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  Comparing socioeconomic inequalities between early neonatal mortality and facility delivery: Cross-sectional data from 72 low- and middle-income countries

Lohela, T. J., Nesbitt, R. C., Pekkanen, J., Gabrysch, S. (2019): Comparing socioeconomic inequalities between early neonatal mortality and facility delivery: Cross-sectional data from 72 low- and middle-income countries. - Scientific Reports, 9, 9786.
https://doi.org/10.1038/s41598-019-45148-5

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 Creators:
Lohela, Terhi J.1, Author
Nesbitt, Robin C.1, Author
Pekkanen, Juha1, Author
Gabrysch, Sabine2, Author              
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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 Abstract: Facility delivery should reduce early neonatal mortality. We used the Slope Index of Inequality and logistic regression to quantify absolute and relative socioeconomic inequalities in early neonatal mortality (0 to 6 days) and facility delivery among 679,818 live births from 72 countries with Demographic and Health Surveys. The inequalities in early neonatal mortality were compared with inequalities in postneonatal infant mortality (28 days to 1 year), which is not related to childbirth. Newborns of the richest mothers had a small survival advantage over the poorest in unadjusted analyses (−2.9 deaths/1,000; OR 0.86) and the most educated had a small survival advantage over the least educated (−3.9 deaths/1,000; OR 0.77), while inequalities in postneonatal infant mortality were more than double that in absolute terms. The proportion of births in health facilities was an absolute 43% higher among the richest and 37% higher among the most educated compared to the poorest and least educated mothers. A higher proportion of facility delivery in the sampling cluster (e.g. village) was only associated with a small decrease in early neonatal mortality. In conclusion, while socioeconomically advantaged mothers had much higher use of a health facility at birth, this did not appear to convey a comparable survival advantage.

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 Dates: 2019
 Publication Status: Finally published
 Pages: -
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 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1038/s41598-019-45148-5
PIKDOMAIN: RD2 - Climate Resilience
eDoc: 8556
Research topic keyword: Health
Research topic keyword: Inequality and Equity
Regional keyword: Global
Organisational keyword: RD2 - Climate Resilience
Working Group: Climate Change and Health
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Title: Scientific Reports
Source Genre: Journal, SCI, Scopus, p3, OA
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Pages: - Volume / Issue: 9 Sequence Number: 9786 Start / End Page: - Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/journals2_395