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SHORT COMMUNICATION Table of Contents   
Year : 2017  |  Volume : 42  |  Issue : 4  |  Page : 234-237
Mapping neonatal mortality in India: A closer look

1 Public Health Evidence South Asia, Manipal University, Manipal, Karnataka, India
2 Department of Statistics, Manipal University, Manipal, Karnataka, India
3 Department of Statistics/Public Health Evidence South Asia, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Myron Anthony Godinho
Public Health Evidence South Asia, Ground Floor, Manipal University EDU Building, Manipal University, Manipal - 576 104, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijcm.IJCM_327_16

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Introduction: Fifty-three percent of Indian under-5 deaths occur during the neonatal age group. Recognizing that there is a lack of illustrated district-level data on neonatal mortality in India, we mapped this to visually highlight districts where neonatal health issues require the most attention. Methods: District-level estimates of 596 Indian districts were used to generate maps and to illustrate neonatal mortality rates (NMRs), absolute numbers of neonatal deaths; the best and worst performing districts (positive and negative deviants) in each Indian state; the neonatal female/male death ratio; and district lag in NMR reductions. Results: The NMR ranged from 4.3 (Kannur, Kerala) to 65.1 (Datia, Madhya Pradesh), with the mean NMR being 29.8. Almost two-thirds of the districts (n = 380, 63.7%) had NMRs between 20 and 40. The top third of neonatal deaths could be accounted for by just 71 districts of a total of 596. Conclusion: There is an urgent need for up-to-date data on district-level neonatal mortality in India.

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