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Cause-specific Neonatal Deaths: Levels, Trend and Determinants in Rural Bangladesh, 1987-2005

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  • Saha, U.R.
  • Soest, A.H.O. van
  • Bijwaard, G.E.

    (Tilburg University, Center for Economic Research)

Abstract

Abstract: Reducing neonatal mortality is a particularly important issue in Bangladesh. We employ a competing risks model incorporating both observed and unobserved heterogeneity and allowing the heterogeneity terms for various causes to be correlated. Data come from the Health and Demographic Surveillance System (HDSS), Matlab. The results confirm the general conclusion on levels, trends and patterns of causes of neonatal deaths in the existing literature, but also reveal some remarkable socioeconomic differences in the risks of causespecific deaths. Deaths due to low birth weight and other causes (sudden infant death, unspecified or specified) are better explained from the socio- economic covariates than deaths due to neonatal infections or obstetric complications. The analysis highlights the role of maternal and child health interventions (particularly tetanus toxoid immunization for pregnant women, nutrition programs, and high coverage health services: distance to nearest health centre). Policies that increase quality and equity in child births may help to further reduce neonatal mortality.

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Bibliographic Info

Paper provided by Tilburg University, Center for Economic Research in its series Discussion Paper with number 2012-016.

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Date of creation: 2012
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Handle: RePEc:dgr:kubcen:2012016

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Web page: http://center.uvt.nl

Related research

Keywords: millennium development goals; neonatal deaths; competing risks models; unobserved heterogeneity; Bangladesh;

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  1. James J. Heckman & V. Joseph Hotz & James R. Walker, . "New Evidence on the Timing and Spacing of Births," University of Chicago - Population Research Center 85-1, Chicago - Population Research Center.
  2. Lancaster, Tony, 1979. "Econometric Methods for the Duration of Unemployment," Econometrica, Econometric Society, vol. 47(4), pages 939-56, July.
  3. Vincenzo Coviello & May Boggess, 2004. "Cumulative incidence estimation in the presence of competing risks," Stata Journal, StataCorp LP, vol. 4(2), pages 103-112, June.
  4. Waldron, Ingrid, 1983. "Sex differences in human mortality: The role of genetic factors," Social Science & Medicine, Elsevier, vol. 17(6), pages 321-333, January.
  5. Wiji Arulampalam & Sonia Bhalotra, 2006. "Sibling death clustering in India: state dependence "versus" unobserved heterogeneity," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(4), pages 829-848.
  6. Kenneth Manton & Eric Stallard & James Vaupel, 1981. "Methods For Comparing The Mortality Experience of Heterogeneous Populations," Demography, Springer, vol. 18(3), pages 389-410, August.
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