ArticleScientific reports2022
The association between institutional delivery and neonatal mortality based on the quality of maternal and newborn health system in India.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Family Perspectives on Unmet Needs and Shared Decision-Making in NICU Setting.Indian journal of pediatrics · 2026Article
- Determinants of health-seeking behavior of people on institutional delivery: evidence from qualitative research.BMC pregnancy and childbirth · 2026Article
- Who gets to deliver in a health facility? An investigation of wealth-based inequities in institutional delivery in Ghana.BMJ open · 2026Article
- Quality of antenatal and delivery care and postnatal care use: A multi-country observational study of 400,000 births.PLoS medicine · 2026Observational
- Article
- Machine learning to predict the role of CHWs in shifting birth preferences away from homebirth in India.Scientific reports · 2025Article
- Trends in socioeconomic inequality in mortality during childhood between 1993 and 2021 in India.BMJ global health · 2025Article
- Adherence to Perinatal Asphyxia or Sepsis Management Guidelines in Low- and Middle-Income Countries.JAMA network open · 2025Article
- The Impact of Social Determinants of Health, Health Resources, and Environmental Factors on Infant Mortality Rates in Three Gulf Cooperation Council (GCC) Countries.European journal of investigation in health, psychology and education · 2025Article
- Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India.BMJ global health · 2025Observational
- Article
- Determinants of Neonatal Mortality at a Referral Paediatric Hospital in Angola: A Case-Control Study Using Theoretical Frameworks.International journal of environmental research and public health · 2024Article
- Regional Disparities, Economic Development, and Neonatal Mortality and Hospital Delivery in China.JAMA network open · 2024Article
- Trends in the quality of antenatal care in India: Patterns of change across 36 states and union territories, 1999-2021.Journal of global health · 2024Article
- Revisiting Factors Influencing Under-Five Mortality in India: The Application of a Generalised Additive Cox Proportional Hazards Model.International journal of environmental research and public health · 2024Article
- A tale of two exemplars: the maternal and newborn mortality transitions of two state clusters in India.BMJ global health · 2024Article
- Making the health system work for over 25 million births annually: drivers of the notable decline in maternal and newborn mortality in India.BMJ global health · 2024Article
- Determinants of public institutional births in India: An analysis using the National Family Health Survey (NFHS-5) factsheet data.Journal of family medicine and primary care · 2024Article
- Article
- Care of Healthy as well as Sick Newborns in India: A Narrative Review.Indian journal of pediatrics · 2023Review
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Authors and funding
7 authors.
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Abstract
Over 600,000 newborns in India died in their first month of life in 2017 despite large increases in access to maternal health services. We assess whether maternal and newborn health system quality in India is adequate for institutional delivery to reduce neonatal mortality. We identified recent births from the cross-sectional 2015-2016 National Family Health Survey and used reported content of antenatal care and immediate postpartum care averaged at the district level to characterize health system quality for maternity and newborn services. We used random effect logistic models to assess the relationship between institutional delivery and neonatal (death within the first 28 days of life) and early neonatal (death within 7 days of live births) mortality by quintile of district maternal and newborn health system quality. Three quarters of 191,963 births were in health facilities; 2% of newborns died within 28 days. District-level quality scores ranged from 40 to 90% of expected interventions. Institutional delivery was not protective against newborn mortality in the districts with poorest health system quality, but was associated with decreased mortality in districts with higher quality. Predicted neonatal mortality in the highest quintile of quality would be 0.018 (95% CI 0.010, 0.026) for home delivery and 0.010 (0.007, 0.013) for institutional delivery. Measurement of quality is limited by lack of data on quality of acute and referral care. Institutional delivery is associated with meaningful survival gains where quality of maternity services is higher. Addressing health system quality is an essential element of achieving the promise of increased access to maternal health services.
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