Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys
Abstract Background and Aims Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable la...
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| Format: | Article |
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Wiley
2024-08-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.2298 |
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| author | Rakhi Dey Satyajit Kundu Kobi V. Ajayi Humayun Kabir Md. Hasan Al Banna |
| author_facet | Rakhi Dey Satyajit Kundu Kobi V. Ajayi Humayun Kabir Md. Hasan Al Banna |
| author_sort | Rakhi Dey |
| collection | DOAJ |
| description | Abstract Background and Aims Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh. Methods The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother's education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate. Results A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth‐driven (PAF: −20.6, 95% CI: −24.9, −16.3; PAR: −6.6, 95% CI: −7.9, −5.2), education‐related (PAF: −11.6, 95% CI: −13.4, −9.7; PAR: −3.7, 95% CI: −4.3, −3.1), and regional (PAF: −20.6, 95% CI: −27.0, −14.3; PAR: −6.6, 95% CI: −8.6, −4.6) disparities in NMR in all survey points. We also found a significant urban–rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time. Conclusion Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns. |
| format | Article |
| id | doaj-art-8bbd211bc10341b0871408204e7129a3 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-8bbd211bc10341b0871408204e7129a32025-08-20T04:00:43ZengWileyHealth Science Reports2398-88352024-08-0178n/an/a10.1002/hsr2.2298Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveysRakhi Dey0Satyajit Kundu1Kobi V. Ajayi2Humayun Kabir3Md. Hasan Al Banna4Statistics Discipline Khulna University Khulna BangladeshSchool of Medicine and Dentistry Griffith University Gold Coast QLD AustraliaDepartment of Health Behavior, School of Public Health Texas A&M University College Station College Station Texas USADepartment of Health Research Methods, Evidence and Impact McMaster University Hamilton Ontario CanadaFaculty of Nutrition and Food Science Patuakhali Science and Technology University Patuakhali BangladeshAbstract Background and Aims Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh. Methods The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother's education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate. Results A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth‐driven (PAF: −20.6, 95% CI: −24.9, −16.3; PAR: −6.6, 95% CI: −7.9, −5.2), education‐related (PAF: −11.6, 95% CI: −13.4, −9.7; PAR: −3.7, 95% CI: −4.3, −3.1), and regional (PAF: −20.6, 95% CI: −27.0, −14.3; PAR: −6.6, 95% CI: −8.6, −4.6) disparities in NMR in all survey points. We also found a significant urban–rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time. Conclusion Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns.https://doi.org/10.1002/hsr2.2298BangladeshDHSinequalityneonatal mortalitytrends |
| spellingShingle | Rakhi Dey Satyajit Kundu Kobi V. Ajayi Humayun Kabir Md. Hasan Al Banna Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys Health Science Reports Bangladesh DHS inequality neonatal mortality trends |
| title | Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys |
| title_full | Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys |
| title_fullStr | Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys |
| title_full_unstemmed | Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys |
| title_short | Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross‐sectional surveys |
| title_sort | trends and inequalities in neonatal mortality rate in bangladesh evidence from cross sectional surveys |
| topic | Bangladesh DHS inequality neonatal mortality trends |
| url | https://doi.org/10.1002/hsr2.2298 |
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