Abstract
BackgroundBangladesh has achieved MDG 4, but although post neonatal and child mortality have shown impressive declines, neonatal mortality is still lagging behind. More efforts have to be made to improve this state of affairs. The objective of this paper is to identify the effect of proper antenatal care and social wellbeing on early neonatal mortality in Bangladesh.MethodsThe data used for this study is the Bangladesh Multiple Indicator Cluster Survey. This study used several independent variables such as mother’s school attendance, receiving antenatal care, receiving TT injection, place of residence and wealth quintile. Here both bivariate and multivariate analysis have been used. At bivariate level, simple cross tabulation and appropriate measures of association have been used to find out the statistical association between dependent and independent variables. In this study the outcome/dependent variable is early neonatal mortality (children who died within 7 days after birth) which is a binary variable. If early neonatal mortality occurs among the respondents then it is considered as 1, otherwise it is considered as 0. Logistic regression was used to identify the factors which are involved in reducing this early neonatal mortality.ResultsWomen who received antenatal care during their time of pregnancy are likely to have 18% lower odds of experiencing early neonatal mortality (OR = 0.82, CI = (0.71–0.95)) compared to groups who did not receive antenatal care during pregnancy. In terms of social well-being, the woman who comes from the richest family are likely to have 45% lower odds of experiencing early neonatal mortality (OR = 0.55, CI = (0.42–0.720) compared to the poorest one.ConclusionThe outcomes of this paper suggest that the women’s antenatal care and social well-being has a significant effect on early neonatal mortality.
Highlights
Bangladesh has achieved Millennium development goals (MDGs) 4, but post neonatal and child mortality have shown impressive declines, neonatal mortality is still lagging behind
Bangladesh is not an exception to this trend of childhood mortality. By considering all these issues, this paper aims to find out the effect of antenatal care and social well-being on early neonatal mortality in the context of Bangladesh
The present study examined the effects of antenatal care and social well-being on early neonatal mortality (ENM) in Bangladesh
Summary
Bangladesh has achieved MDG 4, but post neonatal and child mortality have shown impressive declines, neonatal mortality is still lagging behind. Reduction of child mortality was one of the major goals of MDGs and its target was to reduce childhood mortality rate up to 66% within the year 2015 [1]. With the target of sustainable development goals (SGD) for achieving universal health coverage, neonatal mortality must decline in tandem with child mortality. The infant mortality rate was 94/1000 live births and the under-five child mortality was 151/1000 live births in the year 1990 [4]. Just after 6 years both infant mortality rate and under five child mortality rate have declined with IMR at 46/1000 live births and under-5 mortality rate at 58/1000 live births in the year 2015 [5]. According to the Health Bulletin 2017 of DGHS, the neonatal mortality rate is reported as 19 per 1000 live births (SVRS 2016) and 28 per 1000 live births (BDHS 2014) [6].
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