Abstract:
Childhood mortality, particularly in the first 5 years of life, is a major global concern and the
target of Millennium Development Goal 4.Globally 7.6 million children died in 2010 before
reaching their fifth birthday and 40% of these deaths occur in the neonatal period. Timely
measurements of levels and trends in under-5 mortality are important to assess progress towards
the Millennium Development Goal 4 (MDG 4) target of reduction of child mortality by two
thirds from 1990 to 2013, and to identify models of success. To implement evidence-based
interventions for the reduction of neonatal mortality, it is important to investigate factors
associated with neonatal mortality. The aim of the current study was to identify determinants of
neonatal mortality.To generated updated estimates of child mortality in early neonatal (age 0–6
days), late neonatal (7–28 days), postneonatal (29–364 days), childhood (1–4 years), and under-5
(0–4 years) age groups for some countries from 1970 to 2013. To quantify the contribution of
these different factors and birth numbers to the change in numbers of deaths in under-5 age
groups from 1990 to 2013.The study showed that the infantmortality rate (IMR), neonate
mortality rate (NMR)& under five mortality rate (U5MR) for singleton live born infants between
1990-2013.Neonatal mortality has declined in all world regions. Progress has been slowest in the
regions with high neonate mortality rates(NMRs). Global health programs need to address
neonatal deaths moreeffectively if Millennium Development Goal 4 (two-thirds reduction in
child mortality) is to be achieved.
Description:
This thesis submitted in partial fulfillment of the requirements for the degree of Masters of Pharmacy (M.Pharm) in East West University, Dhaka, Bangladesh.
