The Global Network Neonatal Cause of Death algorithm for low‐resource settings
Open accessAbstract
Aim: This study estimated the causes of neonatal death using an algorithm for low‐resource areas, where 98% of the world's neonatal deaths occur. Methods: We enrolled women in India, Pakistan, Guatemala, the Democratic Republic of Congo, Kenya and Zambia from 2014 to 2016 and tracked their delivery and newborn outcomes for up to 28 days. Antenatal care and delivery symptoms were collected using a structured questionnaire, clinical observation and/or a physical examination. The Global Network Cause of Death algorithm was used to assign the cause of neonatal death, analysed by country and day of death. Results: One‐third (33.1%) of the 3068 neonatal deaths were due to suspected infection, 30.8% to prematurity, 21.2% to asphyxia, 9.5% to congenital anomalies and 5.4% did not have a cause of death assigned. Prematurity and asphyxia‐related deaths were more common on the first day of life (46.7% and 52.9%, respectively), while most deaths due to infection occurred after the first day of life (86.9%). The distribution of causes was similar to global data reported by other major studies. Conclusion: The Global Network algorithm provided a reliable cause of neonatal death in low‐resource settings and can be used to inform public health strategies to reduce mortality.
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The Global Network Cause of Death Algorithm can be used to classify causes of neonatal deaths across low-resource settings such as India.
“We have previously demonstrated that the Global Network Cause of Death Algorithm can be used to classify causes of neonatal deaths across low-resource settings such as India [8, 9].”
From Neonatal deaths in rural Karnataka, India 2014–2018: a prospective population-based observational study in a low-resource setting (2020) · cites this paper as [9]
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References 28 · Cited by 30
Research works printed but not linked: 1
- Laxminarayan, R.Temmerman, M., Walker, N., editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities. Third. Vol. 2. Washington (DC): The International Bank for Reconstruction and Development; 2016.
- Authors
- Garces, A. L., McClure, E. M., Pérez, W., Hambidge, K. M., Krebs, N. F., Figueroa, L., Bose, C. L., Carlo, W. A., Tenge, C., Esamai, F., Goudar, S. S., Saleem, S., Patel, A. B., Chiwila, M., Chomba, E., Tshefu, A., Derman, R. J., Hibberd, P. L., Bucher, S., Liechty, E. A., Bauserman, M., Moore, J. L., Koso‐Thomas, M., Miodovnik, M., & Goldenberg, R. L.
- Affiliations
- Institute of Nutrition of Central America and Panama (GT)
- RTI International (US)
- University of Colorado Denver (US)
- University of North Carolina at Chapel Hill (US)
- University of Alabama at Birmingham (US)
- Moi University (KE)
- KLE Academy of Higher Education and Research (IN)
- Aga Khan University (PK)
- Lata Medical Research Foundation (IN)
- Centre for Infectious Disease Research in Zambia (ZM)
- University of Zambia (ZM)
- Ecole de santé publique de Kinshasa (CD)
- Thomas Jefferson University (US)
- Boston University (US)
- Indiana University Indianapolis (US)
- NICHD Bethesda MD USA
- National Institutes of Health (US)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Garces, Ana L.
- ORCID
- McClure, Elizabeth M.
- Pérez, Wilton
- Hambidge, K Michael
- Krebs, Nancy F.
- Figueroa, Lester
- Bose, Carl L.
- Carlo, Waldemar A.
- Tenge, Constance
- Esamai, Fabian
- Goudar, Shivaprasad S.
- Saleem, Sarah
- Patel, Archana B.
- Chomba, Elwyn
- Tshefu, Antoinette
- Derman, Richard J.
- Hibberd, Patricia L.
- Bucher, Sherri
- Liechty, Edward A.
- Bauserman, Melissa
- Moore, Janet L.
- Goldenberg, Robert L.
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2017-04-05
- Volume
- 106
- Issue
- 6
- Pages
- 904-911
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- PMC
- PMC5425300
- OpenAlex
- W2593984057
- Cited by
- 30
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 3 · 2018: 2 · 2017: 1
- FWCI
- 3.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U01U01 HD040477, U01 HD040657, U01 HD058322, U01 HD058326, U01 HD040636)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Keywords
- neonatal mortality, causes of death, resource-limited settings, suspected infection, preterm birth, asphyxia, congenital malformations, prenatal care, delivery outcomes, neonatal outcomes
- MeSH terms
- Algorithms, Cause of Death, Developing Countries, Female, Humans, Infant, Infant Mortality, Infant, Newborn, Pregnancy
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