Abstract
Maternal chlamydia infection, preterm birth, and travel time to clinic associated with increased infant mortality: a nested case-control study in Kenya
Highlights
Program/Project Purpose: Misidentified stillbirths, unattended deliveries, and few trained birth attendants contribute to the slow decrease of neonatal mortality in resource-limited countries
We have interviewed over 700 informantsdincluding high-level government officials, organizational leaders, health administrators, frontline providers, and community membersd across 32 low- to middle-income settings on how decisions were made
Decreasing infant mortality was a key aim of Millennium Development Goal (MDG) 4
Summary
Decreasing infant mortality was a key aim of Millennium Development Goal (MDG) 4. While many regions worldwide made substantial progress, not all attained MDG4. Defining determinants of infant mortality in settings with high rates of infant mortality can inform strategies to further decrease mortality. The World Health Organization recommends that all women remain in a health facility for at least 24 hours following an uncomplicated vaginal delivery. In Ghana, many women are discharged sooner than recommended due to insufficient resources including bed space and staff. The objective of this study was to determine if infant mortality, infant weight gain, time to first fever or illness, number of acute hospital visits, and completion of immunizations are affected by discharge within 8 hours of delivery
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