Yasir Bin Nisar|Michael J. Dibley
Determinants of neonatal mortality in Pakistan: secondary analysis of Pakistan Demographic and Health Survey 2006–07
University of Sydney|University of Sydney
globally 76 million children died 2010 reaching fifth birthday 40 deaths occur neonatal period pakistan third highest rate neonatal mortality globally implement evidencebased interventions reduction neonatal mortality important investigate factors associated neonatal mortality aim current study identify determinants neonatal mortality pakistan data derived pakistan demographic health survey 200607 singleton live births 2002 2006 selected current analyses data analysed using stata 13 adjusted cluster sampling design multivariate cox proportional hazard models performed using stepwise backward elimination procedures identify determinants neonatal mortality total 5702 singleton live births last five years preceding survey selected multivariate analyses showed living punjab province adj hr 210 p 0015 belonging poorest household wealth index quintile adj hr 195 p 0035 male infants adj hr 157 p 0014 first rank baby adj hr 159 p 0049 smaller average birth size adj hr 161 p 0023 mothers delivery complications adj hr 193 p 0001 significantly higher hazards neonatal death pakistan reduce neonatal mortality need implement interventions focusing antenatal care effective referral system retraining healthcare providers manage delivery complications smaller average birth size babies resource poor communities pakistan