Title:
Underlying Factors for Neonatal Mortality in Nepal
Authors:
Tamang, Indra kala
Year:
2014
PAGE:
x, 57
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Neonatal Mortality, Survival, Maternal and Newborn Health, Underlying Factors, Practices, Childbirth, Postnatal Care, Nepal
Abstract:
Background Neonatal mortality is a global public health issue, it accounts for about 41% of all under-five child deaths. The neonatal mortality rate in Nepal is 33 per 1,000 live births and this is stagnated from 2006 and 2011. There are several underlying factors that contribute to newborn death. Objectives of this study are to analyze the underlying factors for neonatal mortality, and identify challenges and practical and cost effective initiatives to reduce the neonatal mortality in Nepal. Study method of this study is literature review, searching electronic databases and relevant websites. Findings concerned to underlying causes of newborn death in Nepal are socio-economic factors which include low education, harmful cultural practices, low socio-economic status, low nutritional status of women, maternal age, parity, accessibility of quality maternal and newborn health services, place of delivery and delivery conducted by skilled birth attendant, prematurity, low birth weight, hygiene, and health care seeking practice and other direct causes of newborn death such as infection, birth asphyxia, and hypothermia which were explored through underlying factors. Conclusion Given the underlying factors for neonatal death; maternal age, birth spacing, deeply rooted cultural practice in newborn care, and maternal education are found to have significant association with neonatal death in Nepal. Even though the Nepal Government, Ministry of Health and Population have national neonatal health strategy and implemented several initiatives and programs recognizing existing newborn issues and trying to solve problems associated with neonatal health, Nepal is not able to bring desirable improvement. Therefore it is crucial to address the underlying causes of neonatal death through multiple interventions by multisectoral collaboration. The continuum of care of women thorough out their lifecycle and home based specific neonatal care are very important to improve the newborns’ health and survival.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development Policy & Practice
Country:
Nepal, Federal Democratic Republic of
Region:
South Asia
Training:
Master of Public Health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2014 Tamang
Document type:
Thesis/dissertation
File:
Z6e27ZVQA3_20161025123708488.pdf