ArticleHealth economics review2022
Effect of adolescent female fertility and healthcare spending on maternal and neonatal mortality in low resource setting of South Asia.
Article in Health economics review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 8 citations in OpenAlex.
- Maternal mortality due to hypertensive disorders of pregnancy: an ecological time-series study in Brazil, 2000-2024.BMC pregnancy and childbirth · 2026Article
- Spatiotemporal analysis of contraceptive deserts and adolescent fertility clusters in South Asia: A spatial econometric approach to breaking intergenerational poverty cycles.PLOS global public health · 2026Article
- Teenage pregnancy: focus on people with mental disorders.Frontiers in psychiatry · 2024Article
- Impact of Government Health Expenditure on Maternal Mortality: An Appraisal of South-Asian-Economies.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
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Abstract
backgroundMaternal and neonatal mortality is high in South Asia. Recent studies have identified factors such as adolescent female fertility, healthcare spending is reducing maternal and neonatal mortality. The objective of this study is to examine the effect of adolescent female fertility and healthcare spending on maternal and neonatal mortality in South Asian countries.
methodsA retrospective panel study design was used, a total of 8 South Asian countries (Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka) data from World development indicator 1990-2020 considered for analysis. Descriptive statistical method was used for summary. The effect of adolescent female fertility and healthcare spending on maternal and neonatal mortality were analysed using fixed and random effect regression with multiple imputation.
findingsAdolescent female fertility, maternal, and neonatal mortality is very high in the aforementioned countries, and considerably varies among countries. A significant relationship between the maternal mortality and healthcare spending, neonatal mortality and adolescent female fertility was observed. We found neonatal and maternal mortality are more likely to decrease depends on healthcare spending. Healthcare spending has a significantly negative effect on neonatal mortality (- 0.182, 95% CI: [- 0.295 to -.069]; P-value < 0.01) and maternal mortality (- 0.169, 95% CI: [- 0.243 to - 0.028]; P-value < 0.05). A change in 1 % increases in healthcare spending should decrease by 0.182 neonatal mortality per 1000 live births and maternal mortality by 0.169 per 100,000 live births.
conclusionsIn south Asian countries, increasing healthcare spending and decreasing adolescent female fertility may contribute to reduce maternal and neonatal mortality. In addition, number of service providers such as physicians supplied contributed to the decline of neonatal mortality. These findings have important implications for future improvement of healthcare spending in maternal and neonatal health programs.
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