Neonatal mortality in rural Bangladesh: an exploratory study.
J Health Popul Nutr
;
2005 Mar; 23(1): 16-24
Article
in English
| IMSEAR
| ID: sea-678
ABSTRACT
Bangladesh has a neonatal death rate that is substantially high and demands urgent attention. To assess the causes of neonatal mortality, 1,019 pregnant women were followed up in eight randomly-selected rural areas of the country. Trained female interviewers visited the households of the subjects at four-week intervals to record neonatal deaths (within 28 days after birth). For each death, they administered a structured verbal autopsy questionnaire to the mother and/or a close family member. Based on these field data, three neonatologists arrived at a consensus to assign two causes of death--an originating cause and a direct cause. The neonatal mortality rate was 53.5 per 1,000 livebirths. The originating causes of death were pre-maturity/low birth-weight (30%), difficult labour (16%), unhygienic birth practices (16%), others (4%), and unknown (34%). The direct causes were sepsis (32%), asphyxia (26%), tetanus (15%), respiratory distress (6%), others (6%), and unknown (14%). According to the prevailing causes of neonatal deaths, implementation of intervention programmes, often in the community, that do not depend on highly-technical training or sophisticated equipment should be implemented.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Bangladesh
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Pregnancy
/
Infant Mortality
/
Hygiene
/
Rural Health
/
Surveys and Questionnaires
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Qualitative research
/
Risk factors
Country/Region as subject:
Asia
Language:
English
Journal:
J Health Popul Nutr
Journal subject:
Gastroenterology
/
Nutritional Sciences
/
Public Health
Year:
2005
Type:
Article
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