The purpose of this study is to explore the association between place of delivery and newborn care with early neonatal mortality (ENNM), which represents more than 80% of total neonatal mortality in Bangladesh. Study findings highlight the importance of newborn and postnatal care in preventing early neonatal deaths. Further, findings suggest that increasing the proportion of women who give birth in a healthcare facility is not sufficient to reduce ENNM by itself; to realize the theoretical potential of facility delivery to avert neonatal deaths, we must also ensure quality of care during delivery, guarantee all components of ENC, and provide high-quality early PNC. Therefore, sustained efforts to expand access to high-quality ENC and PNC are needed in health facilities, particularly in facilities serving low-income populations.


  1. Singh K, Brodish P, Chowdhury ME, Biswas TK, Kim ET, Godwin C, Moran A. Postnatal care for newborns in Bangladesh: The importance of health-related factors and location. J Glob Health. 2017 Dec;7(2):020507. doi: 10.7189/jogh.07.020507.

  2. Karim F, Khan ANS, Tasnim F, Chowdhury MAK, Billah SM, Karim T, Arifeen SE, Garnett SP. Prevalence and determinants of initiation of breastfeeding within one hour of birth: An analysis of the Bangladesh Demographic and Health Survey, 2014. PLoS One. 2019 Jul 25;14(7):e0220224. doi: 10.1371/journal.pone.0220224. eCollection 2019.

  3. Patel AB, Simmons EM, Rao SR, Moore J, Nolen TL, Goldenberg RL, Goudar SS, Somannavar MS, Esamai F, Nyongesa P, Garces AL, Chomba E, Mwenechanya M, Saleem S, Naqvi F, Bauserman M, Bucher S, Krebs NF, Derman RJ, Carlo WA, Koso-ThomasMcClure MEM, Hibberd PL. Evaluating the effect of care around labor and delivery practices on early neonatal mortality in the Global Network's Maternal and Newborn Health Registry. Reprod Health. 2020 Nov 30;17(Suppl 2):156. doi: 10.1186/s12978-020-01010-w.


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