Neonatal mortality and some points of consideration in its reduction; Research

Baby mother relationship

Neonatal and infant mortality is one of the distressing experiences of modern society. Despite of recent advancements with the decrease in mortality of children under five years of age from 10.8 million deaths per year in 2000 to 8.8 million deaths in 2008, it has been reported that neonatal deaths is persistently on the top of problems with 3.6 million deaths in 2008 that decreased from 3.9 million in 2000.

[hana-code-insert name=’StumbleUpon’ /][hana-code-insert name=’Reddit’ /] It has been reported that almost 3.3 million deaths of neonates occur annually within the first month of their lives. Neonatal deaths account for about 41% of all deaths in children below five years of age in the world in which 90% of children belongs to low and middle income countries (LMIC).

In LMIC settings, approximately three-quarters of neonatal deaths occur in the first week of life and nearly half occur in the first 24 h, of which more than half occur at home.

Infections – which is the cause of one-fourth of neonatal deaths – and care giving are the main problems of neonatal deaths. We have to study these two situations in-depth so that the problem can be decreased. Researchers are of the opinion that in many cases in LMICs parents and other family members involved in care-giving must have to be well informed about the baby’s illness.

It has also been reported that working against pneumonia and diarrhea along with the increase in nutrition supply in LMICs could save millions of children.

There is a need to simultaneously identify and strengthen supply-side strategies for neonatal health system development. However, merely increasing the availability of services, such as constructing more facilities or expanding health programs, may not directly result in an increase in the use of services. There is a role for combined strategies to increase demand for and supply of newborn health services.

Care giving conceptualized
Care giving conceptualized (CHW, community health worker; PHC, primary health care; SHC, secondary health care.)

Reference:

Hadley K. Herbert, Anne CC Lee, Aruna Chandran, Igor Rudan, and Abdullah H. Baqui, (2012). Care Seeking for Neonatal Illness in Low- and Middle-Income Countries: A Systematic Review. PLoS Medicine, doi:  10.1371/journal.pmed.1001183

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