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Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India

Praween K Agrawal1, Sutapa Agrawal, Luke C Mullany

  • 1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Room E-8138, 615 N. Wolfe Street, Baltimore, MD 21205, USA. abaqui@jhsph.edu

Journal of Epidemiology and Community Health
|April 12, 2012
PubMed

Insights

Clean cord care practices significantly reduce neonatal mortality in rural India. Implementing these practices in community programs can improve newborn survival rates.

Area of Science:

  • Public Health
  • Neonatal Care
  • Maternal Health

Background:

  • India faces high neonatal mortality, with infections being a major cause.
  • Post-delivery care practices impact newborn infection risk and survival.

Purpose of the Study:

  • To investigate the link between clean cord care and neonatal mortality.
  • Focus on rural Uttar Pradesh, India.

Main Methods:

  • Household survey data from 5741 singleton live births in Uttar Pradesh (2005).
  • Analysis of clean cord care (instrument, tie, application) and neonatal mortality.
  • Multivariate logistic regression models used for estimation.

Main Results:

  • Only 30% of mothers practiced clean cord care.
  • Neonatal mortality was lower with clean cord care (36.5/1000) vs. non-practice (53.0/1000).
  • Clean cord care associated with 37% reduced neonatal mortality (OR=0.63).

Conclusions:

  • Promoting clean cord care is crucial for improving neonatal survival.
  • Community-based programs can effectively integrate these practices.
  • Findings applicable to rural India and similar settings.
Abstract

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