The comparing of infant mortality rate in different World Health Organization regions during 1990–2017

Esmaeilzadeh, Firooz; Alimohamadi, Yousef; Sepandi, Mojtaba; Khodamoradi, Farzad; Jalali, Parisa

doi:10.1186/s43054-020-00048-6

Cited by 12 publications

(8 citation statements)

References 28 publications

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“…In most European countries, the described overall decreasing trend in PMR and IMR may be explained by the overall improvements in healthcare and economic and social transformations over the last two decades 11 38–40. This downward trend may also reveal the recurring association between macroeconomic cycles and describe variations in mortality trends 41.…”

Section: Discussionmentioning

confidence: 98%

2008 economic crisis impact on perinatal and infant mortality in Southern European countries

Doetsch

Almendra

Severo

et al. 2023

J Epidemiol Community Health

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IntroductionThe study of crisis events provides important lessons to prepare for upcoming events. The Great Recession’s impact on perinatal health in Europe can provide relevant insights into the healthcare and social protection systems’ response to the protection of the health of the most vulnerable groups.ObjectiveTo assess time trends and international disparities in perinatal mortality rates (PMR) and infant mortality rates (IMR), following the Great Recession, and their association with socioeconomic indicators in Portugal, Greece, Italy and Spain.MethodsAssociations were assessed through generalised linear models for all four countries. A Poisson joinpoint regression model was applied to explore PMR and IMR trend changes between 2000 and 2018. Country disparities were analysed using mixed-effects multilevel models.ResultsIMR and PMR have decreased overall in the four selected countries between 2000 and 2018. Still, whereas in Spain, Italy and Portugal the decreasing pace was attenuated after 2009, in Greece a positive trend was found after the 2008 crisis. IMR and PMR were significantly associated with socioeconomic indicators in all four countries. National disparities in the evolution of IMR and PMR were significantly associated with most socioeconomic indicators between 2000 and 2018.ConclusionOur results confirm the impact of the Great Recession on PMR and IMR trends in all four countries, taking recurring associations between macroeconomic cycles, variations in mortality trends, macroeconomic volatility and stagnation of IMR and PMR into account. The association with socioeconomic indicators stresses the need to strengthen social protection and healthcare systems to better protect the population’s health from the earliest days.

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Section: Discussionmentioning

confidence: 98%

2008 economic crisis impact on perinatal and infant mortality in Southern European countries

Doetsch

Almendra

Severo

et al. 2023

J Epidemiol Community Health

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“…As infant mortality rates from communicable diseases decrease, newborn screening initiatives such as POX for CCHD is a growing public health priority in low and middle-income countries [ 26 ]. When coupled with an increased rate of hospital deliveries observed in developing countries [ 27 ], it offers an opportunity window to screen for diseases soon after birth.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Newborn Screening for Critical Congenital Heart Disease in a Low-Resource Setting; Research Protocol and Preliminary Results of the Tanzania Pulse Oximetry Study

Majani

Chillo

Slieker

et al. 2022

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Background: Critical Congenital Heart Disease (CCHD) is the leading cause of early new-born mortality. Its early detection and intervention is crucial for the survival of affected new-born. Pulse Oximetry (POX) has shown to be one of the feasible, accurate and cost-effective tools in screening CCHD in developed nations, it is yet to be practiced and established as standard of care in a low-resource setting. Objectives: This paper reports on the research protocol and preliminary results of an ongoing study regarding the performance of POX in detecting CCHD in new-borns in a low resource setting. Secondary objectives include investigating the burdens of CCHD and outcome at 12 months of age. Methods: The Tanzanian Pulse Oximetry Study (TPOXS) is a prospective cohort study which plans to enrol 30,000 mothers and new-borns delivered at two referral hospitals in Tanzania. New-borns are offered POX test 12 hours after birth, those positively undergoes echocardiography examinations. Confirmed with CCHD are placed under observation for up to first birthday. Results: During a 5-months pilot period, a total of 1,592 infants at the Muhimbili National Hospital, received POX test .65% of them were post-caesarean section and 52% being male. Most babies delivered through Spontaneous Vertex Delivery (SVD) were promptly discharge and did not get screened. The detection-rate of CCHD was 2.5 per 1,000 live births (at 95% confidence interval [CI] 0.9 to 6.7 per 1000 live birth); with a POX false positive rate of 0.6%. Seven false-positive infants out of 10 were found to carry significant other neonatal conditions, including persistent pulmonary hypertension of the new-born, transient tachypnoeic and neonatal sepsis. Conclusion: This paper provides the protocol of the ongoing TPOXS with the preliminary results showing prevalence matching closely the global data. It shows acceptability of POX screening for CCHD in a well-prepared low resource setting. Highlight: This study addresses the utilization of pulse oximeter in detecting critical congenital heart disease (CCHD) in a low-resource setting (such as sub-Saharan African countries).

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“…Perinatal, neonatal and infant mortality rates are reliable indices of the child and general population health status as well as health care delivery in a country because the health and survival of infants depend upon the characteristics of the society in which they are born [ 1 , 2 ]. Preterm birth, complications during and immediately after childbirth, congenital disabilities, and infections are the leading causes of death in the most vulnerable period for child survival during the first month of life [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Association of socioeconomic disadvantage and ethnicity with perinatal neonatal, and infant mortality in Slovakia

Bosakova,

Rosicova,

Filakovska Bobakova

2024

BMC Public Health

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Background Infant mortality rates are reliable indices of the child and general population health status and health care delivery. The most critical factors affecting infant mortality are socioeconomic status and ethnicity. The aim of this study was to assess the association between socioeconomic disadvantage, ethnicity, and perinatal, neonatal, and infant mortality in Slovakia before and during the COVID-19 pandemic. Methods The associations between socioeconomic disadvantage (educational level, long-term unemployment rate), ethnicity (the proportion of the Roma population) and mortality (perinatal, neonatal, and infant) in the period 2017–2022 were explored, using linear regression models. Results The higher proportion of people with only elementary education and long-term unemployed, as well as the higher proportion of the Roma population, increases mortality rates. The proportion of the Roma population had the most significant impact on mortality in the selected period between 2017 and 2022, especially during the COVID-19 pandemic (2020–2022). Conclusions Life in segregated Roma settlements is connected with the accumulation of socioeconomic disadvantage. Persistent inequities between Roma and the majority population in Slovakia exposed by mortality rates in children point to the vulnerabilities and exposures which should be adequately addressed by health and social policies.

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The comparing of infant mortality rate in different World Health Organization regions during 1990–2017

Cited by 12 publications

References 28 publications

2008 economic crisis impact on perinatal and infant mortality in Southern European countries

2008 economic crisis impact on perinatal and infant mortality in Southern European countries

Newborn Screening for Critical Congenital Heart Disease in a Low-Resource Setting; Research Protocol and Preliminary Results of the Tanzania Pulse Oximetry Study

Association of socioeconomic disadvantage and ethnicity with perinatal neonatal, and infant mortality in Slovakia

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