scholarly journals Assessing neo-natal mortality trends in Pakistan: an insight using equity lens

2022 ◽  
Vol 80 (1) ◽  
Author(s):  
Zainab Dawood ◽  
Naeem Majeed
Keyword(s):  
Neonatal Mortality ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Risk Groups ◽  
First Year ◽  
Mortality Trends ◽  
Microsoft Excel ◽  
Graph Type ◽  
Natal Mortality ◽  
First Year Of Life

Abstract Background Almost 2.5 million neonates died in the first year of life in the year 2017. These account for almost half of the total deaths of children under the age of 5 years. Overall, child mortality has declined over the past two decades. Comparatively, the pace of decline in neonatal mortality has remained much slow. Significant inequalities in health across several dimensions – including wealth, ethnicity, and geography – continue to exist both between and within countries, and these contribute to neonatal mortality. This study aims to quantify the magnitude of inequalities in neonatal mortality trends by wealth quintile and place of residence with province wise segregation. Methods The study was done using raw data from the last three Pakistan Demographic & Health Surveys (2017–18, 2012–13 and 2006–07). The concentration curves were drawn in Microsoft Excel 365 using scatter plot as graph type while the frequencies were calculated using SPSS 24. Results The situation of inequity across provinces and in rural vs urban areas has slightly declined, however, gross inequities continue to exist. Conclusions Presentation of outcomes data, such as neonatal mortality in various wealth quintiles is an effective way to highlight the inequities amongst income groups as it highlights the vulnerable and at-risk groups. In other countries, rural-urban distribution, or ethnic groups may also reflect similar differences and help in identifying high-risk groups.

scholarly journals Assessing Neo-Natal Mortality Trends in Pakistan: An Insight Using Equity Lens

2020 ◽  
Author(s):  
Zainab Dawood ◽  
Naeem Majeed
Keyword(s):  
Neonatal Mortality ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Risk Groups ◽  
First Year ◽  
Mortality Trends ◽  
Microsoft Excel ◽  
Graph Type ◽  
Natal Mortality ◽  
First Year Of Life

Abstract Background: Almost 2.5 million children died in the first year of life in the year 2017. These account for almost half of the total deaths of children under the age of five years. Overall, child mortality has declined over the past two decades. Comparatively, the pace of decline in neonatal mortality has remained much slow. Significant inequalities in health across a number of dimensions – including wealth, ethnicity, and geography – continue to exist both between and within countries, and these contribute to neonatal mortality. This study aims to quantify the magnitude of inequalities in neonatal mortality trends by wealth quintile and place of residence with province wise segregation. Methods: The study was done using raw data from the last three Pakistan Demographic & Health Surveys (20017-18, 2012-13 and 2006-7). The concentration curves were drawn in Microsoft Excel 365 using scatter plot as graph type while the frequencies were calculated using SPSS 24. Results: The situation of inequity across provinces and in rural vs urban areas has slightly declined, however, gross inequities continue to exist.Conclusions: Presentation of outcomes data, such as neonatal mortality in various wealth quintiles is an effective way to highlight the inequities amongst income groups as it highlights the vulnerable and at-risk groups. In other countries, rural-urban distribution, or ethnic groups may also reflect similar differences and help in identifying high-risk groups.

scholarly journals Assessing Neo-natal mortality trends in Pakistan: An insight using Equity Lens

2020 ◽  
Author(s):  
Zainab Dawood ◽  
Naeem Majeed
Keyword(s):  
Neonatal Mortality ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Risk Groups ◽  
First Year ◽  
Mortality Trends ◽  
Microsoft Excel ◽  
Graph Type ◽  
Natal Mortality ◽  
First Year Of Life

