Page 27 - 5th APA Conference Program Book Final

P. 27

PS 1.3 Mortality and Morbidity

10:15 - 11:45am Tuesday, 3rd August, 2021

Presentation Type LIVE Session
Moderator: Dyah Anantalia Widyastari , Sukamdi

911 Early Neonatal Mortality in Nepal

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1,2
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Bishnu Prasad Dulal , Maureen Darlang , Pradeep Poudel , Shanti Mahendra
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1 HERD international/Nepal Health Sector Support Programme, Kathmandu, Nepal. Population Association Nepal,
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Kathmandu, Nepal. Nepal Health Sector Support Programme, Kathmandu, Nepal. Options Consultancy Services
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Ltd, London, United Kingdom
Categories
4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

Neonatal mortality rate (NMR) provides a pulse on how well a country’s health services have addressed the need of
one its most vulnerable population group. The Sustainable Development Goals therefore see it a key target. There
have been significant reductions in NMR, however the last mile problem of addressing early neonatal mortality
(ENM) where most of these deaths still persists. This study used the Nepal Demographic Health Survey (2006-2016)
series data to examine the determinants of ENM. It employs bivariate and multi-variate analysis to understand
adjusted determinants.

Study shows that NMR dropped by 36% between 2006 and 2016. This includes a drop in ENM by 30% and late-
NM by 50%. Overall, 70%, 85% and 76% of neonatal deaths occurred in early-neonates in 2006, 2011 and 2016.
Study revealed, babies that were smaller-at-birth (OR:3.2; CI:1.1-8.9; P<0.05); or larger-at-birth (OR:3.6; CI:1.4-9.2;
P<0.01) had a higher odds of mortality in the early days. Also babies of mothers whose age-at-birth <20 years
(OR:4.9; CI:1.4-17.5; P<0.05); had >4 parity (OR:4.9; CI:1.2-21.3; P<0.05), <2 years-birth-interval (OR:15.9; CI:5.9-
42.0; P<0.001) had higher odds of ENM. Interventions should focus on limiting parity, widening birth-interval,
increasing the age-at-birth, promoting family planning and improving maternal diet and mother’s education.

691 The Exposure of under five Children to Secondhand Tobacco Smoke and Its
Association with Acute Respiratory Infections: A Secondary Analysis of National
Family Health Survey (NFHS-4)

Pallavi Sinha, Prashant Kumar Singh, Shalini Singh
ICMR - National Institute of Cancer Prevention, Noida, India