Evidence map›Paper›PMID 29743085›Full record

ArticleGlobalization and health2018

Determinants of early neonatal mortality in Afghanistan: an analysis of the Demographic and Health Survey 2015.

Gulam Muhammed Al Kibria, Vanessa Burrowes, Allysha Choudhury, Atia Sharmeen, Swagata Ghosh, Arif Mahmud, Angela Kc

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PubMed Full text at PMC Publisher
In one paragraph

Article in Globalization and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Gulam Muhammed Al KibriaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD-21205, USA. drkibriacomc13@yahoo.com.ORCID 0000-0002-7037-6658
Vanessa BurrowesDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD-21205, USA.
Allysha ChoudhuryDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD-21205, USA.
Atia SharmeenMorgan State University, Baltimore, MD-21251, USA.
Swagata GhoshUniversity of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Arif MahmudDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD-21205, USA.
Angela KcDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD-21205, USA.
Johns Hopkins University · USMorgan State University · USUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal mortality is declining slowly compared to under-five mortality in many developing countries including Afghanistan. About three-fourths of these deaths occur in the early neonatal period (i.e., the first week of life). Although a number of studies investigated determinants of early neonatal mortality in other countries, there is a lack of evidence regarding this in Afghanistan. This study investigated determinants of early neonatal mortality in Afghanistan.

methodsData from the Afghanistan Demographic and Health Survey 2015 (AfDHS 2015) were analyzed. After reporting the weighted frequency distributions of selected factors, a multilevel logistic regression model revealed adjusted associations of factors with early neonatal mortality.

resultsA total of 19,801 weighted live-births were included in our analysis; 266 (1.4%) of the newborns died in this period. Multivariable analysis found that multiple gestations (adjusted odds ratio (AOR): 9.3; 95% confidence interval (CI): 5.7-15.0), larger (AOR: 2.9; 95% CI: 2.2-3.8) and smaller (AOR: 1.8; 95% CI: 1.2-2.6) than average birth size, maternal age ≤ 18 years (AOR: 1.8; 95% CI: 1.1-3.2) and ≥ 35 years (AOR: 1.7; 95% CI: 1.3-2.3), and birth interval of < 2 years (AOR: 2.6; 95% CI: 1.4-4.9) had higher odds of early neonatal mortality. On the other hand, antenatal care by a skilled provider (AOR: 0.7; 95% CI: 0.5-0.9), facility delivery (AOR: 0.7; 955 CI: 0.5-0.9), paternal higher education level (AOR: 0.7; 95% CI: 0.5-1.0), living in north-western (AOR: 0.3; 95% CI: 0.1-0.6), central-western regions (AOR: 0.5; 95% CI: 0.3-0.9) and in a community with higher maternal education level (AOR: 0.4; 95% CI: 0.2-0.9) had negative association.

conclusionsSeveral individual, maternal and community level factors influence early neonatal deaths in Afghanistan; significance of the elements of multiple levels indicates that neonatal survival programs should follow a multifaceted approach to incorporate these associated factors. Programs should focus on birth interval prolongation with the promotion of family planning services, utilization of antenatal care and institutional delivery services along with management of preterm and sick infants to prevent this large number of deaths in this period.

Indexed as

Infant MortalityAdolescentAdultAfghanistanDemographyFemaleHumansInfantInfant, NewbornMaleMiddle AgedRisk FactorsYoung AdultAfghanistanDemographic and health surveyDeterminantsEarly neonatal mortality

Identifiers

PMID29743085
PMCPMC5944060
OpenAlexW2802536952

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.