Why Are Thai Official Perinatal and Infant Mortality Rates So Low?

Lumbiganon, Pisake; Panamonta, Manat; Laopaiboon, Malinee; Pothinam, Somporn; Patithat, Noppadol

doi:10.1093/ije/19.4.997

Cited by 49 publications

(28 citation statements)

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“…Stillbirths were included, since stillbirths and early infant deaths were more likely to be missed than deaths of older children [26][27][28][29] and the number of stillbirths was expected to exceed the number of neonatal deaths in the population. 29 Overall and age-specific mortality rates were compared with those estimated by the 2004 Malawi DHS.…”

Section: Discussionmentioning

confidence: 99%

Declining child mortality in northern Malawi despite high rates of infection with HIV

Jahn

Floyd

Crampin

et al. 2010

Bull. World Health Organ.

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Section: Discussionmentioning

confidence: 99%

Declining child mortality in northern Malawi despite high rates of infection with HIV

Jahn

Floyd

Crampin

et al. 2010

Bull. World Health Organ.

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“…Neonatal deaths that occur in the first hours after birth or in small babies are less likely than other neonatal deaths to be reported [37][38][39]. Furthermore, the liveborn baby who does not breathe at birth may be misclassified as a stillbirth for several reasons.…”

Section: Lack Of Reliable Data On Numbers and Rates Of Neonatal Deathsmentioning

confidence: 99%

Two million intrapartum-related stillbirths and neonatal deaths: Where, why, and what can be done?

Lawn

Lee

Kinney

et al. 2009

International Journal of Gynecology & Obstetrics

459

475

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“…Neonatal deaths are less likely to be recorded if the baby dies in the first hours or days after birth [10] or is very small [11]. Gestational age is rarely known, and misclassification between stillbirths and early neonatal deaths may also occur [12].…”

Section: Introductionmentioning

confidence: 99%

Comparing performance of methods used to identify pregnant women, pregnancy outcomes, and child mortality in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda

Kadobera

Waiswa

Peterson

et al. 2017

Global Health Action

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Background: In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify pregnancies and retrospectively capture pregnancy outcomes to provide data for decision making. However, little is known about the performance of different methods in identifying pregnancy and pregnancy outcomes, yet this is critical in assessing improvements in reducing maternal and newborn mortality and stillbirths. Objective: To explore differences between a population-based household pregnancy survey and prospective health demographic surveillance system in identifying pregnancies and their outcomes in rural eastern Uganda. Methods: The study was done within the Iganga-Mayuge HDSS site, a member centre of the INDEPTH Network. Prospective data about pregnancies and their outcomes was collected in the routine biannual census rounds from 2006 to 2010 in the HDSS. In 2011 a cross-sectional survey using the pregnancy history survey (PHS) tool was conducted among women aged 15 to 49 years in the HDSS area. We compared differences between the HDSS biannual census updates and the PHS capture of pregnancies identified as well as neonatal and child deaths, stillbirths and abortions. Findings: A total of 10,540 women aged 15 to 49 years were interviewed during the PHS. The PHS captured 12.8% more pregnancies than the HDSS in the most recent year (2010–2011), though between 2006 and 2010 (earlier periods) the PHS captured only 137 (0.8%) more pregnancies overall. The PHS also consistently identified more stillbirths (18.2%), spontaneous abortions (94.5%) and induced abortions (185.8%) than the prospective HDSS update rounds. Conclusions: Surveillance sites are designed to prospectively track population-level outcomes. However, the PHS identified more pregnancy-related outcomes than the HDSS in this study. Asking about pregnancy and its outcomes may be a useful way to improve measurement of pregnancy outcomes. Further research is needed to identify the most effective methods of improving the capture of pregnancies and their outcomes within HDSS sites, household surveys and routine health information systems.

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Why Are Thai Official Perinatal and Infant Mortality Rates So Low?

Cited by 49 publications

References 0 publications

Declining child mortality in northern Malawi despite high rates of infection with HIV

Declining child mortality in northern Malawi despite high rates of infection with HIV

Two million intrapartum-related stillbirths and neonatal deaths: Where, why, and what can be done?

Comparing performance of methods used to identify pregnant women, pregnancy outcomes, and child mortality in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda

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