Epidemiological aspects of neonatal mortality due to intrauterine infection in Kazakhstan

Background: in this study,we examined the epidemiological aspects of neonatal mortality due to intrauterine infections with regard to regional characteristics. methods: consolidated report of the ministry of health and social development of the republic of kazakhstan on children deceased during their first 28 days of life due to intrauterine infections (p23 – congenital pneumonia,p35-39 – infectious diseases specific to the perinatal period) in the country and its regions for 2010 - 2014 was used in this investigation. descriptive and analytical methods of medical statistics and epidemiology were used as the main method of this 5-year (2010-2014) retrospective study. results: overall,3,298 neonatal deaths from intrauterine infections were recorded in kazakhstan during the period of 2010-2014,1,925 of which were early and 1,373 were late neonatal deaths. the average annual rate of neonatal mortal-ity rate from intrauterine infection in the country amounted to 1.73±0.23‰ (95% ci=1.27-2.19‰),whereas trends during the study period decreased (t=−15.3%). regional characteristics of neonatal mortality were established. dif-ferent levels for cartograms of neonatal mortality from intrauterine infections were defined: low (up to 1.28‰),average (from 1.28‰ to 2.12‰) and high (by 2.12‰ and above). neonatal mortality in the early and late periods was also analyzed. conclusion: this is the first epidemiological study of neonatal mortality from intrauterine infection,which contains a detailed space-time evaluation. the results of this investigation can be used to improve the state program to combat infant mortality. © 2015,iranian journal of public health. all rights reserved.