Abstract BackgroundAlmost 2.5 million children died in the first year of life in the year 2017. These account for almost half of the total deaths of children under the age of five years. Overall, child mortality has declined over the past two decades. Comparatively, the pace of decline in neonatal mortality has remained much slow. Significant inequalities in health across a number of dimensions – including wealth, ethnicity, and geography – continue to exist both between and within countries, and these contribute to neonatal mortality. This study aims to quantify the magnitude of inequalities in neonatal mortality trends by wealth quintile and place of residence with province wise segregation. MethodsThe study was done using raw data from the last three Pakistan Demographic & Health Surveys (20017-18, 2012-13 and 2006-7). The concentration curves were drawn in Microsoft Excel 365 using scatter plot as graph type while the frequencies were calculated using SPSS 24. ResultsThe situation of inequity across provinces and in rural vs urban areas has slightly declined, however, gross inequities continue to exist.ConclusionsPresentation of outcomes data, such as neonatal mortality in various wealth quintiles is an effective way to highlight the inequities amongst income groups as it highlights the vulnerable and at-risk groups. In other countries, rural-urban distribution, or ethnic groups may also reflect similar differences and help in identifying high-risk groups.

scholarly journals Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors

2019 ◽  
Vol 35 (7) ◽  
Author(s):  
Andrea Ramirez Varela ◽  
Bruna Celestino Schneider ◽  
Susana Bubach ◽  
Mariangela Freitas Silveira ◽  
Andréa Dâmaso Bertoldi ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Birth Cohort ◽  
Gestational Age ◽  
Associated Factors ◽  
Reference Group ◽  
Multinomial Logistic Regression ◽  
First Year ◽  
Chi Square ◽  
Neonatal Deaths ◽  
First Year Of Life

This study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g and/or gestational age ≥ 20 weeks), neonatal deaths (< 28 days of life), and post-neonatal deaths (from 28 days to the end of the first year of life). Descriptive analyses using the Pearson chi-square test and a multinomial logistic regression to estimate the risk of fetal, neonatal, and post-neonatal deaths compared to live infants in the cohort (reference group) were performed. Data from 4,329 eligible births were collected, of which 54 died during the fetal period. Of the 4,275 eligible live births, 59 died in the first year of life. An association between fetal, neonatal, and post-neonatal deaths (OR = 15.60, 7.63, and 5.51 respectively) was found, as well as less than six prenatal consultations. Compared to live infants, fetal deaths were more likely to occur in non-white mothers, and neonatal deaths were 14.09 times more likely to occur in a preterm gestational age (< 37 weeks). Compared to live infants, infants that were born in a C-section delivery had 3.71 increased odds of post-neonatal death. Additionally, neonatal deaths were 102.37 times more likely to have a low Apgar score on the fifth minute after birth. These findings show the need for early interventions during pregnancy, ensuring access to adequate prenatal care.

scholarly journals Mortality in a cohort of 3.1 million children, adolescents and young adults

2020 ◽  
Vol 74 (3) ◽  
pp. 260-268 ◽  
Author(s):  
Joel G Ray ◽  
Astrid Guttmann ◽  
Jose Silveira ◽  
Alison L Park
Keyword(s):  
Young Adults ◽  
Cohort Study ◽  
Urban Areas ◽  
Demographic Variables ◽  
Adolescents And Young Adults ◽  
First Year ◽  
Preventive Strategies ◽  
Self Harm ◽  
First Year Of Life

BackgroundMany youth deaths occur in the first year of life, from prematurity and anomalies. Detailing mortality after age 1 year may differentially guide preventive strategies in children, adolescents and young adults.MethodsA cohort study in Ontario, Canada comprised 3 139 698 children born from 1990 to 2016. Adjusted HR (aHR) for death between 1 and 24 years were generated, comparing demographic variables and parity.ResultsAfter a median of 13.7 years of follow-up, 6930 deaths occurred between ages 1 and 24 years (incidence rate 17.0 per 100 000 person-years), peaking at age 23 years (43.7 per 100 000). The aHR for death was higher among males than females (1.44, 95% CI 1.37 to 1.51), rural versus urban areas (1.48, 95% CI 1.39 to 1.58), lowest versus highest income areas (1.39, 95% CI 1.29 to 1.51) and at parity 1 (1.16, 95% CI 1.10 to 1.23), parity 2 (1.34, 95% CI 1.23 to 1.45), parity 3+ (1.96, 95% CI 1.74 to 2.21), each relative to a child without an older sibling. Among males, the proportion of deaths due to injury jumped from 30% before age 15 years to 65% thereafter, and in females, from 28% to 51%. Intentional self-harm/assault explained 11% of injury-related deaths among males before age 15 years, and 20% thereafter, with respective figures of 18% and 17% for females. Deaths outside of hospital increased with age, from 35% at age 1 year, to 66% at age 22 years.ConclusionThere is a heightened susceptibility of dying starting at age 15 years, especially among males, from injury, and arising outside of hospital.

