1,168 research outputs found

    What impact do essential newborn care practices have on neonatal mortality in low and lower-middle income countries? Evidence from Bangladesh

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    © 2016 Nature America, Inc. Objective:To assess the impact of essential newborn care (ENC) practices on the mortality of neonates delivered at home in Bangladesh.Study design:This study used cross-sectional data from the 2011 Bangladesh Demographic and Health Survey. Adjusted logistic regression model was used to examine the effect of ENC practices on neonatal mortality based on 3190 live-born infants.Result:Delayed bathing (72 h after delivery) significantly contributed to reducing neonatal mortality. A significant but counterintuitive relation was observed between the dry cord care and neonatal deaths.Conclusion:Neonatal mortality may be reduced through emphasizing delayed bathing. Specific guidelines on the cleanliness of the fabric used to dry and wrap newborns, as well as emphasizing the use of clean delivery kits and initiation of immediate and exclusive breastfeeding, may improve neonatal outcomes. Further, the ENC guidelines in Bangladesh should include the application of topical antiseptics to the cord stump

    Effect of stocking density on growth performance of monosex tilapia (Oreochromis niloticus) with Indian spinach (Basella alba) in a recirculating aquaponic system

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    An experiment was conducted to compare effect of stocking density on growth performance of monosex tilapia (Oreochromis niloticus) with Indian spinach (Basella alba) in a recirculating aquaponic system. The experiment was set-up for 8 weeks under 4 treatments with three replications, where stocking density of tilapia were 30, 50, 70 and 90 fish/tank (300 litre) in treatments T1, T2, T3 and T4, respectively. Water from the tank was recirculated through a vegetable growing tray. Each of the tray was 0.15 m3in size, which was planted with 12 plants (Indian spinach). The fish of all the treatments was fed two times a day. During the experimental period,the range of water temperature was 27.1 to 31.50 C, pH 7.48 to 8.28, ammonia 0.2 to 2.0 mg/l and dissolve oxygen 5.11 to 6.58 mg/l. At the end of the experiment, average weight gain, final length, specific growth rate (%/day), survival rate was significantly higher in T1 (30 fish/tank) treatment while the net yield of fish and plant biomass was higher in T2 (50 fish/tank) treatment.Therefore, the study suggests that stocking density of 50 fish/tank for tilapia, i.e. 167 fish/m3, is suitable for production of both plant and fish in a recirculating aquaponic system

    What impact does antenatal and postnatal care have on neonatal deaths in low and lower-middle income countries? Evidence from Bangladesh

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    Changes in neonatal mortality and newborn health-care practices: descriptive data from the Bangladesh Demographic and Health Surveys 2011 and 2014

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    Background: Bangladesh has made major improvements in health outcomes over the past two decades, with falls in mortality rates in mothers and in infants and young children aged under 5 years. Despite these improvements, neonatal mortality rates (NMRs) are high in Bangladesh. This paper describes recent changes in NMRs and health-care practices, disaggregated by demographic and socioeconomic characteristics.Methods: Summary statistics from the reports of the Bangladesh Demographic and Health Survey (BDHS) were examined. The BDHS is a nationally representative cross-sectional survey and the two most recent rounds of surveys, 2007-2011 and 2010-2014, were included in the analysis. The variables considered in this study were neonatal deaths and related health-care practices, including antenatal care visits, facility-based delivery, assistance from a medically trained provider during delivery, postnatal care from a trained provider and essential newborn care.Results: Between the two survey periods, NMRs increased in Chittagong (average increase 4.5% per year) and Khulna (8.3% per year), remained unchanged in Rangpur, and decreased in Barisal (average decrease 19.8% per year), Dhaka (12.2% per year), Rajshahi (7.7% per year) and Sylhet (4.8% per year). A larger average annual reduction in the NMR was observed in urban areas than in rural areas (14.0% versus 2.1%). There was also a large average annual reduction in NMR in the fourth and fifth richest quintiles for socioeconomic status (SES quintiles; 12.0% and 16.5% per year, respectively). Differences according to neonatal sex were also noted: the NMR for female neonates remained unchanged and that for male neonates reduced by an annual average of 7.7%. General improvements were observed in all health-care practices across all demographic and socioeconomic groups. However, the urban-rural gap in the uptake of antenatal care services, facility-based delivery, assistance from a medically trained provider during delivery, and postnatal care from a trained provider was roughly similar in both surveys. A similar unchanging gap was also seen between the poorest and richest SES quintiles.Conclusion: The study analysis indicates that improvements in NMRs between the two survey periods are mixed. Further attention is required to improve the rate of reduction of neonatal mortality in some divisions in Bangladesh, and it may be useful to investigate whether the higher NMR in rural areas and for households with lower socioeconomic status can be reduced by strengthening the uptake of antenatal care services, facility-based delivery, assistance from a medically trained provider during delivery, and postnatal care from a trained provider. The static NMR for female neonates may encourage policy-makers to focus not only on ensuring standard essential newborn care practices for both sexes but also on ensuring adequate and appropriate care-seeking for illness in female neonates
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