PMID- 31713878
OWN - NLM
STAT- MEDLINE
DCOM- 20200828
LR  - 20200828
IS  - 1728-4465 (Electronic)
IS  - 0039-3665 (Linking)
VI  - 50
IP  - 4
DP  - 2019 Dec
TI  - What Explains the Decline in Neonatal Mortality in India in the Last Three 
      Decades? Evidence from Three Rounds of NFHS Surveys.
PG  - 337-355
LID - 10.1111/sifp.12105 [doi]
AB  - Identifying the factors that have contributed to recent declines in neonatal 
      mortality in India may help determine which policies and programs are most likely 
      to facilitate further reductions. We use data from the 1992-93, 2005-06, and 
      2015-16 National Family Health Surveys (NFHS) to examine trends in neonatal 
      mortality in India. We use multivariable decomposition to estimate the 
      contribution of different factors to the change in neonatal mortality in India in 
      the last three decades. When limited to most recent births in the 1-47 months 
      preceding the surveys, 70 percent of the decline in neonatal mortality from 
      1992-2016 is due to changes in utilization of maternal- and child-care program 
      factors and distribution of household, mother's, and child's characteristics. 
      Improvement in "mother's schooling" and increase in utilization of "at least two 
      tetanus toxoid injections" contributed the most followed by the increase in use 
      of "at least three antenatal-care visits" and "clean fuel for cooking." The 
      change in distribution of "birth order" also contributed significantly to the 
      decline in neonatal mortality. Change in the benefits of "access to improved 
      water," "delivery in a medical facility," and "mother's schooling" has led to a 
      decline of 3 points, 2 points, and 1 point, respectively. More investments in 
      maternal- and child-health programs (including family planning) and providing 
      clean fuel for cooking are likely to pay higher dividends.
CI  - (c) 2019 The Population Council, Inc.
FAU - Singh, Abhishek
AU  - Singh A
FAU - Kumar, Kaushalendra
AU  - Kumar K
FAU - Singh, Ashish
AU  - Singh A
LA  - eng
PT  - Journal Article
DEP - 20191112
PL  - United States
TA  - Stud Fam Plann
JT  - Studies in family planning
JID - 7810364
SB  - IM
MH  - Cooking
MH  - Educational Status
MH  - Health Surveys
MH  - Humans
MH  - India/epidemiology
MH  - Infant
MH  - Infant Mortality/*trends
MH  - Infant, Newborn
MH  - Maternal-Child Health Services/organization & administration/*statistics & 
      numerical data
MH  - Prenatal Care/statistics & numerical data
MH  - Residence Characteristics
MH  - Socioeconomic Factors
MH  - Water Supply/standards
EDAT- 2019/11/13 06:00
MHDA- 2020/08/29 06:00
CRDT- 2019/11/13 06:00
PHST- 2019/11/13 06:00 [pubmed]
PHST- 2020/08/29 06:00 [medline]
PHST- 2019/11/13 06:00 [entrez]
AID - 10.1111/sifp.12105 [doi]
PST - ppublish
SO  - Stud Fam Plann. 2019 Dec;50(4):337-355. doi: 10.1111/sifp.12105. Epub 2019 Nov 
      12.