Implementing Evidence Based Neonatal Healthcare Strategies to Curb High Neonatal Mortality Rates in Pakistan
Abstract
Pakistan has the third highest neonatal
mortality rates in the world and is known for reporting the worst perinatal
mortality rates in South Asia. This study uses annual time series data on
neonatal mortality rate (NMR) for Pakistan from 1960 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. ARIMA model predictions indicate that neonatal
mortality will continue to decline but still remain very high throughout the
out of sample period. It is therefore crucial for authorities in Pakistan to
design neonatal health policies which are country specific and appropriate to
tackle worrisome trends of neonatal mortality. In addition, it is very
important for authorities to channel adequate resources particularly to primary
health care facilities in the rural areas where the problem of neonatal deaths
is huge. Special attention should be given to promotion of institutional
deliveries, providing adequate medical supplies and availing funds to retain
medical staff.
Country : Zimbabwe
1 Dr. Smartson. P. NYONI2 Thabani NYONI
ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe
Independent Researcher & Health Economist, Harare, Zimbabwe
IRJIET, Volume 7, Issue 8, August 2023 pp. 390-397
Box, D. E.,
and Jenkins, G. M. (1970). Time Series Analysis, Forecasting and Control,
Holden Day, London.
Nyoni, T.
(2018). Box-Jenkins ARIMA Approach to Predicting net FDI Inflows in Zimbabwe, University
Library of Munich, MPRA Paper No. 87737.
National
Institute of Population Studies (NIPS) [Pakistan] and ICF (2019). Pakistan
Demographic and Health Survey 2017–18. Islamabad, Pakistan, and Rockville,
Maryland, USA: NIPS and ICF; 2019
UNICEF
(2018). Data and Analytics Section, Division of Data, Research and Policy.
Progress for Every Child in the SDG Era. 2018.
Lawn JE.,
Blencowe H., and Waiswa P (2016), for The Lancet Ending Preventable Still‑
births Series study group with The Lancet Stillbirth Epidemiology investigator
group, et al. Stillbirths: rates, risk factors, and acceleration towards 2030.
Lancet. 2016.
UNICEF
(2018). Every child alive: the urgent need to end newborn deaths.
Basu S.,
and McKee M (2010). Drivers of inequality in Millennium Development Goal
progress: a statistical analysis. PLoS Med, 7, 3, e1000241.