Trends and risk factors for infant mortality in the Lao People’s Democratic Republic

Abstract A high infant mortality rate (IMR) indicates a failure to meet people’s healthcare needs. The IMR in Lao People’s Democratic Republic has been decreasing but still remains high. This study aimed to identify the factors involved in the high IMR by analyzing data from 53,727 live births and 2...

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Autores principales:	Viengsakhone Louangpradith, Eiko Yamamoto, Souphalak Inthaphatha, Bounfeng Phoummalaysith, Tetsuyoshi Kariya, Yu Mon Saw, Nobuyuki Hamajima
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1c8b697fbda343b1bbc89ba443946466
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spelling	oai:doaj.org-article:1c8b697fbda343b1bbc89ba4439464662021-12-02T15:11:52ZTrends and risk factors for infant mortality in the Lao People’s Democratic Republic10.1038/s41598-020-78819-92045-2322https://doaj.org/article/1c8b697fbda343b1bbc89ba4439464662020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78819-9https://doaj.org/toc/2045-2322Abstract A high infant mortality rate (IMR) indicates a failure to meet people’s healthcare needs. The IMR in Lao People’s Democratic Republic has been decreasing but still remains high. This study aimed to identify the factors involved in the high IMR by analyzing data from 53,727 live births and 2189 women from the 2017 Lao Social Indicator Survey. The estimated IMR decreased from 191 per 1000 live births in 1978–1987 to 39 in 2017. The difference between the IMR and the neonatal mortality rate had declined since 1978 but did not change after 2009. Factors associated with the high IMR in all three models (forced-entry, forward-selection, and backward-selection) of multivariate logistic regression analyses were auxiliary nurses as birth attendants compared to doctors, male infants, and small birth size compared to average in all 2189 women; and 1–3 antenatal care visits compared to four visits, auxiliary nurses as birth attendants compared to doctors, male infants, postnatal baby checks, and being pregnant at the interview in 1950 women whose infants’ birth size was average or large. Maternal and child healthcare and family planning should be strengthened including upgrading auxiliary nurses to mid-level nurses and improving antenatal care quality.Viengsakhone LouangpradithEiko YamamotoSouphalak InthaphathaBounfeng PhoummalaysithTetsuyoshi KariyaYu Mon SawNobuyuki HamajimaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Viengsakhone Louangpradith Eiko Yamamoto Souphalak Inthaphatha Bounfeng Phoummalaysith Tetsuyoshi Kariya Yu Mon Saw Nobuyuki Hamajima Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
description	Abstract A high infant mortality rate (IMR) indicates a failure to meet people’s healthcare needs. The IMR in Lao People’s Democratic Republic has been decreasing but still remains high. This study aimed to identify the factors involved in the high IMR by analyzing data from 53,727 live births and 2189 women from the 2017 Lao Social Indicator Survey. The estimated IMR decreased from 191 per 1000 live births in 1978–1987 to 39 in 2017. The difference between the IMR and the neonatal mortality rate had declined since 1978 but did not change after 2009. Factors associated with the high IMR in all three models (forced-entry, forward-selection, and backward-selection) of multivariate logistic regression analyses were auxiliary nurses as birth attendants compared to doctors, male infants, and small birth size compared to average in all 2189 women; and 1–3 antenatal care visits compared to four visits, auxiliary nurses as birth attendants compared to doctors, male infants, postnatal baby checks, and being pregnant at the interview in 1950 women whose infants’ birth size was average or large. Maternal and child healthcare and family planning should be strengthened including upgrading auxiliary nurses to mid-level nurses and improving antenatal care quality.
format	article
author	Viengsakhone Louangpradith Eiko Yamamoto Souphalak Inthaphatha Bounfeng Phoummalaysith Tetsuyoshi Kariya Yu Mon Saw Nobuyuki Hamajima
author_facet	Viengsakhone Louangpradith Eiko Yamamoto Souphalak Inthaphatha Bounfeng Phoummalaysith Tetsuyoshi Kariya Yu Mon Saw Nobuyuki Hamajima
author_sort	Viengsakhone Louangpradith
title	Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
title_short	Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
title_full	Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
title_fullStr	Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
title_full_unstemmed	Trends and risk factors for infant mortality in the Lao People’s Democratic Republic
title_sort	trends and risk factors for infant mortality in the lao people’s democratic republic
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/1c8b697fbda343b1bbc89ba443946466
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Trends and risk factors for infant mortality in the Lao People’s Democratic Republic

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