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Prediction of neonatal mortality in Sub-Saharan African countries using data-level linkage of multiple surveys

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 Publication date 2020
and research's language is English




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Existing datasets available to address crucial problems, such as child mortality and family planning discontinuation in developing countries, are not ample for data-driven approaches. This is partly due to disjoint data collection efforts employed across locations, times, and variations of modalities. On the other hand, state-of-the-art methods for small data problem are confined to image modalities. In this work, we proposed a data-level linkage of disjoint surveys across Sub-Saharan African countries to improve prediction performance of neonatal death and provide cross-domain explainability.

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COVID-19 is a new pandemic disease that is affecting almost every country with a negative impact on social life and economic activities. The number of infected and deceased patients continues to increase globally. Mathematical models can help in developing better strategies to contain a pandemic. Considering multiple measures taken by African governments and challenging socio-economic factors, simple models cannot fit the data. We studied the dynamical evolution of COVID-19 in selected African countries. We derived a time-dependent reproduction number for each country studied to offer further insights into the spread of COVID-19 in Africa.
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In recent years, much of the focus in monitoring child mortality has been on assessing changes in the under-five mortality rate (U5MR). However, as the U5MR decreases, the share of neonatal deaths (within the first month) tends to increase, warranting increased efforts in monitoring this indicator in addition to the U5MR. A Bayesian splines regression model is presented for estimating neonatal mortality rates (NMR) for all countries. In the model, the relationship between NMR and U5MR is assessed and used to inform estimates, and spline regression models are used to capture country-specific trends. As such, the resulting NMR estimates incorporate trends in overall child mortality while also capturing data-driven trends. The model is fitted to 195 countries using the database from the United Nations Interagency Group for Child Mortality Estimation, producing estimates from 1990, or earlier if data are available, until 2015. The results suggest that, above a U5MR of 34 deaths per 1000 live births, at the global level, a 1 per cent increase in the U5MR leads to a 0.6 per cent decrease in the ratio of NMR to U5MR. Below a U5MR of 34 deaths per 1000 live births, the proportion of deaths under-five that are neonatal is constant at around 54 per cent. However, the relationship between U5MR and NMR varies across countries. The model has now been adopted by the United Nations Inter-agency Group for Child Mortality Estimation.
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