৩৩৩

জাতীয় কল সেন্টার

১৬২৬৩

স্বাস্থ্য বাতায়ন

১০৯

জাতীয় হেল্পলাইন

০৯৬১১৬৭৭৭৭৭

বিশেষজ্ঞ হেলথ লাইন

Major cause of Newborn Death and Solutions
Cause
Bangladesh has emerged as a development icon after reducing deaths of children below the age of five, meeting the global target four years ahead of time. Deaths of newborns within 28 days of birth are a major barrier to improving the survival of children aged less than five years (under-five children) in developing countries. Neonatal deaths now account for more than two-thirds of all deaths in the first year of life and for about half of all deaths in under-five children. Bangladesh has a neonatal mortality rate of 41 per 1,000 livebirths, and neonatal deaths account for about half of deaths of under-five children. Therefore, appropriate interventions are crucial for improving the health of under-five children in Bangladesh and to help achieve the global target of reducing under-five mortality by two-thirds. Information on the timing and causes of neonatal deaths can help direct appropriate interventions.
87% of neonatal deaths in Bangladesh are from three highly preventable causes and they are severe infections (36%, which includes sepsis/pneumonia, tetanus and diarrhea), complications of preterm birth (28%), and birth asphyxia (23%). Every year 62,000 newborn die within 28 days of life; that means every day 170 and every hour 7 newborn die in Bangladesh. We can save around 55,000 newborns each year by simple low cost interventions at health facility and household levels.

Half of the neonatal mortality happens within day one of the life, thus early interventions are necessary to avert these deaths.

The solution

Eighty-eight per cent of the leading causes of newborn deaths are largely preventable.
Care during labor, delivery and the first week of life have the greatest impact on ending preventable neonatal deaths and stillbirths. Special care for small and sick newborn is also highly essential for saving lives.

To keep every child alive, we can provide the ‘newborn bundle’, which contains four essential elements.

People, meaning health workers with adequate skills for maternal and newborn care, available round the clock.

Place, meaning facilities that are clean and safe for giving birth.

Products, meaning Special Care Newborn units with life-saving equipment and commodities.

Power, meaning communities that are empowered to take the right action for newborns and mothers.

Universal coverage of such high-quality interventions can save over 55,000 newborn lives, prevent over 5,000 maternal deaths and prevent over 80,000 stillbirths every year.

In 2013, the Bangladesh government pledged to end preventable child deaths by 2035 under the international initiative on child survival — A Promise Renewed.

It has since renewed its commitment by developing the Bangladesh Every Newborn Action Plan and is implementing the plan through the National Newborn Health Program.