The online version of this article (https://doi.org/10.1007/s00038-019-01241-0) contains supplementary material, which is available to authorized users.
Kate Kerber: Senior author.
Peter Waiswa and Joseph Akuze are joint first authors.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
We compared pregnancy identification methods and outcome capture across 31 Health Demographic Surveillance System (HDSS) sites in 14 countries in sub-Saharan Africa and Asia.
From 2009 to 2014, details on the sites and surveillance systems including frequency of update rounds, characteristics of enumerators and interviewers, acceptable respondents were collected and compared across sites.
The 31 HDSS had a combined population of over 2,905,602 with 165,820 births for the period. Stillbirth rate ranged from 1.9 to 42.6 deaths per 1000 total births and the neonatal mortality rate from 2.6 to 41.6 per 1000 live births. Three quarters (75.3%) of recorded neonatal deaths occurred in the first week of life. The proportion of infant deaths that occurred in the neonatal period ranged from 8 to 83%, with a median of 53%. Sites that registered pregnancies upon locating a live baby in the routine household surveillance round had lower recorded mortality rates.
Increased attention and standardization of pregnancy surveillance and the time of birth will improve data collection and provide platforms for evaluations and availability of data for decision-making with implications for national planning.
Blencowe H, Cousens S, Jassir FB, Say L, Chou D, Mathers C et al (2016) National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health 4(2):e98–e108 CrossRef
de Bernis L, Kinney MV, Stones W, Ten Hoope-Bender P, Vivio D, Leisher SH et al (2016) Stillbirths: ending preventable deaths by 2030. Lancet 387(10019):703–716 CrossRef
Engmann C, Walega P, Aborigo RA, Adongo P, Moyer CA, Lavasani L et al (2012) Stillbirths and early neonatal mortality in rural Northern Ghana. Trop Med Int Health 17(3):272–282
Froen JF, Friberg IK, Lawn JE, Bhutta ZA, Pattinson RC, Allanson ER et al (2016) Stillbirths: progress and unfinished business. Lancet 387(10018):574–586 CrossRef
IGME U (2017) Levels and trends in child mortality. United Nations Inter-agency Group for Child Mortality Estimation (UN IGME)
INDEPTH Network. INDEPTH Network home page
Lawn JE, Wilczynska-Ketende K, Cousens SN (2006) Estimating the causes of 4 million neonatal deaths in the year 2000. Int J Epidemiol 35(3):706–718 CrossRef
Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P et al (2014) Progress, priorities, and potential beyond survival. Lancet 384:189–205 CrossRef
Lawn JE, Blencowe H, Waiswa P, Amouzou A, Mathers C, Hogan D et al (2016) Stillbirths: rates, risk factors, and acceleration towards 2030. Lancet 387(10018):587–603 CrossRef
Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE et al (2014) Global, regional, and national causes of child mortality in 2000–2013, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 385:430–440 CrossRef
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2095–2128 CrossRef
Moxon SG, Ruysen H, Kerber KJ, Amouzou A, Fournier S, Grove J et al (2015) Count every newborn; a measurement improvement roadmap for coverage data. BMC Pregnancy Childbirth 15(2):S8 CrossRef
Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C et al (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2197–2223 CrossRef
Oza S, Cousens SN, Lawn JE (2014) Estimation of daily risk of neonatal death, including the day of birth, in 186 countries in 2013: a vital-registration and modelling-based study. Lancet Glob Health 2(11):e635–e644 CrossRef
Shiffman J (2010) Issue attention in global health: the case of newborn survival. Lancet 375(9730):2045–2049 CrossRef
Streatfield PK, Khan WA, Bhuiya A, Hanifi SM, Alam N, Ouattara M et al (2014) Cause-specific childhood mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites. Glob Health Action 7:25363 CrossRef
UN (2015) Sustainable Development Goal 3: Ensure healthy lives and promote well-being for all at all ages. Retrieved from http://www.un.org/sustainabledevelopment/health/
UNICEF, UNICEF, BANK W, WHO, UN (2015) Levels and trends in child mortality
Wang H, Liddell CA, Coates MM, Mooney MD, Levitz CE, Schumacher AE et al (2014) Global, regional, and national levels of neonatal, infant, and under-5 mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384:957–979 CrossRef
WHO (2011) Newborn death and illness. Retrieved 4 May 2018, http://www.who.int/pmnch/media/press_materials/fs/fs_newborndealth_illness/en/
- Status of birth and pregnancy outcome capture in Health Demographic Surveillance Sites in 13 countries
INDEPTH Network MNCH team
- Springer International Publishing