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Article

The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

1
Department of Public Health and Mortality, International Institution for Population Sciences (IIPS), Mumbai 400088, India
2
Department of Geography, M. J. K. College, Bettiah, BRA Bihar University, Muzaffarpur 845438, India
3
Department of Civil & Environmental Engineering, University of the West Indies, St. Augustine, Trinidad and Tobago
*
Author to whom correspondence should be addressed.
Received: 24 February 2021 / Revised: 28 March 2021 / Accepted: 8 April 2021 / Published: 20 April 2021
Skilled birth attendance and institutional delivery have been advocated for reducing maternal, neonatal mortality and infant mortality (NMR and IMR). This paper examines the role of place of delivery with respect to neo-natal and infant mortality in India using four rounds of the Indian National Family Health Survey conducted in 2015–2016. The place of birth has been categorized as “at home” or “public and private institution.” The role of place of delivery on neo-natal and infant mortality was examined by using multivariate hazard regression models adjusted for clus-tering and relevant maternal, socio-economic, pregnancy and new-born characteristics. There were 141,028 deliveries recorded in public institutions and 54,338 in private institutions. The esti-mated neonatal mortality rate in public and private institutions during this period was 27 and 26 per 1000 live births respectively. The study shows that when the mother delivers child at home, the chances of neonatal mortality risks are higher than the mortality among children born at the health facility centers. Regression analysis also indicates that a professionally qualified provider′s antenatal treatment and assistance greatly decreases the risks of neonatal mortality. The results of the study illustrate the importance of the provision of institutional facilities and proper pregnancy in the prevention of neonatal and infant deaths. To improve the quality of care during and imme-diately after delivery in health facilities, particularly in public hospitals and in rural areas, accel-erated strengthening is required. View Full-Text
Keywords: neonatal; infant; mortality; private institution; multivariate hazard regression; socio-economic; pregnancy neonatal; infant; mortality; private institution; multivariate hazard regression; socio-economic; pregnancy
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MDPI and ACS Style

Das, U.; Chaplot, B.; Azamathulla, H.M. The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India. Geographies 2021, 1, 47-62. https://0-doi-org.brum.beds.ac.uk/10.3390/geographies1010004

AMA Style

Das U, Chaplot B, Azamathulla HM. The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India. Geographies. 2021; 1(1):47-62. https://0-doi-org.brum.beds.ac.uk/10.3390/geographies1010004

Chicago/Turabian Style

Das, Ujjwal, Barkha Chaplot, and Hazi M. Azamathulla 2021. "The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India" Geographies 1, no. 1: 47-62. https://0-doi-org.brum.beds.ac.uk/10.3390/geographies1010004

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