Childhood Mortality Estimates Using the Preceding Birth Technique: Some Applications and Extensions

Hill, Allan G.; Aguirre, Alicia Álvarez

doi:10.1080/0032472031000144616

Cited by 13 publications

(18 citation statements)

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“…To ensure comparability with previous data, the preceding-birth technique was used. [ 10 – 12 ] Multiparous mothers who attended UNRWA health centres with their most recently-born child for registration and immunization were interviewed and asked if their preceding child was alive or dead. The preceding-birth technique is derived from the original Brass-Macrae method [ 13 ] and was modified by asking the age at death, categorized as early-neonatal (≤7 days), late-neonatal (8-≤28 days), and post-neonatal (>28 days-1 year).…”

Section: Methodology and Methodsmentioning

confidence: 99%

“…[ 11 , 14 ] This technique is useful to estimate infant mortality rates indirectly in a population with generally high-fertility rates and short birth intervals. [ 12 , 15 ] It is valuable to measure changes in mortality rates as one element in the regular evaluation of UNRWA practices. [ 12 ]…”

Section: Methodology and Methodsmentioning

confidence: 99%

“…[ 12 , 15 ] It is valuable to measure changes in mortality rates as one element in the regular evaluation of UNRWA practices. [ 12 ]…”

Section: Methodology and Methodsmentioning

confidence: 99%

“…Similar to previous surveys and as described by Hill and Aguirre, the estimated mortality rates are adjusted by a correction factor of 1.09, to account for mothers who lost their current child in addition to the mothers who lost both the current and the preceding child. [ 11 , 12 ]…”

Section: Methodology and Methodsmentioning

confidence: 99%

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Increasing Neonatal Mortality among Palestine Refugees in the Gaza Strip

et al. 2015

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BackgroundThe United Nations Relief and Works Agency for Palestine refugees in the Near East (UNRWA) has periodically estimated infant mortality rates among Palestine refugees in Gaza. These surveys have recorded a decline from 127 per 1000 live births in 1960 to 20.2 in 2008.MethodsWe used the same preceding-birth technique as in previous surveys. All multiparous mothers who came to the 22 UNRWA health centres to register their last-born child for immunization were asked if their preceding child was alive or dead. We based our target sample size on the infant mortality rate in 2008 and included 3128 mothers from August until October 2013. We used multiple logistic regression analyses to identify predictors of infant mortality.FindingsInfant mortality in 2013 was 22.4 per 1000 live births compared with 20.2 in 2008 (p = 0.61), and this change reflected a statistically significant increase in neonatal mortality (from 12.0 to 20.3 per 1000 live births, p = 0.01). The main causes of the 65 infant deaths were preterm birth (n = 25, 39%), congenital anomalies (n = 19, 29%), and infections (n = 12, 19%). Risk factors for infant death were preterm birth (OR 9.88, 3.98–24.85), consanguinity (2.41, 1.35–4.30) and high-risk pregnancies (3.09, 1.46–6.53).ConclusionFor the first time in five decades, mortality rates have increased among Palestine refugee newborns in Gaza. The possible causes of this trend may include inadequate neonatal care. We will estimate infant and neonatal mortality rates again in 2015 to see if this trend continues and, if so, to assess how it can be reversed.

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Section: Methodology and Methodsmentioning

confidence: 99%

Section: Methodology and Methodsmentioning

confidence: 99%

“…[ 12 , 15 ] It is valuable to measure changes in mortality rates as one element in the regular evaluation of UNRWA practices. [ 12 ]…”

Section: Methodology and Methodsmentioning

confidence: 99%

Section: Methodology and Methodsmentioning

confidence: 99%

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Increasing Neonatal Mortality among Palestine Refugees in the Gaza Strip

et al. 2015

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“…Women who are in labor may be unwilling or unable to answer additional questions, however, and asking them questions privately may not be possible, so the usefulness of the PBT at the time of labor may be limited. An alternative is to ask women about a previous pregnancy at the time of an antenatal visit, as was suggested for the original use of the PBT (Hill and Aguirre 1990). This timing may be advantageous because women are likely to be more at ease with discussing obstetric outcomes during such visits and because, in many locations, more women seek antenatal care than delivery services.…”

Section: Data Collectionmentioning

confidence: 99%

Clinic‐based Surveillance of Adverse Pregnancy Outcomes to Identify Induced Abortions in Accra, Ghana

Oliveras¹,

Ahiadeke²,

Adanu³

et al. 2008

Studies in Family Planning

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Clustering of child deaths among families in low and middle‐income countries: A meta‐analysis

Dwivedi

Ranjan

Mishra

et al. 2023

Health Science Reports

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Background and Aims: Several studies have examined the phenomenon of "death clustering," in which two or more children born to the same mother or from the same family die at an early age. Therefore, a scientific examination of the results is essential to understand how the survival status of the older siblings affects the survival of the younger siblings. By using meta-analysis, this study aims to provide a quantitative synthesis of the results of studies on "child death clustering" in low-and middle-income countries (LMICs).Methods: This study followed the PRISMA-P 2015 guidelines. We used four electronic databases-PubMed, Medline, Scopus, and Google Scholar with search and citation analysis capabilities. Initially, 140 studies were identified, but only 27 met the eligibility criteria eventually. These were studies that had used the death of a previous child as a covariate to determine the survival status of the index child. The heterogeneity and the publication bias of the studies were examined using the Cochran test, I 2 statistic, and Egger's meta-regression test. Results:The pooled estimate of 114 study estimates for LMICs contains some bias.India's 37 study estimates were distributed more or less equally along the middle line, indicating no publication bias, while there was a slight bias in the estimates for Africa, Latin America, and Bangladesh. The odds of experiencing the death of the index child in the selected LMICs were 2.3 times higher for mothers who had lost any prior child as compared to those mothers who had not had any prior child loss.For African mothers, the odds were five times higher, whereas for Indian mothers, the odds were 1.66 times higher. Mothers' characteristics, such as education, occupation, health-seeking behavior, and maternal competence, significantly affect the child's survival status. Conclusion:Achieving the sustainable development goals would not be possible if mothers in countries experiencing high levels of under-five mortality are not provided with better health and nutrition facilities. Mothers who have lost multiple children should be targeted for assistance.

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Childhood Mortality Estimates Using the Preceding Birth Technique: Some Applications and Extensions

Cited by 13 publications

References 0 publications

Increasing Neonatal Mortality among Palestine Refugees in the Gaza Strip

Increasing Neonatal Mortality among Palestine Refugees in the Gaza Strip

Clinic‐based Surveillance of Adverse Pregnancy Outcomes to Identify Induced Abortions in Accra, Ghana

Clustering of child deaths among families in low and middle‐income countries: A meta‐analysis

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