Joy E Lawn|Mary Kinney|Robert E. Black|Catherine Pitt|Simon Cousens|Kate Kerber|Erica Corbett|Allisyn C. Moran|Claudia S. Morrissey|Mikkel Z. Oestergaard
Newborn survival: a multi-country analysis of a decade of change
World Health Organization|Save the Children|World Health Organization|Save the Children|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization|Save the Children|World Health Organization
neonatal deaths account 40 global underfive mortality ever important achieve millennium development goal 4 mdg 4 child survival applied results framework evaluate global national changes neonatal mortality rates nmr healthy behaviours intervention coverage health system change inputs including funding considering contextual changes average annual rate reduction nmr globally accelerated 2000 2010 21 per year compared 1990s slower reduction mortality children aged 159 months 29 per year maternal mortality 42 per year regional variation nmr change ranged 30 per year developed countries 15 per year subsaharan africa countries made remarkable progress despite major challenges statistical analysis identifies intercountry predictors nmr reduction including high baseline nmr changes income fertility changes intervention package coverage appear important predictors region coverage data lacking several neonatalspecific interventions mortality due neonatal infection deaths notably tetanus decreased deaths complications preterm birth increasingly important official development assistance maternal newborn child health doubled 2003 2008 yet 2008 6 aid mentioned newborns mere 01 us456m exclusively targeted newborn care amount newborn survival data evidence based increased recognition donor funding decade nmr reduction seems related change context socioeconomic factors increasing intervention coverage high impact costeffective interventions hold great potential save newborn lives especially highest burden countries accelerating progress requires datadriven investments addressing contextspecific implementation realities