Identifying Solutions to Address Adverse Neonatal Outcomes in Tanzania Using Forecasts Produced By the ARIMA Model

Abstract

The emergence of new global health challenges such as outbreaks of infectious diseases, rise in chronic medical conditions, climate change, civil wars and economic recessions have stalled efforts to end all preventable deaths among under five children and older age groups around the world. Addressing maternal and child mortality is a global health priority hence there is need to channel adequate resources to maternal and child health programs in every country. Appropriate health policies can be designed by utilizing time series forecasting approaches such as the ARIMA model for the early detection of abnormal future trends of health events. In addition, substantial progress made in the achievement of health-related SDGs such as infrastructure development, poverty alleviation, sustainable agriculture, economic growth, peace and security has a positive impact on health. This study uses annual time series data on neonatal mortality rate (NMR) for Tanzania from 1968 to 2019 to predict future trends of NMR over the period 2020 to 2030. Unit root tests have shown that the series under consideration is an I (1) variable. The optimal model based on AIC is the ARIMA (3,1,0) model. The ARIMA model predictions indicate that neonatal mortality is anticipated to drop from approximately 20 in 2020 down to around 15 deaths per 1000 live births by the end of 2030. Therefore, the Tanzanian government should craft appropriate neonatal policies to effectively deal with the problem of death of newborns. Special attention should be given to the promotion of institutional deliveries, capacitating primary healthcare and retention of healthcare workers.

Country : Zimbabwe

1 Dr. Smartson. P. NYONI2 Thabani NYONI

  1. ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe
  2. Independent Researcher & Health Economist, Harare, Zimbabwe

IRJIET, Volume 7, Issue 8, August 2023 pp. 467-474

doi.org/10.47001/IRJIET/2023.708068

References

  1. Box, D. E., and Jenkins, G. M. (1970). Time Series Analysis, Forecasting and Control, Holden Day, London.
  2. Nyoni, T. (2018). Box-Jenkins ARIMA Approach to Predicting net FDI Inflows in Zimbabwe, University Library of Munich, MPRA Paper No. 87737.
  3. Wang H., Bhutta ZA., Coates MM (2016). Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet, 388, 1725–74.
  4.  United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME) (2017). Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation. New York, NY, USA: United Nations Children’s Fund.
  5. Hug L., Alexander M., and You D (2019). National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030: a systematic analysis. Lancet Glob Health, 7, e710–20.
  6. United Nations Children’s Fund (2017). Levels& Trends in Child Mortality Report 2017. Geneva, Switzerland: UNICEF.
  7. Mboera LEG, Ipuge Y, Kumalija CJ (2015). Mid-term review of national health plans: an example from the United Republic of Tanzania. Bull World Health Organ, 93, 271–8.
  8.  Mangu C D., Rumishab S F., Lyimob E P., Mremib IR., Massawed I S., Bwanae V M., Chiduod M G., and  MboeraLEG (2021). Trends, patterns and cause-specific neonatal mortality in Tanzania: a hospital-based retrospective survey, International Health 2021; 13: 334–343.
  9. Vogel JP., Lee ACC., and Souza JP (2014). Maternal morbidity and preterm birth in 22 low- and middle-income countries: a secondary analysis of who global survey dataset. BMC Pregnancy Childbirth 2014, 14,56.
  10. Benova L., Cumming O., and Gordon BA (2014). Where there is no toilet: water and sanitation environments of domestic and facility births in Tanzania. PLoS One 2014,9,e106738.
  11. World Health Organization (2015). Water, sanitation and hygiene in health care facilities status in low- and middle-income countries and way forward. Geneva: World Health Organization.