Neo-natal and post-neo-natal mortality in a rural area of Bangladesh

Bibliographic Data

ID4267521
AuthorsJohn Stoeckel, A K M Alauddin Chowdhury
Year1972
Volume26
Issue1
Pages113-120
Publication date1972-03-01
Open AccessNo
TypeARTICLE
VenuePopulation Studies (JOURNAL)
Journal identifiersISSN: 0032-4728 • E-ISSN: 1477-4747
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00324728.1972.10405206
PMID22070175
OpenAlexW1976760901
LanguageEN
Citations received12
References cited2

An analysis of neo-natal and post-neo-natal mortality in 132 villages (population of 117,000) of Matlab thana indicates the following: (i) Neo-natal deaths accounted for 60% of the infant mortality rate of 125. This proportion was unexpectedly high since previous research had maintained that in countries with infant mortality rates over 100, neo-natal deaths account for less than one-third of all infant deaths. Since the present findings on the proportions of neo-natal deaths correspond exactly with results from an earlier registration system in East Pakistan, it is suggested that the long-accepted proposition, 'less developed' areas are characterized by lower proportions of neo-natal deaths than 'more developed' areas, be re-examined. (2) The infant death rate accounts for 36% of all deaths in the population. If the infant death rate were reduced by half the result would be a decrease in the current crude death rate from 16 to 13. Although this reduction would appear to be small, in the context of a current high growth rate of 3% (from 1966-67 to 1968-69) it exerts a sizeable impact. For example, it would take a reduction of eight points in the crude birth rate of 46 just to achieve a growth rate 2·5% under these circumstances. Obviously, continued efforts in death control without an effective birth control programme will perpetuate high rates of growth. (3) Neo-natal and post-neo-natal mortality exhibited the -expected 'U' shaped pattern with parity, and generally varied as expected with age and family size, except in the oldest age group and largest family size where the risk was smaller than in the preceding groups. An explanation for these findings is presented, based on the effect that births to high-parity women with low child mortality have upon the total neo-natal and post-neo-natal mortality rates. It was found that these births exhibit a much lower mortality risk than births to women of comparable parities and higher child mortality, and that their numbers account for the lower risk to the births in the oldest age group and largest family size. It was concluded that women with a combination of high parity and low child mortality most probably represent a group with superior socio-economic and or health conditions which contribute to the lower risk of neo-natal and post-neo-natal death

Birth rate · Child mortality · Context (archaeology) · Geography · Infant mortality · Mortality rate · Population · Population growth · Research methodology · Demography · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Medicine

Tools

Open DOISci-Hub