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Emergency Triage Assessment and Treatment (ETAT) Module

June 2019

Publisher: National Newborn Health Program (NNHP), Ministry of Health and Family Welfare

Authors:

A N M Ehtesham Kabir

MNCAH

Directorate General of Health Services Bangladesh

Over a period of two decades, under-5 mortality rate in Bangladesh has declined by 66% from 133 per 1000 live births in 1993-94 to 45 per 1000 live births in 2017-18. The country reached the MDG-4 goal in the reduction of child mortality on time. However, the comparison of neonatal and under-5 mortality rates in Bangladesh over the same years reveals that the reduction in the neonatal mortality rate was much slower than the child mortality rate. This led to a rise in the proportion of neonatal deaths in overall under-five deaths from 40% in 1993-1994 to 67% percent in 2017-2018. More than 75% of neonatal deaths occur within the first 7 days. To achieve SDG target 3.2, Bangladesh has to further reduce under-5 mortality rate by 44% and newborn deaths by 60%. Infection is the leading cause of preventable deaths among the neonates and the young infants and the standard recommendations for treating severe bacterial infections in infants under 2 months of age include hospitalization and 7-10 days of parenteral therapy.

Emergency Triage Assessment and Treatment (ETAT) Module

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Hospital Based Rotavirus and Intussusception Surveillance in Bangladesh

Article

Mortalidade infantil neonatal: estudo das causas evitáveis em Cuiabá, Mato Grosso, 2007

December 2013 · Epidemiologia e Serviços de Saúde

OBJECTIVE: to describe neonatal deaths in Cuiabá-MT, Brazil, in 2007. METHODS: a descriptive study was conducted using Mortality Information System data on neonatal mortality. Cases were classified according to the Unified Health System List of Causes of Deaths which could be avoided by interventions. Neonatal mortality rates were calculated per period and by causes. RESULTS: 79 deaths studied. ... [Show full abstract] The neonatal mortality rate was 8.7 per 1000 Live Births (LB). The highest number of deaths occurred in the early neonatal period (6.8/1000 LB). The main causes of death were prematurity (n=21), sepsis (n=14), anencephaly (n=14) and respiratory distress syndrome (n=12). 65 deaths were considered avoidable, 35 owing to inadequate health care during pregnancy and delivery and 30 owing to inadequate care of the newborn. CONCLUSION: most of the neonatal deaths studied were considered avoidable.

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