Preventing Newborn Deaths In Romania And Hungary

Kuchna, Dorota; Hovsepyan, Armine; Leonard, Sara

doi:10.1377/hlthaff.2017.0382

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“…Part of this variation may be due to a failure in implementing treatment protocols or evidence-based best practices tailored with the local conditions. This suggestion may provide some explanation of the mortality decrease in some countries, such as Hungary and Japan, which have supported the introduction of evidence-based protocols on routine newborn care and have trained nursery staff members on the protocols 54 55…”

Section: Discussionmentioning

confidence: 90%

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001–2015)

et al. 2019

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ObjectivesTo analyse the trends of amenable mortality rates (AMRs) in children over the period 2001–2015.DesignTime trend analysis.SettingThirty-four member countries of the Organisation for Economic Co-operation and Development (OECD).ParticipantsMidyear estimates of the resident population aged ≤14 years.Primary and secondary outcome measuresUsing data from the WHO Mortality Database and Nolte and McKee’s list, AMRs were calculated as the annual number of deaths over the population/100 000 inhabitants. The rates were stratified by age groups (<1, 1–4, 5–9 and 10–14 years). All data were summarised by presenting the average rates for the years 2001/2005, 2006/2010 and 2011/2015.ResultsThere was a significant decline in children’s AMRs in the <1 year group in all 34 OECD countries from 2001/2005 to 2006/2010 (332.78 to 295.17/100 000; %Δ −11.30%; 95% CI −18.75% to −3.85%) and from 2006/2010 to 2011/2015 (295.17 to 240.22/100 000; %Δ −18.62%; 95% CI −26.53% to −10.70%) and a slow decline in the other age classes. The only cause of death that was significantly reduced was conditions originating in the early neonatal period for the <1 year group. The age-specific distribution of causes of death did not vary significantly over the study period.ConclusionsThe low decline in amenable mortality rates for children aged ≥1 year, the large variation in amenable mortality rates across countries and the insufficient success in reducing mortality from all causes suggest that the heath system should increase its efforts to enhance child survival. Promoting models of comanagement between primary care and subspecialty services, encouraging high-quality healthcare and knowledge, financing universal access to healthcare and adopting best practice guidelines might help reduce amenable child mortality.

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Section: Discussionmentioning

confidence: 90%