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Survival of newborns: implications for achieving the millennium development goal in Bangladesh
1subir_03@yahoo.com
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.
Abstract:
The global burden of neonatal deaths is around 37% of all under-five deaths (UNICEF 2008). In Bangladesh, neonatal deaths account for almost half of all under-five mortality. Most newborn deaths in Bangladesh take place at home and in the absence of a skilled hand. The target of Millennium Development Goal 4 for Bangladesh is to reduce under-five mortality by two thirds by 2015 from 1990 levels. The objectives of this article are to give an overview of newborn health in Bangladesh and provide a strategy for further reducing under-five mortality to achieve MDG 4. Data for this study were obtained from the Bangladesh Demographic and Health Survey (BDHS) 2004 data set (National Institute of Population and Training [NIPORT] et al. 2005). According to the BDHS, under-five mortality in Bangladesh declined from 133 per 1000 live births in 1991 to 88 per 1000 in 2001, about 4.1% per year. However, the decline was faster between 1991 and 1997 than from 1997 to 2001. The BDHS shows that while neonatal deaths were 39% of all under-five deaths in 1991, they constituted almost half in 2001. The highest concentration of newborn deaths occurred during delivery and within the first 24 hours of birth. Reducing newborn deaths will be an important strategy to achieve MDG 4.
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