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Updated: Oct 26, 2025
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Neonatal mortality in the 2011 JAKIDS birth cohort.
Helen Trotman1, Blondel Crosdale1, Maureen Samms-Vaughan1
1Department of Child & Adolescent Health, University of the West Indies, Mona, Jamaica.
Psychology, Health & Medicine
|August 2, 2021
Summary
Neonatal mortality in Jamaica was 14.9/1000 live births, with most deaths occurring early. Key risk factors include young maternal age, low birth weight, and prematurity.
Area of Science:
- Public Health
- Neonatalogy
- Epidemiology
Background:
- Neonatal mortality remains a significant global health challenge.
- Jamaica's progress towards Sustainable Developmental Goal 3.2 (reducing neonatal mortality) requires ongoing monitoring and intervention.
Purpose of the Study:
- To determine neonatal mortality rates and identify associated risk factors in a Jamaican birth cohort.
- To provide data to inform strategies for reducing neonatal deaths and achieving the Sustainable Developmental Goal target of 12/1000 live births by 2030.
Main Methods:
- Analysis of birth and neonatal death data from 87.5% of Jamaican births between July and September 2011.
- Calculation of Neonatal Mortality Rate (NMR), Early Neonatal Mortality Rate (ENMR), and Late Neonatal Mortality Rate (LNMR).
- Statistical analysis to identify determinants of neonatal mortality.
Main Results:
- The overall Neonatal Mortality Rate (NMR) was 14.9/1000 live births.
- Early Neonatal Mortality Rate (ENMR) was 12.5/1000 live births; 48% of deaths occurred within the first 24 hours.
- Risk factors associated with increased mortality included maternal age <15 years, low birth weight, prematurity, male gender, multiple gestation, and caesarean section births.
Conclusions:
- Neonatal mortality in Jamaica exceeds the SDG target, with a high proportion of deaths occurring within the first week of life.
- Interventions should prioritize reducing mortality among very low birth weight infants and implementing measures for larger infants.
- Addressing identified risk factors is crucial for Jamaica to achieve its neonatal mortality reduction goals.
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