Making Use of ARIMA Model Forecasts to Reconfigure Current Neonatal Health Policies to Address High Neonatal Mortality Rates in Kenya

Abstract

Aggressive maternal and neonatal healthcare policies and interventions are required in scaling up efforts to address neonatal mortality in low-middle income countries. Novel approaches should take into account existing challenges and various needs of different populations. In addition, it is important to respect and recognize local traditions or cultures. Achieving set targets for health-related SDGs will accelerate progress towards achieving substantial reduction of maternal, under-five and neonatal mortality. This study utilizes annual time series data on neonatal mortality rate (NMR) for Kenya 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 (2,1,2) model. The findings of this research revealed that neonatal mortality will decline from approximately 21 in 2020 to around 17 deaths per 1000 live births by the end of 2030. Therefore, we implore Kenyan policy makers to design appropriate neonatal policies to address major drivers of mortality in neonates and such strategies should improve the quality of health care services during ANC, delivery and postnatal periods.

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. 321-328

doi.org/10.47001/IRJIET/2023.708047

References

  1. Kof AK., Maina A., Yaroh AG., Habi O., Bensaïd K., and Kalter HD (2016). Social determinants of child mortality in Niger: Results from the 2012 National Verbal and Social Autopsy Study. J Glob Health, 6,1:010603.
  2. UNICEF (2015). Levels and Trends in Child Mortality. Estimates Developed by the UN Inter-610 agency Group for Child Mortality Estimation. UN IGME Report. New York.
  3. Ludvigsson JF., Lu D., Hammarström L., Cnattingius S., and Fang F (2018). Small for gestational age and risk of childhood mortality: A Swedish population study. PLoS Med, 15,12: e1002717.
  4. Katz J., Lee AC., Kozuki N., Lawn JE., Cousens S., and  Blencowe H (2013). Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries: a pooled country analysis. Lancet, 38,9890:417–25.
  5. Lawn J.E., Wilczynska-Ketende K., and Cousens S.N (2006). Estimating the causes of 4 million neonatal deaths in the year 2000. Int J Epidemiol. 35(3):706–18
  6. Brankovic S., Hadziomerovic A.M., Rama A., and Segalo M (2013). Incidence of morbidity and mortality in premature infants at the Department of Neonatal Intensive Care of Pediatric Clinic, Clinical Center of Sarajevo University. Med Arch. 67(4):286–8.
  7. Kenya National Bureau of Statistics and, I.C.F.I., Kenya Demographic and Health Survey, Key Indicators. 2015, ICF International Rockville.
  8. Olack et al (2021). Causes of preterm and low birth weight neonatal mortality in a rural community in Kenya: Evidence from verbal and social autopsy.