PROFILES Calculator: Neonatal and Postneonatal Infant Deaths Attributable to Low Birthweight

Alderman and Behrman (2004) cite estimates by Ashworth (1998) that term infants weighing 2000-2499 grams at birth have a risk of neonatal and postneonatal infant death that is four and two times, greater respectively, compared with infants weighing 2500-2999 grams. Given the actual LBW prevalence and neonatal and postneonatal mortality rates in Ashworth's sample, Alderman and Behrman derive a risk difference for infant mortality (either neonatal or postneonatal) of 0.078 if an infant is born LBW. Rather than use this derived risk difference, which assumes a particular LBW prevalence and a particular level and age distribution of infant mortality, we use Ashworth's relative risks together with country-specific rate of LBW to calculate the population's attributable risk of neonatal and postneonatal infant mortality due to LBW. These are then applied to the country-specific levels of neonatal and postneonatal infant mortality to calculate the excess deaths due to low birth weight.

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Instructions: Boxes in yellow should be filled in by the user. Click on the box and enter data for the country of your choice. Then click the 'Get Results' button to see the results in the boxes shaded in blue. The assumptions can be changed by the user if the default values are deemed inaccurate.

Inputs
1. Prevalence of Low Birth Weight (%)
2. Births per year
3. Neonatal mortality rate (deaths <1 month/1000 live births)
4. Infant mortality rate (deaths <1 year/1000 live births)
   
Assumptions
1. Relative risk of neonatal death of LBW v non-LBW infants
2. Relative risk of post-neonatal infant death of LBW v non-LBW infants
   
Intermediate results
1. Neonatal deaths per year
2. Infant deaths per year
3. Percentage of neonatal deaths attributable to LBW
4. Percentage of postneonatal infant deaths attributable to LBW
   
Results
1. Number of neonatal deaths attributable to LBW
2. Number of postneonatal infant deaths attributable to LBW
3. Number of infant deaths attributable to LBW
4. Percentage of infant deaths attributable to LBW

References

Alderman H, Behrman JR. Estimated economic benefits of reducing Low Birth Weight in Low-Income Countries. Health, Nutrition and Population (HNP) Discussion Paper. Washington, DC: The World Bank, 2004.

Ashworth A. Effects of intrauterine growth retardation on mortality and morbidity in infants and young children. As presented at the 1996 IDECG Workshop in Baton Rouge and edited by the European Journal of Clinical Nutrition Volume 52, Supplement 1, January 1998

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