Cause-specific neonatal deaths in rural Bangladesh, 1987-2005: levels, trends, and determinants

Popul Stud (Camb). 2014;68(3):247-63. doi: 10.1080/00324728.2014.902094. Epub 2014 May 27.

Abstract

This paper reports on an analysis of neonatal mortality from communicable and non-communicable diseases in Bangladesh. The competing-risks model employed incorporated both observed and unobserved heterogeneity and allowed the two heterogeneity terms to be correlated. The data used came from the Health and Demographic Surveillance System, Matlab. The results confirm the conclusions of previous studies about the levels, trends, and causes of neonatal death in the Matlab area: the education of the mother helps protect her children from death from both communicable and non-communicable diseases; the children of a father in a low-status occupation are particularly vulnerable to death from communicable diseases; and children born to mothers aged less than 20 face a particularly high risk of dying from a non-communicable disease. The risks of dying from a communicable disease and from a non-communicable disease were both found to fall significantly as the distance to the nearest health centre decreased.

Keywords: Bangladesh; Millennium Development Goals; competing-risks models; neonatal deaths; unobserved heterogeneity.

MeSH terms

  • Bangladesh / epidemiology
  • Cause of Death
  • Female
  • Humans
  • Infant
  • Infant Mortality / trends*
  • Infant, Newborn
  • Male
  • Population Surveillance
  • Risk Factors
  • Rural Population