Journal of Epidemiology and Global Health

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Volume 4, Issue 3, September 2014, Pages 213 - 222

Neonatal mortality in Nepal: A multilevel analysis of a nationally representative

Authors
Subas Neupanea, *, subas.neupane@uta.fi, David Teye Dokub
aSchool of Health Sciences, FI – 33014 University of Tampere, Finland
bDepartment of Population and Health, University of Cape Coast, Private Mail Bag, University Post Office, Cape Coast, Ghana
*Corresponding author. Tel.: +358 40 1909709; fax: +358 3 35516057.
Corresponding Author
Received 19 April 2013, Revised 6 January 2014, Accepted 8 February 2014, Available Online 18 March 2014.
DOI
10.1016/j.jegh.2014.02.001How to use a DOI?
Keywords
Neonatal deaths; DHS; Multilevel model; Nepal
Abstract

Objectives: This study investigated individual, community and district level factors associated with neonatal mortality among a national sample of Nepalese women.

Methods: Data were drawn from the 2006 Nepalese Demographic and Health Survey on women aged 15–49 who delivered within three years prior to the survey (N = 4136). Multilevel logistic regression models with three levels were fitted to assess the influences of measured individual, community and district level variables on neonatal mortality.

Results: The total neonatal mortality in three years preceding the survey was 4.5 deaths per 100 live births (N = 190), with neonatal mortality rate (NMR) = 46 per 1000 live births. Having a partner with no formal education, being in the middle on the wealth index and residing in less developed district were associated with neonatal death in bivariate analysis. Women who were assisted by skilled personnel during delivery were less likely to have neonatal death (adjusted OR for no assistance = 2.26, 95% CI = 1.19–4.26). Having prenatal care with skilled attendant was associated with less likelihood of neonatal death (adjusted OR for no care = 1.75, 95% CI = 1.17–2.62). Older women, mother’s education, parity and wealth index were associated with neonatal mortality. Considerable variations in neonatal mortality at community and district levels were found.

Conclusions: These findings emphasize the need for interventions at the individual level with regard to access and utilization of healthcare in order to reduce the neonatal mortality in Nepal.

Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
4 - 3
Pages
213 - 222
Publication Date
2014/03/18
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2014.02.001How to use a DOI?
Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Subas Neupane
AU  - David Teye Doku
PY  - 2014
DA  - 2014/03/18
TI  - Neonatal mortality in Nepal: A multilevel analysis of a nationally representative
JO  - Journal of Epidemiology and Global Health
SP  - 213
EP  - 222
VL  - 4
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.02.001
DO  - 10.1016/j.jegh.2014.02.001
ID  - Neupane2014
ER  -