{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T01:05:20Z","timestamp":1781571920688,"version":"3.54.5"},"reference-count":0,"publisher":"Global Health and Education Projects, Inc","issue":"1","license":[{"start":{"date-parts":[[2018,6,30]],"date-time":"2018-06-30T00:00:00Z","timestamp":1530316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J MCH AIDS"],"abstract":"<jats:p>Background: Neonatal mortality due to preventable factors occurs at high rates throughout sub-Saharan Africa. Community-based interventions increase opportunities for prenatal screening and access to antenatal care services (ANC) services. The Healthy Beginning Initiative (HBI) provided congregation-based prenatal screening and health counseling for 3,047 women in Enugu State. The purpose of this study was to identify determinants for infant mortality among this cohort.\u00a0\r\n\r\nMethods: This was a prospective cohort study of post-delivery outcomes at 40 churches in Enugu State, Nigeria between 2013 and 2014. Risk factors for infant mortality were assessed using chi square, odds ratios, and multiple logistic regression.\u00a0\r\n\r\nResults: There were 2,436 live births from the 2,379 women who delivered (55 sets of twins and one set of triplets), and 99 cases of neonatal\/early postneonatal mortality. The neonatal mortality rate was 40.6 per 1,000 live births. Risk factors associated with neonatal mortality were lack of access to ANC services [OR= 8.81], maternal mortality [OR= 15.28], caesarian section [OR= 2.47], syphilis infection [OR= 6.46], HIV-positive status [OR= 3.87], and preterm birth [OR= 14.14].\r\n\r\nConclusions and Global Health Implications: These results signify that culturally-acceptablecommunity-based interventions targeted to increase access to ANC services, post-delivery services for preterm births, and HIV and syphilis screening for expectant mothers are needed to reduce infant mortality in resource-limited settings.\u00a0\r\n\r\nKey words: Infant Mortality \u2022 Neonatal Mortality \u2022 HIV, Antenatal Care \u2022 Nigeria \u2022 Healthy Beginning Initiative\r\n\r\nCopyright \u00a9 2018 Slinkard et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.\r\n\r\n\u00a0<\/jats:p>","DOI":"10.21106\/ijma.229","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T19:21:10Z","timestamp":1525375270000},"page":"1-8","source":"Crossref","is-referenced-by-count":8,"title":["Determinants of Infant Mortality in Southeast Nigeria: Results from  the Healthy Beginning Initiative, 2013-2014"],"prefix":"10.21106","volume":"7","author":[{"given":"Samantha A","family":"Slinkard, BA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R","family":"Pharr, PhD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Bruno, MPH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Patel, MSN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amaka","family":"Ogidi, MEd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Obiefune, MBBS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Echezona","family":"Ezeanolue, MD, MPH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8847","published-online":{"date-parts":[[2018,6,30]]},"container-title":["International Journal of Maternal and Child Health and AIDS (IJMA)"],"original-title":[],"link":[{"URL":"https:\/\/www.mchandaids.org\/index.php\/IJMA\/article\/download\/229\/110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.mchandaids.org\/index.php\/IJMA\/article\/download\/229\/110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T09:24:13Z","timestamp":1770024253000},"score":1,"resource":{"primary":{"URL":"https:\/\/mchandaids.org\/index.php\/ijma\/article\/view\/224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,30]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,6,30]]}},"URL":"https:\/\/doi.org\/10.21106\/ijma.229","relation":{},"ISSN":["2161-864X","2161-8674"],"issn-type":[{"value":"2161-864X","type":"electronic"},{"value":"2161-8674","type":"print"}],"subject":[],"published":{"date-parts":[[2018,6,30]]}}}