How fast did newborns die in Nigeria from 2009-2013: a time-to-death analysis using Verbal /Social Autopsy data

Journal of Global Health
Alain K KoffiRobert E Black

Abstract

The slow decline in neonatal mortality as compared to post-neonatal mortality in Nigeria calls for attention and efforts to reverse this trend. This paper examines how socioeconomic, cultural, behavioral, and contextual factors interact to influence survival time among deceased newborns in Nigeria. Using the neonatal deaths data from the 2014 Nigeria Verbal/ Social Autopsy survey, we examined the temporal distribution of overall and cause-specific mortality of a sample of 723 neonatal deaths. We fitted an extended Cox regression model that also allowed a time-dependent set of risk factors on time-to-neonatal death from all causes, and then separately, from birth injury/birth asphyxia (BIBA) and neonatal infections, while adjusting for possible confounding variables. Approximately 26% of all neonatal deaths occurred during the first day, 52.8% during the first three days, and 73.9% during the first week of life. Almost all deaths (94.4%) due to BIBA and about 64% from neonatal infections occurred in the first week of life. The expected all-cause mortality hazard was 6.23 times higher on any particular illness day for the deceased newborns who had a severe illness at onset compared to those who did not. While the all-cause mortal...Continue Reading

References

Dec 1, 1996·Journal of Tropical Pediatrics·C C MobleyR E Black
Feb 13, 1999·Paediatric and Perinatal Epidemiology·H D KalterR E Black
Mar 9, 2005·Lancet·Joy E LawnUNKNOWN Lancet Neonatal Survival Steering Team
Mar 16, 2005·Lancet·Gary L DarmstadtUNKNOWN Lancet Neonatal Survival Steering Team
Mar 30, 2005·Lancet·Jose MartinesUNKNOWN Lancet Neonatal Survival Steering Team
Feb 18, 2010·American Journal of Lifestyle Medicine·Robert E McKeown
Nov 3, 2011·BMC Infectious Diseases·Michael K MwanikiJames A Berkley
Apr 26, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·M J SankarV K Paul

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Software Mentioned

Census and Survey Processing System ( CSPro )
Pathway Analysis
STATA
VASA
CSPro

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