Survival of newborns: implications for achieving the millennium development goal in Bangladesh

Subir Saha1, M Kabir

  • 1subir_03@yahoo.com

World Health & Population
|December 31, 2009
PubMed

Insights

Reducing neonatal deaths in Bangladesh is crucial for achieving the Millennium Development Goal 4. Most newborn deaths occur at home without skilled assistance, highlighting the need for improved newborn health strategies.

Area of Science:

  • Global Health
  • Demography
  • Maternal and Child Health

Background:

  • Neonatal deaths represent a significant portion of under-five mortality globally and in Bangladesh.
  • Most newborn deaths in Bangladesh occur at home, often without skilled birth attendants.
  • Millennium Development Goal 4 targets a two-thirds reduction in under-five mortality by 2015.

Purpose of the Study:

  • To provide an overview of newborn health in Bangladesh.
  • To propose strategies for reducing under-five mortality to meet MDG 4.
  • To analyze trends in neonatal and under-five mortality in Bangladesh.

Main Methods:

  • Utilized data from the Bangladesh Demographic and Health Survey (BDHS) 2004.
  • Analyzed under-five mortality rates from 1991 to 2001.
  • Examined the proportion of neonatal deaths within overall under-five mortality.

Main Results:

  • Under-five mortality in Bangladesh decreased from 133 to 88 per 1000 live births between 1991 and 2001.
  • The rate of decline in under-five mortality slowed between 1997 and 2001.
  • Neonatal deaths increased from 39% to nearly 50% of under-five deaths from 1991 to 2001.
  • The majority of newborn deaths occur during delivery and within the first 24 hours of birth.

Conclusions:

  • Reducing neonatal mortality is essential for achieving the Millennium Development Goal 4 in Bangladesh.
  • Addressing home births and lack of skilled assistance is critical for newborn survival.
  • Targeted interventions focusing on the delivery period and the first day of life are necessary.

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