Evidence map›Paper›PMID 40544296›Full record

ArticleJournal of health, population, and nutrition2025

The nexus between healthcare provider distribution and neonatal mortality based on the context of maternal and child healthcare services in Pakistan.

Rashed Nawaz, Neelum Khalid, Fatima Ajmal, Mohammad Fazel Akbary, Shaoqing Gong, Zhongliang Zhou

Abstract read
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Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Direct and Indirect Effects of Adolescent Motherhood on Under-Five Mortality in Pakistan: Evidence From a Nationally Representative Survey.American journal of human biology : the official journal of the Human Biology Council · 2026
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rashed NawazSchool of Public Health and Health Nutrition, Luohe Medical College, No.148, Daxue Road, Yuanhui District, Luohe, 462002, Henan Province, China. rashednawazpk@gmail.com.
Neelum KhalidSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, People's Republic of China.
Fatima AjmalUniversity of Health Science (UHS) Lahore, Lahore, Punjab, Pakistan.
Mohammad Fazel AkbarySchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, People's Republic of China.
Shaoqing GongSchool of Public Health and Health Nutrition, Luohe Medical College, No.148, Daxue Road, Yuanhui District, Luohe, 462002, Henan Province, China. gongshaoqingmd@163.com.
Zhongliang ZhouSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, People's Republic of China.

Funding

National Natural Science Foundation of China 72374169
6 · The paper itself

Abstract

backgroundHealthcare provider dearth, particularly in Low and Middle-income countries (LMICs), reduces the development towards improved healthcare outcomes and accomplish the Sustainable Development Goals (SDGs-3). This study aims to investigate the association between Professional and Non-professional healthcare provider distribution and neonatal mortality through the mediating role of maternal and child healthcare (MCH) services in Pakistan.

methodsThe present research used data from the 2018 Pakistan Demographic and Health Survey (PDHS) total sample that comprises (N = 8022). The dependent variable includes the risk of neonatal mortality 0-30 days. Bivariate and Multivariate analyses were conducted by utilizing the Cox proportional hazards and regression models. The estimation of mortality rates was achieved through generalized structural equation modelling (GSEM) and the 5000 bootstrap technique. All the investigations were carried out in STATA v. 16.1.

resultsOur results revealed that around 2.46% of neonatal deaths occur. The average healthcare provider distribution type was professional, 83.45%, non-professional, 1.45%, and no care, 15.11%. 0.88% of females are less likely to die within the first thirty days of their birth compared to males. The regression outcomes demonstrate that the healthcare providers were positive and significantly linked to neonatal mortality. Additionally, a unit increase in healthcare providers has a 1.20% Higher likelihood of increasing the MCH and overall reducing neonatal mortality (HR = 0.60).

conclusionThe outcomes illustrate that healthcare provider distribution and MCH play a vital role in minimizing neonatal mortality. To ensure well-distributed healthcare provider distribution, promoting maternal education, empowering women's decision-making in acquiring MCH services utilization, and expanding access to free MCH services are the essentials for better maternal and healthcare outcomes.

Indexed as

Health PersonnelInfant MortalityMaternal-Child Health ServicesAdultFemaleHealth Services AccessibilityHumansInfantInfant, NewbornMalePakistanYoung AdultChild health servicesDeveloping countriesGeneralized structural equation modellingHealthcare workforceMaternal health servicesMortality

Identifiers

PMID40544296
PMCPMC12181886

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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.