Hadley K. Herbert|Anne C C Lee|Aruna Chandran|Igor Rudan|Abdullah H Baqui
Care Seeking for Neonatal Illness in Low- and Middle-Income Countries: A Systematic Review
Johns Hopkins University|Virginia Commonwealth University Medical Center|Johns Hopkins University|Brigham and Women's Hospital|Johns Hopkins University|University of Edinburgh|Johns Hopkins University
despite recent achievements reduce child mortality neonatal deaths continue remain high accounting 41 deaths children five years age worldwide 90 occur low middleincome countries lmics infections leading cause death limitations care seeking ill neonates contribute high mortality rates estimates careseeking behaviors lmics studied review describes care seeking neonatal illnesses lmics particular attention type care soughtwe conducted systematic literature review studies reported proportion caregivers sought care ill suspected ill neonates lmics initial search yielded 784 studies 22 studies described relevant data community household surveys facilitybased surveys intervention trials majority studies south asia n 1722 set rural areas n 1722 published within last 4 years n 1822 9098 neonates ill suspected ill 4320 caregivers sought type care including care health facility n 370 provider n 1813 care seeking ranged 10 100 among caregivers median 59 care seeking health care provider yielded similar range median care seeking health care facility ranged 1 100 median 20 careseeking estimates limited studies conducted urban settings regions south asia lack consistency regarding illness careseeking care provider definitionsthere paucity data regarding newborn careseeking behaviors south asia care seeking low newborn illness especially terms care sought health care facilities medically trained providers need representative data describe careseeking patterns different geographic regions better understand mechanisms enhance care seeking vulnerable time period