Some Determinants of Infant Mortality Rate in SAARC Countries: an Empirical Assessment through Panel Data Analysis

Dutta, Ujjal Protim; Gupta, Hemant; Sarkar, Asok K.; Sengupta, Partha Pratim

doi:10.1007/s12187-020-09734-8

Cited by 11 publications

(10 citation statements)

References 32 publications

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“…Family income was lowest among those who died and highest among those who completed follow-up and mothers' literacy levels were highest among those who completed follow-up. All these factors, that is, rural residence, family income, gestational age, birth weight have emerged as important determinants of infant and child mortality in Bangladesh and its neighboring countries 11,12 .…”

Section: Discussionmentioning

confidence: 99%

Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age

Hoq

Chowdhury

Ahmed

et al. 2021

Chatt Maa Shi Hosp Med Coll J

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Background: Moderate Preterm (MP) and Late Preterm (LP) infants together comprise more than 80% of all prematurely born infants. Since last decade, there has been growing concern about Neurodevelopmental Abnormality (NDA) in these infants. This study was aimed to assess neurodevelopmental status of moderate to late preterm born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital in Bangladesh. Materials and methods: In this prospective observational study 215 preterm (32 to <37 completed weeks gestation at birth) infants (107 MP and 108 LP) were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3 and 6 months of Corrected Age (CA). Results: Of the 215 enrolled children, 63 (29.3%) attended all the 3 follow-up, 123 (57.2%) had incomplete follow-up or lost and 29 (13.5%) died. At final follow-up out of 63 infants 43 (68.3%) had no abnormality in all 8 domains of RNDA. Seven infants (11.1%) had abnormality in one domain and 13 (20.6%) had abnormality in more than one domain. Gross motor abnormality was most common abnormality (28.6%), followed by cognition (14.3%), vision (12.7%) and behavior (12.7%). Small for gestational age and lower birth weight were found to be independent predictive factors for NDA in moderate to late preterm infants. Conclusion: Study has shown that NDA persist till 6 months of CA in moderate to late preterm infants. It is important to closely monitor the neurodevelopmental status and provide early intervention in referred cases. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 50-54

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Section: Discussionmentioning

confidence: 99%

Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age

Hoq

Chowdhury

Ahmed

et al. 2021

Chatt Maa Shi Hosp Med Coll J

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“…Economic growth also significantly affects infant and child health, where many of the researchers noted that economic growth reduced infant and child mortality rates in African nations (see [ 3 , 8 , 62 , 78 ]; and [ 43 ]). Beyond African countries, many of the researchers observed that economic growth had a statistically significant impact on reducing the infant and child mortality rates (see [ 20 , 34 , 72 ]; and [ 74 ]). However, Pérez-Moreno et al [ 68 ] identified that a decrease in GDP per capita causes a significant increase in child mortality, whereas the rise does not affect child mortality significantly in the Least Developed Countries (LDCs).…”

Section: Literature Reviewmentioning

confidence: 99%

Socio-economic factors affecting high infant and child mortality rates in selected African countries: does globalisation play any role?

2022

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Background Despite the declining trends worldwide, infant and child mortality rates are still high in many African countries. These high rates are problematic; therefore, this study attempts to explore the contributing factors that cause high infant and child mortality rates in 14 African countries using panel data for the period of 2000–2018. In particular, the role globalisation is explored. Methods The panel corrected standard error (PCSE), the Feasible generalized least square (FGLS) models, and the pair-wise Granger causality test have been applied as methodological approaches. Results The public health expenditure, numbers of physicians, globalization, economic development, education, good governance, and HIV prevalence rate have been revealed as the determinants of infant and child mortality in these countries. All these variables except the HIV prevalence rate negatively affect the infant and child mortality rates, while the HIV prevalence rate is found to be positive. Bidirectional and unidirectional causal relationships between the variables are also attained. Conclusions Effective socio-economic policy priority with due consideration of globalization should be emphasized to reduce infant and child mortality rates in these countries.

