ArticleBulletin of the World Health Organization2017
A cohort study of low birth weight and health outcomes in the first year of life, Ghana.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Preconception and periconception interventions to prevent low birth weight, small for gestational age and preterm birth: a systematic review and meta-analysis.BMJ global health · 2022Pooled it
- Evidence that informs feeding practices in very low birthweight and very preterm infants in sub-Saharan Africa: an overview of systematic reviews.BMJ paediatrics open · 2020Pooled it
- Impact of a package of health, nutrition, psychosocial support, and WaSH interventions delivered during preconception, pregnancy, and early childhood periods on birth outcomes and on linear growth at 24 months of age: factorial, individually randomised controlled trial.BMJ (Clinical research ed.) · 2022Trial
- Trial
- Antenatal care utilization and low birth weight in Zambia: Evidence from the Zambia Demographic and Health Survey.PLOS global public health · 2026Article
- Cost-Effectiveness of Aerial Logistics for Maternal and Newborn Health: A Simulation-Based Analysis Grounded in Real-World Evidence from the Ashanti Region in Ghana.Journal of health economics and outcomes research · 2025Article
- Integrated multisectoral interventions to mitigate the risk of low birth weight in low- and middle-income country settings: Implementation considerations for programs from a WHO expert consultation.Journal of global health · 2024Article
- Predictors of mortality among low birth weight neonates after hospital discharge in a low-resource setting: A case study in Uganda.PloS one · 2024Article
- Women's perspectives on human milk banking in Ghana: results from a cross-sectional study.Frontiers in public health · 2023Article
- Design and implementation of a community-based mother-to-mother peer support programme for the follow-up of low birthweight infants in rural western Kenya.Frontiers in pediatrics · 2023Article
- Antenatal depression: Associations with birth and neonatal outcomes among women attending maternity care in Harare, Zimbabwe.PloS one · 2023Article
- Maternal Metals Exposure and Infant Weight Trajectory: The Japan Environment and Children's Study (JECS).Environmental health perspectives · 2022Article
- National scale of neonatal CPAP to district hospitals in Malawi improves survival for neonates weighing between 1.0 and 1.3 kg.Archives of disease in childhood · 2022Article
- Antenatal care attendance and risk of low birthweight in Burkina Faso: a cross-sectional study.BMC pregnancy and childbirth · 2021Article
- Article
- Health of Infants Born to Venezuelan Refugees in Colombia.Journal of immigrant and minority health · 2021Article
- Birth weight, growth, nutritional status and mortality of infants from Lambaréné and Fougamou in Gabon in their first year of life.PloS one · 2021Article
- Article
- The factors affecting the physical development of neonates in pregnant women with or without gestational diabetes mellitus.PloS one · 2021Article
- Trends and risk factors for infant mortality in the Lao People's Democratic Republic.Scientific reports · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo investigate the effect of birth weight on infant mortality, illness and care seeking in rural Ghana.
methodsUsing randomized controlled trial data, we compared infants weighing 2.00-2.49, 1.50-1.99 and < 1.50 kg with non-low-birth-weight infants. We generated adjusted mortality hazard ratios (aHR), adjusted illness rate ratios (aRR) and adjusted odds ratios (aOR) for health-facility admissions and absence of care seeking for four time periods: infancy, the neonatal period, early infancy and late infancy - represented by ages of 0-364, 0-27, 28-182 and 183-364 days, respectively.
findingsAmong 22 906 infants, compared with non-low-birth-weight infants: (i) infants weighing 2.00-2.49, 1.50-1.99 and < 1.50 kg were about two (aHR: 2.13; 95% confidence interval, CI: 1.76-2.59), eight (aHR: 8.21; 95% CI: 6.26-10.76) and 25 (aHR: 25.38; 95% CI: 18.36-35.10) times more likely to die in infancy, respectively; (ii) those born weighing < 1.50 kg were about 48 (aHR: 48.45; 95% CI: 32.81-71.55) and eight (aHR: 8.42; 95% CI: 3.09-22.92) times more likely to die in the neonatal period and late infancy, respectively; (iii) those born weighing 1.50-1.99 kg (aRR: 1.57; 95% CI: 1.27-1.95) or < 1.50 kg (aRR: 1.58; 95% CI: 1.13-2.21) had higher neonatal illness rates; and (iv) for those born weighing 1.50-1.99 kg, care was less likely to be sought in the neonatal period (aOR: 3.30; 95% CI: 1.98-5.48) and early infancy (aOR : 1.74; 95% CI: 1.26-2.39).
conclusionFor low-birth-weight infants in Ghana, strategies to minimize mortality and improve care seeking are needed.
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