Neonatal survival in complex humanitarian emergencies: setting an evidence-based research agenda

Morof, Diane F; Kerber, Kate; Tomczyk, Barbara; Lawn, Joy; Blanton, Curtis; Sami, Samira; Amsalu, Ribka

doi:10.1186/1752-1505-8-8

Conflict and Health

Table 1 Conflict and refugee status in the 25 countries with the highest neonatal mortality rate (NMR)[2, 13, 14, 17]

From: Neonatal survival in complex humanitarian emergencies: setting an evidence-based research agenda

Rank by highest neonatal mortality rate	Country	Neonatal mortality rate/1,000 live births (UNICEF 2013)	UCDP (2011 and 2012) any conflict*	UNESCO (2010) report definition of conflict^ǂ	UNHCR (mid-2013) Number refugees from this country	UNHCR (mid-2013) Number of refugees in this country	UNHCR (mid-2013) IDPs in this country
Rank by highest neonatal mortality rate	Country	Neonatal mortality rate/1,000 live births (UNICEF 2013)	Includes any: war and minor conflict, non-state conflict and one-sided violence	UNESCO (2010) report definition of conflict^ǂ	UNHCR (mid-2013) Number refugees from this country	UNHCR (mid-2013) Number of refugees in this country	UNHCR (mid-2013) IDPs in this country
1	Mali	59	Yes		182,780	14,425	353,455
2	Sierra Leone	59	No	Post conflict	5734	4154	0
3	Guinea-Bissau	58	No		1,162	7,787	0
4	South Sudan°	57	Yes	N/A	102,651	223,636	401,433
5	Pakistan	56	Yes	Armed Conflict	46,046	1,621,525	975,478
6	Ethiopia	54	Yes	Armed Conflict	73,926	406,646	0
7	Guinea	54	Yes	Post conflict	13,956	10,466	0
8	Mozambique	54	No		63	4,413	0
9	Bangladesh	54	No		9,545	231,138	0
10	Nepal	53	No	Armed Conflict	7,323	51,232	0
11	Nigeria	52	Yes	Non-State	17,735	1,849	0
12	Angola	52	No	Post conflict	16,229	23,718	0
13	India	51	Yes	Armed Conflict	11,784	187,024	0
14	Liberia	51	No	Post conflict	22,488	58,852	0
15	Malawi	50	No		275	6,369	0
16	Somalia	50	Yes	Armed Conflict	1,130,939	2,339	1,122,559
17	Afghanistan	50	Yes	Armed Conflict	2,552,208	16,866	5,367
18	Niger	48	No		657	50,424	0
19	Côte d’Ivoire	48	Yes	Post conflict	93,738	4,025	24,000
20	Democratic Republic of Congo	47	Yes	Armed Conflict	490,095	183,244	2,607,407
21	Equatorial Guinea	47	No		214	0	0
22	Timor-Leste	47	No	N/A	N/A	N/A	N/A
23	Central African Republic	47	Yes	Extra definitional	221,577	17,732	206,000
24	Chad	47	No	Armed Conflict	39,329	418,451	90,000
25	Burundi	46	No	Armed Conflict	73,143	44.034	78,948

*Includes any: war and minor conflict, non-state conflict and one-sided violence. Data from 2011 and 2012.
^ǂUNESCO report definitions based on battle-related deaths: from Armed Conflict Dataset or the Battle Death Dataset 1990–2008. Conflict-affected means two things: The problems caused by an ongoing or very recent conflict and the problems that associated with a post-conflict country. A conflict defined as active will have produced more than 1000 BRD for the period 1999–2008 in addition to more than 200 BRD in any of the years 2006, 2007 or 2008. If a conflict meets the former criterion but not the latter we classify it as a post-conflict country. Extra definitional was used to denote that conflict was known to occur in this country but did not meet the criteria for each category stated above.
°South Sudan seceded from the Republic of Sudan in 2011. IDP figure in South Sudan includes 209,700 people who are in an IDP-like situation. An unknown number of refugees from South Sudan may be included under Sudan (500,014) (in absence of separate statistics for both countries).

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ISSN: 1752-1505

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