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“…Poor health of newborn (Vidal e Silva et al, 2018), prenatal and postnatal care (Iram & Butt, 2008;Reno & Hyder, 2018), multiple births (Dwomoh et al, 2019;Vidal e Silva et al, 2018), and birth interval (Dwomoh et al, 2019;Lamichhane et al, 2017;Reno & Hyder, 2018) are also found to be associated with infant mortality. Maternal age and health (Iram & Butt, 2008;Reno & Hyder, 2018;Vidal e Silva et al, 2018), maternal substance use (Reno & Hyder, 2018), education (Andriano & Monden, 2019;Dutta et al, 2020;Iram & Butt, 2008;Reno & Hyder, 2018), poor socioeconomic status (Ezeh et al, 2015;Iram & Butt, 2008;Reno & Hyder, 2018), rural residence and region (Ezeh et al, 2015;Lamichhane et al, 2017), area disadvantage (Reno & Hyder, 2018;Vidal e Silva et al, 2018), and female labor participation or employment (Akinyemi et al, 2018;Scharber, 2014) also predicted child and infant mortality. Other maternal factors include intimate partner violence (Ahmed et al, 2006;Koenig et al, 2010), tetanus immunization (Iram & Butt, 2008), mass media use, and body mass index (Memiah et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Other maternal factors include intimate partner violence (Ahmed et al, 2006;Koenig et al, 2010), tetanus immunization (Iram & Butt, 2008), mass media use, and body mass index (Memiah et al, 2020). Furthermore, environmental determinants such as unsafe drinking water, poor sanitation and hygiene, solid fuel use, electricity availability, urbanization, and pollution are found to have a significant impact on infant mortality (Bassani et al, 2010;Dutta et al, 2020;Iram & Butt, 2008;Reno & Hyder, 2018;Rinne et al, 2007;Sartorius & Sartorius, 2014). National-level indicators such as health expenditure and GDP per capita are also shown to be associated with IMR (Dutta et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, environmental determinants such as unsafe drinking water, poor sanitation and hygiene, solid fuel use, electricity availability, urbanization, and pollution are found to have a significant impact on infant mortality (Bassani et al, 2010;Dutta et al, 2020;Iram & Butt, 2008;Reno & Hyder, 2018;Rinne et al, 2007;Sartorius & Sartorius, 2014). National-level indicators such as health expenditure and GDP per capita are also shown to be associated with IMR (Dutta et al, 2020). Identifying factors predicting child mortality can contribute to designing effective policies and interventions to save children's lives.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Infant Mortality in Bhutan: Evidence from the 2012 National Health Survey Data

Dendup¹,

Putra²,

Tobgay³

et al. 2021

JPSS

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This study examined the bio-demographic, socioeconomic, environmental, and health-related determinants of infant mortality in the Kingdom of Bhutan. The nationally representative dataset of the 2012 National Health Survey (NHS), Ministry of Health of Bhutan, was used. Cox proportional hazards regression from survival analysis, accounting for the complex study design of the NHS, was performed using a stepwise approach to identify the determinants associated with infant mortality. The weighted infant mortality rate from November 2009 to October 2011 was 34 per 1,000 live births. Children born to uneducated mothers (aHR=2.27; 95%CI=1.16-4.47) and mothers who experienced domestic violence during pregnancy (aHR=4.24; 95%CI=1.45-12.41) were more likely to die before reaching their first birthday. Those infants born in households that used solid fuel were 2.16 times (95%CI=1.21-3.85) more likely to die than their counterparts. Relative to those born in the central region, children born in western (aHR=6.13; 95%CI=2.84-13.20) and the eastern (aHR=5.13; 95%CI=2.81-9.35) regions had a greater risk of dying. The results showed that education, domestic violence experience, solid fuel use, and region of residence are the key determinants of infant mortality in Bhutan. Policies that facilitate education and empowerment of women, prevent domestic violence, reduce solid fuel use, and equitable regional socioeconomic development policies may help accelerate the reduction of child mortality.

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Some Determinants of Infant Mortality Rate in SAARC Countries: an Empirical Assessment through Panel Data Analysis

Cited by 11 publications

References 32 publications

Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age

Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age

Socio-economic factors affecting high infant and child mortality rates in selected African countries: does globalisation play any role?

Determinants of Infant Mortality in Bhutan: Evidence from the 2012 National Health Survey Data

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