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Examining national and district-level trends in neonatal health in Peru through an equity lens: a success story driven by political will and societal advocacy

Overview of attention for article published in BMC Public Health, September 2016
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Title
Examining national and district-level trends in neonatal health in Peru through an equity lens: a success story driven by political will and societal advocacy
Published in
BMC Public Health, September 2016
DOI 10.1186/s12889-016-3405-2
Pubmed ID
Authors

Luis Huicho, Carlos A. Huayanay-Espinoza, Eder Herrera-Perez, Jessica Niño de Guzman, Maria Rivera-Ch, Maria Clara Restrepo-Méndez, Aluisio J. D. Barros

Abstract

Peru has impressively reduced its neonatal mortality rate (NMR). We aimed, for the period 2000-2013, to: (a) describe national and district NMR variations over time; (b) assess NMR trends by wealth quintile and place of residence; (c) describe evolution of mortality causes; (d) assess completeness of registered mortality; (e) assess coverage and equity of NMR-related interventions; and (f) explore underlying driving factors. We compared national NMR time trends from different sources. To describe NMR trends by wealth quintiles, place of residence and districts, we pooled data on births and deaths by calendar year for neonates born to women interviewed in multiple surveys. We disaggregated coverage of NMR-related interventions by wealth quintiles and place of residence. To identify success factors, we ran regression analyses and combined desk reviews with qualitative interviews and group discussions. NMR fell by 51 % from 2000 to 2013, second only to Brazil in Latin America. Reduction was higher in rural and poorest segments (52 and 58 %). District NMR change varied by source. Regarding cause-specific NMRs, prematurity decreased from 7.0 to 3.2 per 1,000 live births, intra-partum related events from 2.9 to 1.2, congenital abnormalities from 2.4 to 1.8, sepsis from 1.9 to 0.8, pneumonia from 0.9 to 0.4, and other conditions from 1.2 to 0.7. Under-registration of neonatal deaths decreased recently, more in districts with higher development index and lower rural population. Coverage of family planning, antenatal care and skilled birth attendance increased more in rural areas and in the poorest quintile. Regressions did not show consistent associations between mortality and predictors. During the study period social determinants improved substantially, and dramatic out-of-health-sector and health-sector changes occurred. Rural areas and the poorest quintile experienced greater NMR reduction. This progress was driven, within a context of economic growth and poverty reduction, by a combination of strong societal advocacy and political will, which translated into pro-poor implementation of evidence-based interventions with a rights-based approach. Although progress in Peru for reducing NMR has been remarkable, future challenges include closing remaining gaps for urban and rural populations and improving newborn health with qualified staff and intermediate- and intensive-level health facilities.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 189 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 <1%
Unknown 188 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 34 18%
Student > Bachelor 28 15%
Researcher 25 13%
Student > Postgraduate 9 5%
Student > Ph. D. Student 9 5%
Other 28 15%
Unknown 56 30%
Readers by discipline Count As %
Medicine and Dentistry 37 20%
Nursing and Health Professions 26 14%
Social Sciences 21 11%
Biochemistry, Genetics and Molecular Biology 6 3%
Psychology 5 3%
Other 27 14%
Unknown 67 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 September 2019.
All research outputs
#12,770,536
of 22,888,307 outputs
Outputs from BMC Public Health
#8,749
of 14,923 outputs
Outputs of similar age
#157,413
of 322,308 outputs
Outputs of similar age from BMC Public Health
#202
of 353 outputs
Altmetric has tracked 22,888,307 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,923 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 322,308 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 353 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.