ArticlePloS one2018
Rates and determinants of neonatal mortality in two rural sub-districts of Sylhet, Bangladesh.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Global prevalence of neonatal mortality in preterm infants: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Negative effects of short birth interval on child mortality in low- and middle-income countries: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Prevalence and risk factors of low birth weight in a rural district of Bangladesh: a prospective cohort study.BMC pediatrics · 2026Article
- Prevalence and risk factors of adverse birth outcomes in Bangladesh: Insight from a nationwide survey.PloS one · 2026Article
- Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross-sectional surveys.Health science reports · 2024Article
- Neonatal mortality and its predictors among neonates in Jabitehnan district, Northwest Ethiopia: A single-arm retrospective cohort study.Health science reports · 2023Article
- Predictors of neonatal mortality in Ghana: evidence from 2017 Ghana maternal health survey.BMC pregnancy and childbirth · 2023Article
- Article
- Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017-18.PLOS global public health · 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
- Spatial Analysis of Antenatal Care and Low Birth Weight against Neonatal Mortality Rate in Aceh Province, Indonesia.Iranian journal of public health · 2022Article
- Factors Associated with Neonatal Mortality in Bangladesh: A Cross-Sectional Analysis of the Demographic and Heath Survey 2014.Iranian journal of public health · 2021Article
- Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study.BMC pregnancy and childbirth · 2021Article
- Article
- 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
- Trends and Determinants of Neonatal Mortality in Rural Ethiopia.Sage open pediatricsArticle
- Differential and Determinants of Neonatal Mortality: A Comparative Study in Northern and Southern Regions of India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionReducing neonatal mortality rate (NMR) is a challenge in many low- and middle-income countries including Bangladesh. In 2014, the estimated NMR in this country was 28 per 1,000 live births. This rate is higher in rural regions compared to the national average. Currently, Sylhet Division has the highest NMR in Bangladesh. Investigating rates and determinants of neonatal mortality in rural regions of this high-risk division is particularly important to implement evidence-based programs. This study examined rates and determinants of neonatal deaths in a large rural cohort in Sylhet Division.
methodsWe analyzed data from a multi-country cohort study, Aetiology of Neonatal Infections in South Asia. From November 2011 to December 2013, this study was conducted in two rural sub-districts in Sylhet Division. Community health workers followed 28,960 pregnant women and their newborns up to two months postpartum and collected data on pregnancy outcomes and newborns' survival status. The NMR was obtained by dividing total number of neonatal deaths with all studied newborns. Logistic regression was employed to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for factors associated with neonatal mortality. Stata 14.0 was used for data analysis.
resultsThis study analyzed data of 21,227 newborns. The NMR was 43.4 (95% CI: 39.3-48.0) per 1,000 live births (N = 922). Multivariable analysis showed that the odds of neonatal mortality were significantly higher among male newborns (AOR: 1.5, 95% CI: 1.2-1.8), babies born before 34 weeks of gestation (AOR: 5.0, 95% CI: 4.1-6.1), those who were twins or triplets (AOR: 6.2, 95% CI: 3.6-10.9), and first-born child (AOR: 2.9, 95% CI: 1.6-5.3). Additionally, maternal age 30-35 years (AOR: 1.4, 95% CI: 1.-1.8), history of child death (AOR: 1.6, 95% CI: 1.2-2.2), and delivery complications (AOR: 2.1, 95% CI: 1.6-2.6) had positive associations with neonatal deaths.
conclusionPublic health programs in Bangladesh need to adopt a comprehensive strategy to address the individual, maternal, and intrapartum factors associated with neonatal mortality in rural regions. Interventions should aim to prioritize managing pre-term deliveries, first-born child, and delivery complications among pregnant women.
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