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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Need to focus beyond the medical causes: A systematic review of the social factors affecting neonatal deaths
Paediatric and Perinatal Epidemiology, Volume 28, No. 2, Year 2014
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Description
Background Reducing the global total of 3.3 million neonatal deaths is crucial to meeting the fourth Millennium Development Goal. Until recently, attention has been on the medical causes of the neonatal deaths, while the social factors contextualising these deaths have largely remained unaddressed. The current review aimed to quantify the role of these factors in neonatal deaths. Methods A systematic search was performed through PubMed, Google scholar, Cochrane library, Medline, IndMed, Embase, World Health Organization and Biomed central databases. Studies published from 1995 to 2011 were included. Random effects meta-analysis was performed to derive at an estimate of the burden of delays, as defined by the 'three delays model' by Thadeus and Maine. Results A total of 17 studies were reviewed. The majority of them (n = 10) were from the African continent. Level 3 delay, i.e. delay in receiving appropriate treatment upon reaching a health facility (38.7%, 95% CI, 21.7%-57.3%) and delay in deciding to seek care for the illness (Level 1 delay) (28%, 95% CI, 16%-43%) were the major contributors to neonatal deaths. Level 2 delay, i.e. delay in reaching a health facility (18.3%, 95% CI, 2.6-43.8%) contributed least to the neonatal deaths. Conclusion Creating awareness among caregivers regarding early recognition and treatment seeking for neonatal illness along with improving the quality of neonatal care provided at the health facilities is essential to reduce neonatal mortality. © 2013 John Wiley & Sons Ltd.
Authors & Co-Authors
Upadhyay, Ravi
Unknown Affiliation
Krishnan, Anand
Unknown Affiliation
Rai, Sanjay K.
Unknown Affiliation
Chinnakali, Palanivel
Unknown Affiliation
Odukoya, Oluwakemi Ololade
Unknown Affiliation
Statistics
Citations: 29
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1111/ppe.12098
ISSN:
02695022
e-ISSN:
13653016
Research Areas
Health System And Policy
Maternal And Child Health
Study Approach
Systematic review