scholarly journals Risk Factors of Neonatal Mortality in Bangladesh

2012 ◽  
Vol 32 (1) ◽  
pp. 37-46 ◽  
Author(s):  
SMM Kamal ◽  
M Ashrafuzzaman ◽  
SA Nasreen
Keyword(s):  
Risk Factors ◽  
Child Health ◽  
Neonatal Mortality ◽  
Maternal And Child Health ◽  
Neonatal Death ◽  
Statistical Analyses ◽  
Female Education ◽  
Increased Risk ◽  
Mdg 4 ◽  
And Child Health

Introduction: To address United Nations Millennium Develop­ment Goal 4 (MDG 4) on reducing childhood mortality by three-quarter by 2015, there is a need for better population-based data on the rates and causes of neonatal death. This study aims to identify the risk factors of neonatal mortality in Bangladesh.Methods: The study used data from the nationally representative 2007 Bangladesh Demographic and Health Survey. The survey gathered information regarding socioeconomic, demographic, environmental and maternal and child health care of 10,996 ever married women and 6,058 children. Both bivariate and multivariate statistical analyses were used to assess the relationship between neonatal mortality and contextual factors.Results: The prevalence of neonatal mortality was 37/1,000. The statistical analyses yielded quantitatively important and reliable estimates of neonatal death. The multivariate logistic regression analysis yielded significantly increased risk of neonatal mortality for children with mother who had no formal education, the Muslims, whose mother were adolescents age 15-19, first ranked birth and twin babies.       Conclusion: Emphasis should be given to improve female education in Bangladesh for a better chance of satisfying important factors that can improve infant survival: the quality of infant feeding, general care, household sanitation, and adequate use of preventive and curative health services.Key words: Maternal and child health; Female education; MDG 4; Neonatal mortalityDOI: http://dx.doi.org/10.3126/jnps.v32i1.4845  J. Nepal Paediatr. Soc. Vol.32(1) 2012 37-46

scholarly journals Distribution of wealth-stratified inequalities on maternal and child health parameters and influences of maternal-related factors on improvements in child health survival rate in Bangladesh

2020 ◽  
pp. 136749352090966
Author(s):  
Rashidul Alam Mahumud ◽  
Jeff Gow ◽  
Abdur Razzaque Sarker ◽  
Marufa Sultana ◽  
Golam Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Service ◽  
Demographic And Health Surveys ◽  
Maternal Risk ◽  
Under Five ◽  
And Child Health ◽  
Health Parameters

This study investigates the influence of household socioeconomic status and maternal risk factors and health-care service availability on changes in the under-five mortality rate (U5MR) in Bangladesh. Potential risk factors that influence U5MRs were investigated using multilevel logistic regression analysis and 29,697 data points from the Bangladesh Demographic and Health Surveys, 2004–2014. Maternal and child health parameters such as childhood morbidity, low vaccination coverage, poor utilization of perinatal care, and malnutrition were found to be more concentrated in poorer households. Pooled estimates indicated that the aggregate odds of U5MR risk declined by 18% to 2007 to 38% to 2014 compared to 2004. However, inadequate antenatal care, short birth interval, primiparity, illiteracy, delayed conception, and low socioeconomic status were significantly associated with a higher risk of under-five mortality. The magnitude of inequality using these measures were significantly associated with large variations in U5MR changes. Although a significant reduction in U5MR in Bangladesh was found in this study, substantial socioeconomic variations still persist. The analysis suggests that decreasing inequality in society is required for further reductions in child mortality. This will help to achieve a more equitable distribution of child and neonatal outcomes and assist the achievement of Sustainable Development Goals 3.2 by 2030.

scholarly journals RISK FACTORS FOR PREMATURE BIRTH IN INDONESIA

2021 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Hafiza Ajeng Dianing Sukma ◽  
Sagar Tiwari
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Child Health ◽  
Maternal And Child Health ◽  
Premature Birth ◽  
Maternal Age ◽  
Smoking Habits ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
And Child Health

Indonesia is currently taking on the challenge of the relatively high number of neonatal deaths influencing maternal and child health. Premature birth is the most significant contributor to the number of neonatal deaths. The occurrence of premature birth is motivated by various risk factors. Knowing the magnitude of the relationship between several risks, namely maternal age, location, parity, and maternal smoking habits with preterm birth incidents was the aim of this study. The 2017 Indonesian Demographic and Health Survey (IDHS) was a source of data used. This study employed a cross-sectional approach and then processed the results with univariate and bivariate tests. The results showed a relationship between maternal age and residential area with the premature birth, where mothers under 20 years and over 35 years had a higher probability of giving birth prematurely. The area of residence, which was divided into rural and urban, also had a relationship with premature birth. The parity and smoking habits showed no association with preterm birth. Education, Antenatal Care (ANC), and other various efforts to emphasize maternal and child health care during pregnancy need to be continuously improved to reduce preterm birth rates in Indonesia.

scholarly journals Risk Factors Associated with Preterm Birth in a Brazilian Maternal and Child Health Hospital

2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Medeiros Bianca Karenina Brito de ◽  
Cornetta Maria da Conceição ◽  
Crispim Janaína de Oliveira ◽  
Cobucci Ricardo Ney
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Child Health ◽  
Maternal And Child Health ◽  
Factors Associated ◽  
And Child Health ◽  
Health Hospital

scholarly journals Factors of Having Difficulties Raising 3-Year-Old Children in Japan: Usefulness of Maternal and Child Health Information Accumulated by the Local Government

