{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T06:56:26Z","timestamp":1793256986666,"version":"4.5.0"},"reference-count":64,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify mortality trends and risk factors associated with stillbirths and neonatal deaths 1982\u20132011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Population\u2010based cross\u2010sectional study based on reported pregnancy history in Iganga\u2010Mayuge Health and Demographic Surveillance Site (<jats:styled-content style=\"fixed-case\">HDSS<\/jats:styled-content>) in Uganda. A pregnancy history survey was conducted among women aged 15\u201349 years living in the <jats:styled-content style=\"fixed-case\">HDSS<\/jats:styled-content> during May\u2013July 2011 (<jats:italic>n<\/jats:italic> = 10 540). Time trends were analysed with cubic splines and linear regression. Potential risk factors were examined with multilevel logistic regression with adjusted odds ratios (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>) and 95% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>34 073 births from 1982 to 2011 were analysed. The annual rate of decrease was 0.9% for stillbirths and 1.8% for neonatal mortality. Stillbirths were associated with several risk factors: multiple births (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 2.57, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.66\u20133.99), previous adverse outcome (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 6.16, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 4.26\u20138.88) and grand multiparity among 35\u2010 to 49\u2010year\u2010olds (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 1.97, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.32\u20132.89). Neonatal deaths were associated with multiple births (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 6.16, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 4.80\u20137.92) and advanced maternal age linked with parity of 1\u20134 (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 2.34, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.28\u20134.25) and grand multiparity (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 1.44, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.09\u20131.90). Education, marital status and household wealth were not associated with the outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The slow decline in mortality rates and easily identifiable risk factors calls for improving quality of care at birth and a rethinking of how to address obstetric risks, potentially a revival of the risk approach in antenatal care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12807","type":"journal-article","created":{"date-parts":[[2016,11,5]],"date-time":"2016-11-05T05:23:02Z","timestamp":1478323382000},"page":"63-73","source":"Crossref","is-referenced-by-count":41,"title":["Trends and risk factors of stillbirths and neonatal deaths in Eastern Uganda (1982\u20132011): a cross\u2010sectional, population\u2010based study"],"prefix":"10.1111","volume":"22","author":[{"given":"Sanni","family":"Kujala","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences \u2013 Global Health Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Waiswa","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences \u2013 Global Health Karolinska Institutet Stockholm Sweden"},{"name":"Maternal and Newborn Centre of Excellence Makerere University School of Public Health Kampala Uganda"},{"name":"The INDEPTH Network Maternal and Newborn Working Group Iganga\u2010Mayuge Health and Demographic Surveillance Site Iganga Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Kadobera","sequence":"additional","affiliation":[{"name":"The INDEPTH Network Maternal and Newborn Working Group Iganga\u2010Mayuge Health and Demographic Surveillance Site Iganga Uganda"},{"name":"Mental Health Program Clinical Services Division Ministry of Health Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Akuze","sequence":"additional","affiliation":[{"name":"Maternal and Newborn Centre of Excellence Makerere University School of Public Health Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Pariyo","sequence":"additional","affiliation":[{"name":"The INDEPTH Network Maternal and Newborn Working Group Iganga\u2010Mayuge Health and Demographic Surveillance Site Iganga Uganda"},{"name":"Department of International Health Johns Hopkins University Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences \u2013 Global Health Karolinska Institutet Stockholm Sweden"},{"name":"Faculty of Infectious &amp; Tropical Disease London School of Hygiene &amp; Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"466","article-title":"Countdown to 2015: a decade of tracking progress for maternal, newborn, and child survival","volume":"385","author":"Victora CG","year":"2015","journal-title":"Lancet"},{"key":"e_1_2_7_3_1","volume-title":"Levels & Trends in Child Mortality 2015","author":"UNICEF, World Health Organization, World Bank Group, United Nations","year":"2015"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62187-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71048-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","unstructured":"BlencoweH CousensS JassirFBet al.National regional and worldwide estimates of stillbirth rates in 2015 with trends from 2000: a systematic analysis. 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