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Determinants of early neonatal mortality in Afghanistan: an analysis of the Demographic and Health Survey 2015
Authors: Gulam Muhammed Al Kibria, Vanessa Burrowes, Allysha Choudhury, Atia Sharmeen, Swagata Ghosh, Arif Mahmud, and Angela KC
Source: Globalization and Health, 14:47; DOI: 10.1186/s12992-018-0363-8
Topic(s): Child health
Neonatal mortality
Country: Asia
Published: MAY 2018
Abstract: Background Neonatal mortality is declining slowly compared to under-five mortality in many developing countries including Afghanistan. About three-fourths of these deaths occur in the early neonatal period (i.e., the first week of life). Although a number of studies investigated determinants of early neonatal mortality in other countries, there is a lack of evidence regarding this in Afghanistan. This study investigated determinants of early neonatal mortality in Afghanistan. Methods Data from the Afghanistan Demographic and Health Survey 2015 (AfDHS 2015) were analyzed. After reporting the weighted frequency distributions of selected factors, a multilevel logistic regression model revealed adjusted associations of factors with early neonatal mortality. Results A total of 19,801 weighted live-births were included in our analysis; 266 (1.4%) of the newborns died in this period. Multivariable analysis found that multiple gestations (adjusted odds ratio (AOR): 9.3; 95% confidence interval (CI): 5.7–15.0), larger (AOR: 2.9; 95% CI: 2.2–3.8) and smaller (AOR: 1.8; 95% CI: 1.2–2.6) than average birth size, maternal age?=?18 years (AOR: 1.8; 95% CI: 1.1–3.2) and?=?35 years (AOR: 1.7; 95% CI: 1.3–2.3), and birth interval of