Neonatal mortality and inequalities in Bangladesh: differential progress and sub-national developments

Minnery, Mark, Firth, Sonja, Hodge, Andrew and Jimenez-Soto, Eliana (2015) Neonatal mortality and inequalities in Bangladesh: differential progress and sub-national developments. Maternal and Child Health Journal, 19 9: 2038-2047. doi:10.1007/s10995-015-1716-z

Author Minnery, Mark
Firth, Sonja
Hodge, Andrew
Jimenez-Soto, Eliana
Title Neonatal mortality and inequalities in Bangladesh: differential progress and sub-national developments
Journal name Maternal and Child Health Journal   Check publisher's open access policy
ISSN 1092-7875
Publication date 2015-09
Year available 2015
Sub-type Article (original research)
DOI 10.1007/s10995-015-1716-z
Open Access Status Not yet assessed
Volume 19
Issue 9
Start page 2038
End page 2047
Total pages 10
Place of publication New York, NY, United States
Publisher Springer New York
Collection year 2016
Language eng
Abstract A rapid reduction in under-five mortality has put Bangladesh on-track to reach Millennium Development Goal 4. Little research, however, has been conducted into neonatal reductions and sub-national rates in the country, with considerable disparities potentially masked by national reductions. The aim of this paper is to estimate national and sub-national rates of neonatal mortality to compute relative and absolute inequalities between sub-national groups and draw comparisons with rates of under-five mortality. Mortality rates for under-five children and neonates were estimated directly for 1980–1981 to 2010–2011 using data from six waves of the Demographic and Health Survey. Rates were stratified by levels of rural/urban location, household wealth and maternal education. Absolute and relative inequalities within these groups were measured by rate differences and ratios, and where possible, slope and relative indices of inequality. National mortality was shown to have decreased dramatically although at differential rates for under-fives and neonates. Across all equity markers, a general pattern of declining absolute but constant relative inequalities was found. For mortality rates stratified by education and wealth mixed evidence suggests that relative inequalities may have also fallen. Although disparities remain, Bangladesh has achieved a rare combination of substantive reductions in mortality levels without increases in relative inequalities. A coalescence of substantial increases in coverage and equitable distribution of key child and neonatal interventions with widespread health sectoral and policy changes over the last 30 years may in part explain this exceptional pattern.
Keyword Bangladesh
Under-five mortality
Neonatal mortality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
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Created: Tue, 10 Feb 2015, 10:51:54 EST by Dr Andrew Hodge on behalf of School of Public Health