Indagine sulla mortalità dei gemelli nel primo anno di vita: Ricerca anagrafica su 848 gemelli nati a Catania

1963 ◽  
Vol 12 (3) ◽  
pp. 298-307
Author(s):  
Antonino Fiumara
Keyword(s):  
Neonatal Mortality ◽  
Critical Period ◽  
Neonatal Period ◽  
First Year ◽  
Still Birth ◽  
Low Degree ◽  
Birth Records ◽  
First Year Of Life

SUMMARYA survey has been made of the birth records of 846 twins (415 pairs and 6 sets of triplets) born in Catania between January 1st, 1959 and May 31st, 1962, with the purpose of establishing the degree of mortality in twins in the first year of life. The results indicate a low degree of still-birth (5%). Identifying the neonatal period with the first week of life, the neonatal mortality is of 8.9%. This percentage undergoes a little reduction (1.9%) when we consider as neonatal period just the first day of life, the twin mortality being lower in the subsequent days of the first week. Except that of the 1st day, the higher frequency of mortality (19%) occurs between the 12th and the 16th day, which is considered a critical period in the first month of life in twins. In the remaining 11 months of the year the mortality degre is low (51 deaths in 680 twins survived to the first month). At the end of the year in 63.1% of the considered pairs both twins were still alive. In six of the 43 pairs with both components dead, both twins died between the 13th and the 25th day, with an interval of 24 hours. The spontaneous death of twin pairs, occurring sometimes simultaneously or with a brief interval in the first month of life, may give rise to judiciary mistakes.

Atopic Dermatitis

1994 ◽  
Vol 15 (8) ◽  
pp. 327-332
Author(s):  
Candace S. Lapidus ◽  
Paul J. Honig
Keyword(s):  
Atopic Dermatitis ◽  
Los Angeles ◽  
Urban Areas ◽  
Pediatric Population ◽  
Pediatric Emergency ◽  
First Year ◽  
Pediatric Dermatology ◽  
Low Humidity ◽  
First Year Of Life ◽  
Do So

Introduction Atopic dermatitis, also referred to as atopic eczema, infantile eczema, allergic eczema, disseminated neurodermatitis, and prurigo Besnier, is a common and important cause of morbidity in children of all ages. A total of 22% of patients seen in pediatric dermatology clinics have atopic dermatitis. In 1969, Wingert et al reported that 4% of pediatric emergency room visits at the Los Angeles County General Hospital were due to atopic dermatitis, and this did not include patients seen for impetigo, a common complication of atopic dermatitis. The prevalence of atopic dermatitis in the pediatric population has increased over the past 3 decades from 3% to 10%, and it appears to be even higher in heavily populated urban areas. Pediatricians, therefore, must understand its pathogenesis and management. Epidemiology Sixty percent of children who have atopic dermatitis manifest their disease in the first year of life; 90% do so by age 5 years. A genetically prone individual may not manifest the disease until exposed to a particular environmental situation. Onset has been associated with relocation from a rural to an urban location or from a region of high to low humidity. The course of adopic dermatitis is difficult to predict, although one 15-year longitudinal study revealed that the disease persisted in 60% of cases.

scholarly journals Physical growth during the first year of life. A longitudinal study in rural and urban areas of Hanoi, Vietnam

