Afghanistan Mortality Survey 2010 - Measure DHS

Table D.7 Estimated mortality rates by adjustment using ratio of neonatal to postneonatal deaths,Afghanistan excluding the South zone 2010Adjusted values using NN/PNN for:AfghanistanAsiancountries 1All DHSsurveysexcludingthe SouthFinalvalueMeasured 1.78 1.23 1.13 1.09Neonatal deaths 589 1,191 823 756 729Post-neonatal deaths 669Relative increase in neonatal deaths 1 2.02 1.40 1.28 1.24Mortality rates if due to omission ofneonatal deathsNeonatal 29 59 41 37 36Infant 64 105 76 72 71Under-5 83 124 95 91 90NN/PNN according to trend line 1.13 0.96 1.07 1.09 1.09If missing neonatal deaths due to agedisplacementPost neonatal deaths 669 67 435 502 529Post neonatal mortality rate 35 5 23 27 28NN/PNN ratio 0.88 10.92 1.73 1.39 1.281Bangladesh, India, Nepal and PakistanTable D.7 also examines the implications of an alternative assumption: that the lack of neonataldeaths is due only to misreporting of age at death. Applying this assumption to each scenario in the tablereduces the number of postneonatal deaths and increases the number of neonatal deaths correspondingly,and new neonatal/postneonatal ratios are calculated. All four scenarios are inconsistent with just agemisreporting, given that the new ratios are above those used for calculating the number of missingneonatal deaths.Figure D.6 compares the neonatal and postneonatal mortality rates with those of South AsianDHS surveys, given the percentage of births delivered in a facility. The neonatal mortality rate forAfghanistan excluding the South zone is below the trend line, while the postneonatal mortality rate isabove. This lends some support to the conclusion that some, although not the majority, of missingneonatal deaths may be due to an upward displacement in reported age at death of some neonates.Appendix D | 191