Bulletin of the World Health Organization

Impact of an integrated nutrition and health programme on neonatal mortality in rural northern India

Abdullah H Baqui, Emma K Williams, Amanda M Rosecrans, Praween K Agrawal, Saifuddin Ahmed, Gary L Darmstadt, Vishwajeet Kumar, Usha Kiran, Dharmendra Panwar, Ramesh C Ahuja, Vinod K Srivastava, Robert E Black, Manthuram Santosham

Volume 86, Number 10, October 2008, 796-804

Table 4. Neonatal mortality rate by study district and by postnatal visit status: baseline (2001–2002) and endline (2004–2005) surveys

Study district and postnatal visit status Live births Deaths Unadjusted mortality rate per 1000 live births(95% CI) Adjusted mortality rate per 1000 live birthsa(95% CI)
Intervention district
Baseline survey 8 756 431 49.2 (44.8–54.0) 46.4 (42.0–50.8)
Endline survey 7 812 393 50.3 (45.6–55.4) 52.1 (47.2–57.0)
Comparison district
Baseline survey 6 196 296 47.8 (42.6–53.4) 45.8 (40.6–51.0)
Endline survey 6 014 299 49.7 (44.4–55.5) 48.6 (42.9–54.2)
Both districts
Baseline survey
No visit 11 872 588 49.5 (45.7–53.6) 47.9 (44.1–51.6)
Antenatal visit only 2 453 123 50.1 (41.8–59.5) 44.8 (36.8–52.9)
Postnatal visit:
anyb 627 16 25.5 (14.7–41.1) 16.0 (7.5–24.5)
within 3 days 276 5 18.1 (5.9–41.8) 8.9 (1.2–16.7)
within 7 days 372 8 21.5 (9.3–41.9) 14.6 (4.4–24.8)
Subtotal 14 952 727 48.6 (45.2–52.2) 47.1 (46.9–54.2)
Endline survey
No visit 7 668 426 55.6 (50.5–60.9) 53.8 (48.9–58.8)
Antenatal visit only 2 757 154 55.9 (47.6–65.1) 54.0 (45.9–62.1)
Postnatal visit:
anyb 3 401 112 32.9 (27.2–39.5) 35.7 (29.2–42.1)
within 3 days 1995 78 39.1 (31.0–48.6) 40.2 (31.8–48.6)
within 7 days 2 547 92 36.1 (29.2–44.1) 39.4 (32.0–46.8)
Subtotal 13 826 692 50.1 (46.5–53.8) 50.6 (46.9–54.2)

a Adjusted for age, education, parity, religion and standard-of-living scores using direct standardization.b Includes women who received antenatal visits and those who did not; of those receiving a postnatal visit, 62% (N = 388) at baseline and 84% (N = 2860) at endline also received an antenatal visit.

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