Neonatal Mortality and Inequalities in Bangladesh: Differential Progress and Sub-national Developments.
A rapid reduction in under-five mortality has put Bangladesh on-track to reach Millennium Development Goal 4. Little research, however, has been conducted into neonatal reductions and sub-national rates in the country, with considerable disparities potentially masked by national reductions. The aim...
| Publicado en: | Maternal & Child Health Journal Vol. 19; no. 9; pp. 2038 - 2048 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109820115&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109820115 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep2015 vid: 19 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 109820115 108632813 10.1007/s10995-015-1716-z NLM25652066 109820115 ppf: 2038 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Neonatal Mortality and Inequalities in Bangladesh: Differential Progress and Sub-national Developments. aug: au: Minnery, Mark Firth, Sonja Hodge, Andrew Jimenez-Soto, Eliana affil: Investment Case, School of Population Health, The University of Queensland, Public Health Building, Herston Road, Herston Brisbane 4006 Australia sug: subj: Infant Mortality Trends Child Mortality Trends Healthcare Disparities In Infancy and Childhood Socioeconomic Factors Child Health Funding Source Epidemiological Research Trend Studies Bangladesh Surveys Rural Areas Urban Areas Income Mothers Educational Status Comparative Studies Resource Databases, Health Survival Analysis Confidence Intervals Data Analysis Software Infant, Newborn Infant Child, Preschool Regression P-Value Insurance, Health Obstetric Care Health Services Accessibility Obstetric Patients Human Female Pregnancy Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Female ab: A rapid reduction in under-five mortality has put Bangladesh on-track to reach Millennium Development Goal 4. Little research, however, has been conducted into neonatal reductions and sub-national rates in the country, with considerable disparities potentially masked by national reductions. The aim of this paper is to estimate national and sub-national rates of neonatal mortality to compute relative and absolute inequalities between sub-national groups and draw comparisons with rates of under-five mortality. Mortality rates for under-five children and neonates were estimated directly for 1980-1981 to 2010-2011 using data from six waves of the Demographic and Health Survey. Rates were stratified by levels of rural/urban location, household wealth and maternal education. Absolute and relative inequalities within these groups were measured by rate differences and ratios, and where possible, slope and relative indices of inequality. National mortality was shown to have decreased dramatically although at differential rates for under-fives and neonates. Across all equity markers, a general pattern of declining absolute but constant relative inequalities was found. For mortality rates stratified by education and wealth mixed evidence suggests that relative inequalities may have also fallen. Although disparities remain, Bangladesh has achieved a rare combination of substantive reductions in mortality levels without increases in relative inequalities. A coalescence of substantial increases in coverage and equitable distribution of key child and neonatal interventions with widespread health sectoral and policy changes over the last 30 years may in part explain this exceptional pattern. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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