Neonatal Death with Relation to Institutional Delivery in North-Eastern States of India

Abstract

Background: Millennium development goal sets target to achieve goal of reducing child mortality for all countries. However decline in neonatal mortality for developing countries was very slow. In India reduction in neonatal mortality was led by institutional delivery along with several other factors. As government of India has implemented various policies to promote institutional delivery. Objectives: This study provides information regarding impact of institutional delivery on neonatal death. Also explains underlying factors which affect institutional delivery. Methods: Present study analyse data from National Family Health Survey, 2015-16 (NFHS-IV). A total of 179752 births (last birth) and 3774 neonatal death were recorded in last 1 Year in Northeastern states of India. A Logistic regression is attempted to understand the correlates of Institutional delivery. Logistic regression model was used to assess the factors responsible for neonatal death in North-Eastern states of India. Results: In Sikkim almost all deliveries taken place at institutions whereas Nagaland is having the highest cases of non-institutional delivery. Highest neonatal death prevails in the state of Assam, Whereas Mizoram and Arunachal Pradesh is having few neonatal death. Conclusion: This study clearly indicates the roll of different socio-economic factors on institutional delivery as a part of to promote neonatal survival. And found that influence of institutional delivery is not much on neonatal death. This may be because there are several variables which affect the pattern of neonatal death of an area. But from the study it is found that delivery at home is still higher in some of the states like Nagaland. Funding Statement: None. Declaration of Interests: None. Ethics Approval Statement: The institutional review board of IIPS Mumbai has given ethical approval.