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    Causes of Neonatal Deaths in a Rural Subdistrict of Bangladesh: Implications for Intervention

    153500_28227_Chowdhury_Causes-of-Neonatal-Deaths-in-a-Rural-Subdistrict-of-Bangladesh.pdf (180.7Kb)
    Access Status
    Open access
    Authors
    Chowdhury, H.
    Thompson, Sandra
    Ali, Mohammed
    Alam, N.
    Yunus, M.
    Streatfield, P.
    Date
    2010
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Chowdhury, Hafizur Rahman and Thompson, Sandra and Ali, Mohammed and Alam, Nurul and Yunus, Md. and Streatfield, Peter Kim. 2010. Causes of Neonatal Deaths in a Rural Subdistrict of Bangladesh: Implications for Intervention. Journal of Health, Population and Nutrition. 28 (4): pp. 375-382.
    Source Title
    Journal of Health, Population and Nutrition
    ISSN
    1606-0997
    School
    Centre for International Health (Curtin Research Centre)
    Remarks

    This paper has been reproduced with the permission of icddr,b, copyright holder of the publication. The paper was originally published in the Journal of Health, Population and Nutrition (JHPN), Chowdhury HR, Thompson S, Ali M, Alam N, Yunus M, Streatfield PK. Causes of neonatal deaths in a rural sub-district in Bangladesh: implications for intervention. J Health Popul Nutr 2010;28:375-82.

    URI
    http://hdl.handle.net/20.500.11937/22590
    Collection
    • Curtin Research Publications
    Abstract

    The study assessed the timing and causes of neonatal deaths in a rural area of Bangladesh. A population baseddemographic surveillance system, run by the International Centre for Diarrhoeal Disease Research, Bangladesh, recorded livebirths and neonatal deaths during 2003-2004 among a population of 224,000 living in Matlab, a rural subdistrict of eastern Bangladesh. Deaths were investigated using the INDEPTH/World Health Organization verbal autopsy. Three physicians independently reviewed data from verbal autopsy interview to assign the cause of death. There were 11,291 livebirths and 365 neonatal deaths during the two-year period. The neonatal mortality rate was 32.3 per 1,000 livebirths. Thirty-seven percent of the neonatal deaths occurred within 24 hours, 76% within 0-3 days, 84% within 0-7 days, and the remaining 16% within 8-28 days.Birth asphyxia (45%), prematurity/low birthweight (15%), sepsis/meningitis (12%), respiratory distress syndrome (7%), and pneumonia (6%) were the major direct causes of death. Birth asphyxia (52.8%) was the single largest category of cause of death in the early neonatal period while meningitis/sepsis (48.3%) was the single largest category in the late neonatal period. The high proportion of deaths during the early neonatal period and the far-higher proportion of neonatal deaths caused by birth asphyxia compared to the global average (45% vs 23-29%) indicate the lack of skilled birth attendance and newborn care for the large majority of births that occur in the home in rural Bangladesh. Resuscitation of newborns and management of low-birthweight/premature babies need to be at the core of neonatal interventional packages in rural Bangladesh.

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