Table 4 Average NMR, total neonatal deaths and total DALYs due to ‘Neonatal Disorders’ during the intervention period (2023–2030) by scenario
Scenario Full name (Short name) | Average NMR (95% CI) Mean difference (95% CI) Percentage difference from SQa | Total Neonatal Deaths (95% CI) Mean difference (95% CI) Percentage difference from SQa | Total Neonatal DALYs (95% CI) Mean difference (95% CI) Percentage difference from SQa | |
|---|---|---|---|---|
Comparator scenario: | Status Quo (SQ) | 16.9 (16.7, 17.1) Ref. | 99,902 (98,661, 101,142) Ref. | 6,981,837 (6,901,833,7,061,841) Ref. |
Scenarios relating to antenatal services: | Increased routine ANC coverage (AN coverage) | 15.9 (15.8, 16.1) –1.0 (–1.3, –0.7) –5.8% | 94,135 (93,136, 95,134) –5766 (–7548, -3985) –5.8% | 6,556,867 (6,485,449, 6,628,285) –424,940 (–548,281, –301,695) –6.1% |
Increased coverage and quality of antenatal services (AN coverage and qual.) | 15.0 (14.8, 15.2) –1.9 (–2.2, –1.6) –11.2% | 88,700 (87,273, 90,128) –11,201 (–12,903, –9500) –11.2% | 6,181,879 (6,090,215, 6,273,543) –799,958 (–908,339, –691,578) –11.5% | |
Maximum availability of antenatal services (AN max.) | 15.0 (14.8, 15.2) –1.9 (–2.2, –1.6) –11.3% | 88,663 (87,564, 89,761) –11,239 (–13,096, –9382) –11.3% | 6,159,507 (6,084,861, 6,234,153) –822,330 (–946,250, –698,409) –11.8% | |
No antenatal services (AN min.) | 19.4 (19.2, 19.6) 2.5 (2.3, 2.8) 14.9% | 114,697 (113,647, 115,748) 14,796 (13,348, 16,243) 14.8% | 8,008,887 (7,940,545, 8,077,227) 1,027,050 (933,805, 1,120,295) 14.7% | |
Scenarios relating to intrapartum services: | Increased availability of intrapartum BEmONC interventions (IP BEmONC) | 13.1 (13.0, 13.2) –3.8 (–4.0, –3.6) –22.4% | 77,580 (76,280426, 78,357) –22,321(–23,476, –20,187) –22.3% | 5,400,914 (5,354,350, 5,447,479) –1,580,923 (–1,661,139, –1,500,707) –22.6% |
Increased availability of intrapartum CEmONC interventions (IP CEmONC) | 13.1 (13.0, 13.3) –3.8 (–4.0, –3.5) –22.2% | 77,976 (76,960, 78,992) –21,926 (–23,664, –20,187) –21.9% | 5,452,852 (5,382,481, 5,523,223) –1,528,985 (–1,640,003, –1,417,967) –21.9% | |
Maximum availability of intrapartum services (IP max.) | 12.0 (11.8, 12.2) –4.9(–5.1, –4.6) –28.8% | 71,398 (70,135, 72,661) –28,503 (–29,961, –27,046) –28.5% | 4,992,053 (4,907,342, 5,076,764) –1,989,783 (–2,087,019, –1,892,589) –28.5% | |
No intrapartum services (IP min.) | 22.0 (21.7, 22.3) 5.1 (4.9, 5.4) 30.3% | 130,193 (128,578, 131,809) 30,292 (28,832, 31,751) 30.3% | 9,096,867 (8,985,226, 9,208,508) 2,115,030 (2,005,525, 2,224,535) 30.1% | |
Scenarios relating to postnatal services: | Increased PNC coverage (PN coverage) | 16.9 (16.7, 17.1) –0.1(–0.2, 0.4) N/A | 100,765 (99,521, 102,009) –864 (–719, 2447) N/A | 7,026,456 (6,948,270, 7,104,642) 44,619 (–59,374, 148,612) N/A |
Increased coverage and quality of postnatal services (PN coverage and qual.) | 15.7 (15.4, 15.9) –1.2 (–1.5, –0.9) –7.1% | 92,827 (91,718, 93,395) –7075 (–8983, –5167) –7.1% | 6,470,768 (6,387,697, 6,553,840) –511,069 (–645,141, –442,389) –7.3% | |
Maximum availability of postnatal services (PN max.) | 15.3 (15.1, 15.3) –1.6 (–1.9, –1.4) –9.7% | 90,338 (89,491, 91,184) –9564 (–10,919, –8209) –9.6% | 6,311,920 (6,254,857, 6,368,984) –669,917 (–760,532, –579,301) –9.6% | |
No postnatal services (PN min.) | 17.7 (17.5, 18.0) 0.9 (0.6, 1.1) 5.1% | 104,903 (103,710, 106,096) 5002 (3365, 6638) 5.0% | 7,318,664 (7,240,983, 7,396,345) 336,824 (221,265, 442,389) 4.8% | |
Scenarios relating to all services: | Increased coverage and antenatal, postnatal services and improved availability of BEmONC interventions (All services coverage) | 12.4 (12.2, 12.5) –4.5 (–4.8, –4.3) –26.9% | 73,128 (72,237, 74,020) –26,773 (–28,050, –25,496) –26.8% | 5,079,849 (5,021,468, 5,138,229) –1,901,989 (–1,990,484, –1,813,493) 27.2% |
Increased coverage and quality of antenatal, postnatal services, and improved availability of CEmONC interventions (All services coverage and qual.) | 10.9 (10.8, 11.1) –6.0 (–6.3, –5.7) –35.4% | 64,649 (63,773, 65,525) –35,253 (–37,062, –33,444) –35.3% | 4,475,043 (4,416,512, 4,533,574) –2,506,794 (–2,625,589, –2,388,000) –35.9% | |
Maximum availability of antenatal, intrapartum, and postnatal services (All services max.) | 9.4 (9.3, 9.5) –7.5 (–7.6, –7.3) –44.2% | 55,908 (55,251, 56,564) –43,994 (–45,132, –42,856) –44.0% | 3,882,514 (3,839,590, 3,925,438) –3,099,323 (–3,174,268, –3,024,379) –44.4% | |
No availability of antenatal, intrapartum, and postnatal services (All services min.) | 26.5 (26.3, 26.7) 9.6 (9.3, 9.9) 57.0% | 156,699 (155,346, 158,052) 56,798 (54,956, 58,639) 56.9% | 10,964,980 (10,868,610, 11,061,350) 3,983,143 (3,853,275, 4,113,011) 57.1% |