Proposing Ways to Address Adverse Neonatal Health Outcomes in Madagascar Using Empirical Evidence from the ARIMA Model
Abstract
This study uses annual time series data on
neonatal mortality rate (NMR) for Madagascar from 1969 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 (2) variable. The optimal model
based on AIC is the ARIMA (2,2,5) model. The study found out that neonatal
mortality will gradually decline from approximately 20 in 2020 to around 16
deaths per 1000 live births by the end of 2030.Hence, the government of
Madagascar should craft neonatal healthcare policies which are country specific
to address the problem of mortality in neonates. Authorities should prioritize
availing adequate human resources through use of staff retention incentives,
ensuring enough medical supplies in primary healthcare facilities and
establishing good roads in rural areas to improve accessibility of healthcare
services.
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. 346-350
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.
UN
Population Fund (2018). UNFPA Midwifery Programme strategy. New York: UN
Population Fund.
WHO (2019).
Strengthening quality midwifery education for universal health coverage 2030:
framework for action. Geneva: World Health Organization.
International
Confederation of Midwives (IOM) (2019). Essential competencies for midwifery
practice: 2018 update. The Hague: International Confederation of Midwives
UNICEF
(2019). Child Mortality 2019. New York: United Nations Children’s Fund.
UN (2020). Programme
des Nations Unies pour le Développement (PNUD). Analyse commune des pays.
Madagascar: Nations Unies.
Madagascar
(2018).Institut National de Statistique (INSTAT), United Nations of
International Children’s Emergency Fund (UNICEF). Enquête nationale sur la
situation socio-démographique des ménages (MICS 6).
Morris J.
L., Short S., Robson L., and Andriatsihosena M. S (2014). Maternal health practices,
beliefs and traditions in southeast Madagascar. Afr J Reprod Health, 18, 3,
101–17.
Mattern C
(2017). Le marché informel du médicament à Madagascar: une revanche populaire.
Thèse de doctorat. Belgique: Université Catholique de Louvain.
Lang E., Saint-Firmin
P., Olivetti A., Rakotomalala M., and Dutta A (2018). Analyse du système de
fnancement de la santé à Madagascar pour guider de futures réformes, notamment
la CSU. Palladium Health Policy Plus; 2018.
Institut
National de Statistique (INSTAT), ICF Macro (2010). Enquête Démographique et de
Santé de Madagascar 2008–2009, Madagascar.