortality within 24 hours of birth in six low- and lower-middle-income countries.
Article in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Neonatal mortality following referral from peripheral facilities to Kanifing General Hospital, The Gambia (2022-2024): a survival analysis approach.BMC pediatrics · 2026Article
- Trends in neonatal mortality on the first day of life in Japan, Korea, and Taiwan.BMC public health · 2025Article
- Stillbirth and neonatal mortality in Jordan: findings from Jordan stillbirths and neonatal deaths surveillance system.Reproductive health · 2025Article
- A systematic, standards-based, participatory assessment of a continuous quality improvement project in Kyrgyzstan and Tajikistan: results for neonatal care.Journal of global health · 2025Article
- Effect of Decision-to-Delivery Time of Emergency Cesarean Section on Adverse Newborn Outcomes at East Gojjam Zone Public Hospital, Ethiopia, March 2023: Multicenter Prospective Observational Study Design.International journal of women's health · 2024Article
- Predictors of neonatal mortality in the Eastern Regional Hospital in Ghana: A retrospective cohort study.PLOS global public health · 2024Article
- Postpartum resolution of hypertension, proteinuria and acute kidney injury among women with preeclampsia and severe features at Mulago National Referral Hospital, Uganda: a cohort study.African health sciences · 2023Article
- Mobile phone use for pregnancy-related healthcare utilization and its association with optimum antenatal care and hospital delivery in Bangladesh.PLOS global public health · 2023Article
- Effect of a community based social marketing strategy on the uptake of clean delivery kits in peri-urban communities of Karachi, Pakistan.BMC pregnancy and childbirth · 2022Article
- Review of Kangaroo Mother Care in the Middle East.Nutrients · 2022Review
- The Influence of Maternal Factors on Neonatal Intensive Care Unit Admission and In-Hospital Mortality in Premature Newborns from Western Romania: A Population-Based Study.Medicina (Kaunas, Lithuania) · 2022Observational
- Article
- Helping babies breathe: assessing the effectiveness of simulation-based high-frequency recurring training in a community-based setting of Pakistan.BMC pediatrics · 2021Article
- Continuum of maternity care in Zambia: a national representative survey.BMC pregnancy and childbirth · 2021Article
- Article
- Implementation and effectiveness of continuous kangaroo mother care: a participatory action research protocol.International breastfeeding journal · 2021Article
- Joint Modeling of Singleton Preterm Birth and Perinatal Death Using Birth Registry Cohort Data in Northern Tanzania.Frontiers in pediatrics · 2021Article
- Data for tracking SDGs: challenges in capturing neonatal data from hospitals in Kenya.BMJ global health · 2020Review
- Rate, Risk Factors, and Causes of Neonatal Deaths in Jordan: Analysis of Data From Jordan Stillbirth and Neonatal Surveillance System (JSANDS).Frontiers in public health · 2020Article
- Knowledge of neonatal danger signs, care seeking practice and associated factors among postpartum mothers at public health facilities in Ambo town, Central Ethiopia.BMC research notes · 2019Article
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Authors and funding
29 authors.
Funding
Abstract
objectiveTo estimate neonatal mortality, particularly within 24 hours of birth, in six low- and lower-middle-income countries.
methodsWe 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.
findingsOverall, 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.
conclusionNeonatal 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.
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