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1084
Author(s):  
Kimiko Tagawa ◽  
Miwako Tsunematsu ◽  
Masayuki Kakehashi
Keyword(s):  
Risk Factors ◽  
Child Health ◽  
Health Information ◽  
Maternal And Child Health ◽  
Retrospective Cohort ◽  
Health Checkup ◽  
Cutoff Value ◽  
Raising Children ◽  
Major Factors ◽  
And Child Health

Background: Difficulties raising children may be associated with depressive tendencies and abuse by parents, for which maternal and child health information may be useful. We clarified factors related to difficulties in raising children at the time of the 3-year-old child health checkup. Method: This was a retrospective cohort study. We used maternal and child health information collected from the time of pregnancy notification until the 3-year-old child health checkup. The subjects were the parents of 507 children who were born and eligible for the 3-year-old child health checkup between September 2013 and October 2017. Logistic regression and ROC analyses were performed. The dependent variable was “having difficulties raising children at the 3-year-old health checkup”. Result: Eleven factors were clarified as risk factors. Three major factors among them were having difficulties raising children at the 18-month-old checkup (adOR, 6.3; 95%CI, 3.0–13.9), actions are at the child’s own pace and adult instructions are difficult to follow at the 18-month-old health checkup (adOR, 5.0; 95%CI, 1.3–25.4), and EPDS score ≥ 2 (adOR, 3.4; 95%CI, 1.5–8.1). The AUC of this predictive model was 0.86. At a cutoff value of 0.387, the sensitivity was 79.7% and the specificity was 77.6%. Conclusion: Having difficulties raising children at the 3-year-old health checkup has factors from the time of pregnancy and requires continued support. It was possible and useful to use maternal and child health information when screening high-risk parents.

scholarly journals Identification of Behavioral Risk Factors During Pregnancy

2015 ◽  
Vol 20 (1) ◽  
pp. 160-166
Author(s):  
Florina Ruţa ◽  
Monica Tarcea ◽  
Victoria Stere ◽  
Zoltan Abram ◽  
Călin Avram
Keyword(s):  
Risk Factors ◽  
Child Health ◽  
Maternal And Child Health ◽  
Behavioral Risk Factors ◽  
Behavioral Risk ◽  
Modifiable Risk Factors ◽  
Smoking During Pregnancy ◽  
And Child Health ◽  
Lack Of Knowledge

Abstract Exposure to smoking during pregnancy is known to be one of the main modifiable risk factors, which threatens maternal and child health. Along with this factor, are not to be neglected also other risk factors belonging to lifestyle sphere, such as alcohol, sedentary, irregular daily meal serving plan, lack of knowledge. Main objective is identification of behavioral risk factors during pregnancy in a group of recently given birth women, hospitalized in three maternities of Tirgu Mures County.

scholarly journals Effective nutrition education and communication for sustainable maternal and child health

2017 ◽  
Vol 76 (4) ◽  
pp. 504-515
Author(s):  
Mary W. Murimi ◽  
Ana Florencia Moyeda-Carabaza
Keyword(s):  
Child Health ◽  
Nutrition Education ◽  
Maternal And Child Health ◽  
Sustainable Development Goals ◽  
Target Population ◽  
The Sustainable Development ◽  
Development Goals ◽  
Mdg 4 ◽  
And Child Health ◽  
The Continuum

Maternal and child health (MCH) consists of an interdependent reproductive system that collectively determines the survival of the mother during childbirth, and determines the health and survival of the child. This interdependency underscores the importance of appropriate and timely interventions during pregnancy through the first 1000 d at the minimum. The Millennium Development Goals (MDG) recommended the use of the continuum of care for the development of interventions by addressing all the stages of MCH. The purpose of the present paper is to review the factors that contributed to the attainment of the MDG 4 and MDG 5 by analysing the interventions conducted by the countries that achieved at least 5·0 and 5·5 %, respectively, and determine the level of their intervention based on the MCH conceptual framework. Out of the eighteen selected countries discussed, fifteen countries achieved their target for either MDG 4 or MDG 5 or both, while three countries did not achieve their target. The countries that were more likely to achieve their targets addressed the societal, underlying and direct causes, and implemented country wide policies. In contrast, the countries that did not succeed were more likely to address the direct causes with poor policy implementation. Understanding the motivation and limitations of the target population, including nutrition education and targeting behaviour change has the potential to result in sustainable MCH. This information has the potential to enlighten the policymakers as we progress to the sustainable development goals, specifically goals 2 and 3.

scholarly journals Neonatal mortality: the profile of deaths in the state of Rio de Janeiro

2021 ◽  
Author(s):  
Thamires Soares Bicalho ◽  
Ana Paula Ferreira ◽  
Larissa Azevedo da Hora ◽  
Roberta Lastorina Rios ◽  
Thaís Aparecida de Castro Palermo ◽  
...  
Keyword(s):  
Child Health ◽  
Prenatal Care ◽  
Neonatal Mortality ◽  
Maternal And Child Health ◽  
Health Professionals ◽  
Rio De Janeiro ◽  
The State ◽  
Hospital Environment ◽  
Health Policies ◽  
And Child Health

Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.

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