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[Newborn babies' health in Rwanda: evolution of factors associated with neonatal mortality trends]
1Ecole de Santé Publique, Faculté de médecine, Nancy Université, Vandoeuvre-lès-Nancy Cedex, France.
Insights
Neonatal mortality in Rwanda showed little improvement from 1980-2000, but a decline began around 2000. Persistent factors like short birth intervals hinder progress, yet newborn care quality is improving.
Area of Science:
- Public Health
- Demography
- Neonatal Medicine
Context:
- Neonatal mortality remains a significant challenge in sub-Saharan Africa, with Rwanda showing stagnant rates from the 1980s.
- Despite minor fluctuations, substantial progress in reducing neonatal mortality was not observed until the early 2000s.
Purpose:
- To analyze the evolving determinants of neonatal mortality in Rwanda between 1980 and 2000.
- To identify persistent obstacles hindering the sustainable reduction of neonatal mortality.
Summary:
- Regressive logistic analyses revealed persistent risk factors, including short birth intervals and premature births.
- While conditions for pregnancy and delivery remain suboptimal, there are indications of improved prenatal and newborn care quality.
Impact:
- Understanding these trends is crucial for developing targeted interventions to further decrease neonatal mortality.
- The findings highlight the need for continued focus on improving maternal and child health services in Rwanda.
Abstract:
In spite of increasing attention for maternal and child health, neonatal mortality (before the age of one month) represents a significant part of infant mortality in sub-Saharan Africa. Several demographic and health surveys show the lack of any major improvement since the 1980s in Rwanda, and despite some indication of minor improvement, any real progress has been countered by periods of aggravation of the situation. However, a noticeable decrease in neonatal mortality seems to have begun since the year 2000. This study describes the evolution of the determinants of neonatal mortality between 1980 and 2000 and the obstacles that hinder its sustainable decline. Regressive logistical analyses conducted with data on several different generations of newborns showed the persistence of some unfavourable factors and conditions, such as the short period of time between births of babies carried to term and premature births. Nevertheless, although the conditions for pregnancy and delivery are still insufficient, the quality of pre-natal and newborn care seems to be improving.
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