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Huong Thu Nguyen ◽  
Bo Eriksson ◽  
Liem Thanh Nguyen ◽  
Chuc Thi Kim Nguyen ◽  
Max Petzold ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Urban Areas ◽  
Physical Growth ◽  
First Year ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
First Year Of Life

scholarly journals Analysis of diagnostic-therapeutic results after the first year of life in children of hearing disturbance risk groups

2018 ◽  
Vol 72 (3) ◽  
pp. 9-12
Author(s):  
Agnieszka Wiatr ◽  
Sebastian Kocoń ◽  
Patryk Hartwich ◽  
Paweł Stręk ◽  
Jacek Składzień ◽  
...  
Keyword(s):  
Nervous System ◽  
Down Syndrome ◽  
Cleft Palate ◽  
Risk Groups ◽  
First Year ◽  
Hearing Disorders ◽  
Children With Down Syndrome ◽  
Early Implementation ◽  
First Year Of Life ◽  
Congenital Cmv

Introduction: It is assumed that the critical period for diagnosis of hearing disorders is the baby's first three months of life and that appropriate course and implementation of treatment and/or rehabilitation should begin before a child is six months old. However various kinds of problems may occur during auditory screening of a child may exceed this interval. Aim: The aim of this study was an evaluation of auditory screening results for children over 12 months old with congenital hearing loss. Material and methods: Results from 250 children were analyzed retrospectively. The study group consisted of children between one and three months old observed between 2015-2016. For the purpose of this analysis we divided the patients into four groups: children with Down Syndrome, children with nervous system disorders , children with cleft palate or both cleft palate and lip and children with congenital CMV. To discuss performed diagnostics and treatment two groups of children were esteblished: • with implementation of appropriate course of treatment • without instituted treatment Results: 250 children were examined in Level III NICUs in the years 2015 – 2016. The highest proportion of children with the implemented course of proceedings, was in groups with children with congenital CMV (71.1%). The highest proportion of children substituted with a hearing prosthesis was observed in the group of children with Down Syndrome. The lowest proportion of children with the implemented course of proceedings, was in groups with children with cleft palate or both cleft palate and lip (41.6%). Conclusions: • Early implementation of treatment and/or rehabilitation in children with hearing disorders is crucial to prevent depression of speech and psychological development. I t is important in children with cleft palate or both cleft palate and lip even if surgical correction is discussed. • The highest proportion of children with the implemented course of proceedings, was in groups with children with congenital CMV. This children should be observed despite of right results of hearing tests. • In children with nervous system disorders 1 year period of observation is too short to exclude problems with hearing.

Statement on Infant Mortality

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1155-1160
Author(s):  
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Mortality Rates ◽  
First Year ◽  
Postneonatal Mortality ◽  
Factors Affecting ◽  
Live Births ◽  
First Year Of Life

Why Is Infant Mortality Important? Rates of infant mortality are sensitive indicators of a broad range of factors affecting children's health. As such, infant mortality is the "tip of the iceberg" of child health problems, and changes in infant mortality are a signal of factors affecting child health more broadly. In addition to its role as a general gauge of child health, infant mortality itself represents an important health problem. It is well to remember that infant death rates are the highest of any age group less than 65 years. The message conveyed by infant mortality rates if better understood in terms of the causes of mortality at different times during the first year of life. Neonatal Mortality Neonatal mortality rate is defined as the number of infants dying between 0 and 27 days of life per 1,000 live births. These deaths in the first month of life reflect primarily factors associated with health of the mother before and during pregnancy and the special problems of the newborn. Deaths in this age range result chiefly from inadequate intruterine growth (prematurity, intrauterine growth retardation) and congenital anomalies. As a result, neonatal mortality rates provide an indicator of the factors affecting pregnancy, delivery, and the neonate and the adequacy of services in the prenatal, intrapartum, and neonatal periods. Postneonatal Mortality Postneonatal mortality rate is defined as the number of infants dying between 28 days and 11 months of life per 1,000 live births, ie, deaths occurring during the remainder of the first year of life.

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