Tracking progress towards equitable child survival in a Nicaraguan community: neonatal mortality challenges to meet the MDG 4

Pérez, Wilton; Peña, Rodolfo; Persson, Lars-Åke; Källestål, Carina
January 2011
BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p455
Academic Journal
Background: Nicaragua has made progress in the reduction of the under-five mortality since 1980s. Data for the national trends indicate that this poor Central American country is on track to reach the Millennium Development Goal-4 by 2015. Despite this progress, neonatal mortality has not showed same progress. The aim of this study is to analyse trends and social differentials in neonatal and under-five mortality in a Nicaraguan community from 1970 to 2005. Methods: Two linked community-based reproductive surveys in 1993 and 2002 followed by a health and demographic surveillance system providing information on all births and child deaths in urban and rural areas of León municipality, Nicaragua. A total of 49 972 live births were registered. Results: A rapid reduction in under-five mortality was observed during the late 1970s (from 103 deaths/1000 live births) and the 1980s, followed by a gradual decline to the level of 23 deaths/1000 live births in 2005. This community is on track for the Millennium Development Goal 4 for improved child survival. However, neonatal mortality increased lately in spite of a good coverage of skilled assistance at delivery. After some years in the 1990s with a very small gap in neonatal survival between children of mothers of different educational levels this divide is increasing. Conclusions: After the reduction of high under-five mortality that coincided with improved equity in survival in this Nicaraguan community, the current challenge is the neonatal mortality where questions of an equitable perinatal care of good quality must be addressed.


Related Articles

  • Local Health Department Perspectives on Linkages Among Birthing Hospitals. Strobino, Donna M.; Silver, Gillian Beth; Allston, Adam A.; Grason, Holly A. // Journal of Perinatology;Dec2003, Vol. 23 Issue 8, p610 

    OBJECTIVES:: To describe perinatal linkages among hospitals, changes in their numbers and their impact on relationships among high-risk providers in local communities. STUDY DESIGN:: Data were obtained about the organization of perinatal services in 1996-1999 from a cross-sectional study...

  • Why Are Babies Dying in the First Month after Birth? A 7-Year Study of Neonatal Mortality in Northern Ghana. Welaga, Paul; Moyer, Cheryl A.; Aborigo, Raymond; Adongo, Philip; Williams, John; Hodgson, Abraham; Oduro, Abraham; Engmann, Cyril // PLoS ONE;Mar2013, Vol. 8 Issue 3, p1 

    Objectives: To determine the neonatal mortality rate in the Kassena-Nankana District (KND) of northern Ghana, and to identify the leading causes and timing of neonatal deaths. Methods: The KND falls within the Navrongo Health Research Centre’s Health and Demographic Surveillance...

  • Birth under Midwifery Care in the Netherlands.  // Midwifery Matters;Summer2009, Issue 121, p31 

    This article reports on midwifery and home childbirth in the Netherlands. The article discusses birth statistics in terms of midwife use, hospital births, perinatal and neonatal mortality, and high-risk labor. The article also compares Dutch and British maternal care systems and presents...

  • Impact of Infants Born at the Threshold of Viability on the Neonatal Mortality Rate in Colorado. Hernández, Jacinto A; Hall, Daniel M; Goldson, Edward J; Chase, Mary; Garrett, Carol // Journal of Perinatology;Jan2000, Vol. 20 Issue 1, p21 

    OBJECTIVE: To determine the contribution of infants born at the threshold of viability (<750 gm) on neonatal mortality in Colorado. STUDY DESIGN: For the period of January 1991 to December 1996, all Colorado live births who expired were evaluated for gestational age, birth weight, gender,...

  • The State of the World's Children 2009: Maternal Health is the Key to Achieve MDGs 4 and 5. VASHISHTHA, VIPIN M. // Indian Pediatrics;Mar2009, Vol. 46 Issue 3, p233 

    The article discusses the need to improve maternal health care to reduce neonatal mortality in developing countries, which is the focus of the publication "The State of the World's Children 2009" released by United Nations Children's Fund (UNICEF). Weak health systems and a shortage of trained...

  • THE CHILDREN'S NSF. Robinson, Francesca // Practice Nurse;10/15/2004, Vol. 28 Issue 6, p11 

    Reports on the development of the National Service Framework for Children, Young People and Maternity Services in Great Britain as of October 15, 2004. Factors which contributed to the development of the framework; Changes in the strategies for the health and social care needs of children; Role...

  • Obstetric care must change if Netherlands is to regain its reputation for safe childbirth. Sheldon, Tony // BMJ: British Medical Journal (International Edition);2/2/2008, Vol. 336 Issue 7638, p239 

    The article focuses on research conducted on obstetric care which in the Netherlands which was reported in "Medisch Contact" the journal of the Dutch Medical Association. In the research researchers found that mortality for infants during childbirth in Dutch hospitals is higher at night than...

  • Infant outcomes of certified nurse midwife attended home births: United States 2000 to 2004. Malloy, M. H. // Journal of Perinatology;Sep2010, Vol. 30 Issue 9, p622 

    Objective:Home births attended by certified nurse midwives (CNMs) make up an extremely small proportion of births in the United States (<1.0%) and are not supported by the American College of Obstetrics and Gynecology (ACOG). The primary objective of this analysis was to examine the safety of...

  • A Study on the Awareness Regarding Infant and Young Child Feeding (IYCF) Practices among Anganwadi Workers (AWWs) attending Anganwadi Training Centre, Davangere. Khargekar, Vandana; Geethalakshmi, R. G. // Indian Journal of Public Health Research & Development;Jan-Mar2015, Vol. 6 Issue 1, p174 

    Title of the article: A study on the awareness regarding infant and young child feeding (IYCF) practices among Anganwadi workers (AWWs) attending Anganwadi training centre, Davangere. Context: Breast feeding promotion is a significant child survival strategy. Interventions to improve early and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics