Victora CG, Requejo JH, Barros AJ, Berman P, Bhutta Z, Boerma T, Chopra M, De Francisco A, Daelmans B, Hazel E, Lawn J. Countdown to 2015: a decade of tracking progress for maternal, newborn, and child survival. Lancet. 2016;387(10032):2049–59.
Google Scholar
Agravat P, Loucaides EM, Kumar MB, Howells A, García AM, Sebina I, Balanza N, Fitchett EJ, Lawn JE. Research funding for newborn health and stillbirths, 2011–20: a systematic analysis of levels and trends. Lancet Glob Health. 2023;11(11):e1794–804.
Google Scholar
Bhowmik J, Apputhurai P, Williams J, Biswas RK. Investigating the role of women’s education status and empowerment on accessing skilled birth attendance in Bangladesh: a structural equation modelling approach. Midwifery. 2024;1(138):104140.
Google Scholar
Altuhaifa F, Al TM. Machine learning models for predicting missing gender in cancer data. Int J Data Sci Anal. 2025;28:1–5.
Boniol M, Kunjumen T, Nair TS, Siyam A, Campbell J, Diallo K. The global health workforce stock and distribution in 2020 and 2030: A threat to equity and ‘universal’health coverage? BMJ Glob Health. 2022;7(6):e009316.
Google Scholar
Nove A, ten Hoope-Bender P, Boyce M, Bar-Zeev S, de Bernis L, Lal G, Matthews Z, Mekuria M, Homer CS. The state of the World’s Midwifery 2021 report: findings to drive global policy and practice. Hum Resour Health. 2021;19:1–7.
Google Scholar
Adeyanju GC, Schrage P, Jalo RI, Abreu L, Schaub M. Armed violent conflict and healthcare-seeking behavior for maternal and child health in sub-Saharan Africa: a systematic review. PLoS ONE. 2025;20(2):e0317094.
Google Scholar
Jawad M, Hone T, Vamos EP, Cetorelli V, Millett C. Implications of armed conflict for maternal and child health: a regression analysis of data from 181 countries for 2000–2019. PLoS Med. 2021;18(9):e1003810.
Google Scholar
Bobo FT, Asante A, Woldie M, Dawson A, Hayen A. Child vaccination in sub-Saharan Africa: increasing coverage addresses inequalities. Vaccine. 2022;40(1):141–50.
Google Scholar
Nawaz R, Zhou Z, Khalid N, Cao D, Liu G, Ren Y, Zhao D, Zhao Y, Chen Y. Income-related inequality in distribution of health human resource among districts of Pakistan. BMC Health Serv Res. 2021;21:1–5.
Google Scholar
Shattock AJ, Johnson HC, Sim SY, Carter A, Lambach P, Hutubessy RC, Thompson KM, Badizadegan K, Lambert B, Ferrari MJ, Jit M. Contribution of vaccination to improved survival and health: modelling 50 years of the expanded programme on immunization. The Lancet. 2024;403(10441):2307–16.
Google Scholar
Mohapatra S. Health expenditures, health infrastructure and health status in SAARC countries: a panel data analysis. Vikalpa. 2022;47(3):205–16.
Google Scholar
Alzakari SA, Alhussan AA, Qenawy AS, Elshewey AM. Early detection of potato disease using an enhanced convolutional neural network-long short-term memory deep learning model. Potato Res. 2024;8:1–9.
Cometto G, Buchan J, Dussault G. Developing the health workforce for universal health coverage. Bull World Health Organ. 2019;98(2):109.
Google Scholar
Okoroafor SC, Ahmat A, Asamani JA, Millogo JJ, Nyoni J. An overview of health workforce education and accreditation in Africa: implications for scaling-up capacity and quality. Hum Resour Health. 2022;20(1):37.
Google Scholar
Faisal M, Stanton P, Muchiri M. Public healthcare in Pakistan: A people management solution? Asia Pacif J Human Resour. 2023;61(2):462–82.
Google Scholar
Muhammad Q, Eiman H, Fazal F, Ibrahim M, Gondal MF. Healthcare in Pakistan: navigating challenges and building a brighter future. Cureus. 2023;15(6):e40218.
Google Scholar
Rabbani F, Akhtar S, Nafis J, Khan S, Siddiqi S, Merali Z. Addition of mental health to the lady health worker curriculum in Pakistan: now or never. Hum Resour Health. 2023;21(1):29.
Google Scholar
Singletary N, Waqar FZ. Beliefs, experiences, and practices of lady health workers in facilitating breastfeeding in rural communities in Pakistan. Qual Health Res. 2024;34(13):1339–50.
Google Scholar
Khan SJ, Asif M, Aslam S, Khan WJ, Hamza SA. Pakistan’s healthcare system: a review of major challenges and the first comprehensive universal health coverage initiative. Cureus. 2023;15(9):e44641.
Google Scholar
World Health Organization. Minimum technical standards and recommendations for reproductive, maternal, newborn and child health care for emergency medical teams. World Health Organization; 2021 Apr 30.
Banerjee S, Koner S, Kaur A, Sharma C. Major determinants of infant mortality: district-level evidence from annual health survey states of India. J Health Manag. 2023:09720634231196963.
Solnes Miltenburg A, Kvernflaten B, Meguid T, Sundby J. Towards renewed commitment to prevent maternal mortality and morbidity: learning from 30 years of maternal health priorities. Sex Reprod Health Matters. 2023;31(1):2174245.
Google Scholar
Ferreira LZ, Blumenberg C, Utazi CE, Nilsen K, Hartwig FP, Tatem AJ, Barros AJ. Geospatial estimation of reproductive, maternal, newborn and child health indicators: a systematic review of methodological aspects of studies based on household surveys. Int J Health Geogr. 2020;19:1–5.
Google Scholar
Waiswa P, Wanduru P, Okuga M, Kajjo D, Kwesiga D, Kalungi J, Nambuya H, Mulowooza J, Tagoola A, Peterson S. Institutionalizing a regional model for improving quality of newborn care at birth across hospitals in eastern Uganda: a 4-year story. Global Health: Sci Pract. 2021;9(2):365–78.
Nawaz R, Gong S, Zhao Y, Khalid N, Zhou Z, Waseem M. Association between antenatal care visits and under-five mortality: an analysis of the Pakistan demographic and health surveys. PLoS ONE. 2025;20(4):e0318668.
Google Scholar
Midhet F, Hanif M, Khalid SN, Khan RS, Ahmad I, Khan SA. Factors associated with maternal health services utilization in Pakistan: evidence from Pakistan maternal mortality survey, 2019. PLoS ONE. 2023;18(11):e0294225.
Google Scholar
World Health Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. World Health Organization; 2023 Feb 22
Dol J, Hughes B, Bonet M, Dorey R, Dorling J, Grant A, Langlois EV, Monaghan J, Ollivier R, Parker R, Roos N. Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review. JBI Evid Synth. 2023;21(1):98–199.
Google Scholar
Ashorn P, Ashorn U, Muthiani Y, Aboubaker S, Askari S, Bahl R, Black RE, Dalmiya N, Duggan CP, Hofmeyr GJ, Kennedy SH. Small vulnerable newborns—big potential for impact. Lancet. 2023;401(10389):1692–706.
Google Scholar
Unicef. A neglected tragedy: the global burden of stillbirths: report of the UN Inter-agency Group for Child Mortality Estimation, 2020.
Church PT, Banihani R, Litt JS, Msall M. Reimagining neonatal follow-up: an equitable model of care emphasizing family and child function. Pediatr Clin. 2025;72(1):93–109.
Olusanya BO, Boo NY, Nair MK, Samms-Vaughan ME, Hadders-Algra M, Wright SM, Breinbauer C, Almasri N, Moreno-Angarita M, Arabloo J, Arora NK. Accelerating progress on early childhood development for children under 5 years with disabilities by 2030. Lancet Glob Health. 2022;10(3):e438–44.
Google Scholar
Bhutta ZA, Salam RA, Lassi ZS, Austin A, Langer A. Approaches to improve quality of care (QoC) for women and newborns: conclusions, evidence gaps and research priorities. Reprod Health. 2014;11:1–3.
Google Scholar
Sharrow D, Hug L, You D, Alkema L, Black R, Cousens S, Croft T, Gaigbe-Togbe V, Gerland P, Guillot M, Hill K. Global, regional, and national trends in under-5 mortality between 1990 and 2019 with scenario-based projections until 2030: a systematic analysis by the UN inter-agency group for child mortality estimation. Lancet Glob Health. 2022;10(2):e195-206.
Google Scholar
Newborns WH. Improving survival and well-being. World Health Organization. 2020.
Dattani S, Spooner F, Ritchie H, Roser M. Child and infant mortality. Our World in Data. 2023 Dec 28.
Iqbal S, Maqsood S, Zakar R, Fischer F. Trend analysis of multi-level determinants of maternal and newborn postnatal care utilization in Pakistan from 2006 to 2018: evidence from Pakistan demographic and health surveys. BMC Public Health. 2023;23(1):642.
Google Scholar
Naseem S, Khattak UK, Ghazanfar H, Irfan A. Maternal health status in terms of utilisation of antenatal, natal and postnatal services in a Periurban setting of Islamabad: a community based survey. J Pak Med Assoc. 2017;67(8):1186–91.
Google Scholar
El-Kenawy ES, Alhussan AA, Khodadadi N, Mirjalili S, Eid MM. Predicting potato crop yield with machine learning and deep learning for sustainable agriculture. Potato Res. 2024;13:1–34.
El-Kenawy ES, Khodadadi N, Mirjalili S, Abdelhamid AA, Eid MM, Ibrahim A. Greylag goose optimization: nature-inspired optimization algorithm. Expert Syst Appl. 2024;15(238):122147.
Google Scholar
Muhammad FS, Shahabudin SM, Talib MB. Measuring spatial inequalities in maternal and child mortalities in Pakistan: evidence from geographically weighted regression. BMC Public Health. 2024;24(1):2229.
Google Scholar
Saira A, Wilson LA, Ezeh KO, Lim D, Osuagwu UL, Agho KE. Factors associated with non-utilization of postnatal care among newborns in the first 2 days after birth in Pakistan: a nationwide cross-sectional study. Glob Health Action. 2021;14(1):1973714.
Google Scholar
National Institute of Population Studies (Pakistan), Macro International. Pakistan Demographic and Health Survey 2017–18. Islamabad (PK): National Institute of Population Studies; 2018.
Demographic NP. Health Survey. National institute of population studies; 2017–18 [Internet].
Agha N. Maternal and newborn health in Pakistan: risks, challenges, and the way forward. South Asia@ LSE. 2018 Jul 9.
Stephens C, Crivelli V, Hautecouer J, Hutchison C, Llamas A. Improving Indigenous Maternal and Child Health.
Mangu CD, Rumisha SF, Lyimo EP, Mremi IR, Massawe IS, Bwana VM, Chiduo MG, Mboera LE. Trends, patterns and cause-specific neonatal mortality in Tanzania: a hospital-based retrospective survey. Int Health. 2021;13(4):334–43.
Google Scholar
Memon Z, Fridman D, Soofi S, Ahmed W, Muhammad S, Rizvi A, Ahmed I, Wright J, Cousens S, Bhutta ZA. Predictors and disparities in neonatal and under 5 mortality in rural Pakistan: cross sectional analysis. Lancet Reg Health-Southeast Asia. 2023;1:15.
Khan S, Haider SI, Bakhsh R. Socio-economic and cultural determinants of maternal and neonatal mortality in Pakistan. Global Reg Rev. 2020;1:1–7.
Linden A, Huber C, Wodtke GT. A regression-with-residuals method for analyzing causal mediation: the rwrmed package. Stand Genomic Sci. 2021;21(3):559–74.
Cleves M. An introduction to survival analysis using Stata. Stata press; 2008 May 15.
Imbo AE, Mbuthia EK, Ngotho DN. Determinants of neonatal mortality in Kenya: evidence from the Kenya demographic and health survey 2014. Int J Matern Child Health AIDS. 2021;10(2):287.
Google Scholar
Paul S, Paul S, Gupta AK, James KS. Maternal education, health care system and child health: evidence from India. Soc Sci Med. 2022;1(296):114740.
Google Scholar
Hayes AF, Glynn CJ, Huge ME. Cautions regarding the interpretation of regression coefficients and hypothesis tests in linear models with interactions. Commun Methods Meas. 2012;6(1):1–1.
Google Scholar
Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res. 2007;42(1):185–227.
Google Scholar
Valente MJ, Rijnhart JJ, Smyth HL, Muniz FB, MacKinnon DP. Causal mediation programs in R, M plus, SAS, SPSS, and Stata. Struct Equ Model. 2020;27(6):975–84.
Google Scholar
MacKinnon DP, Lockwood CM, Williams J. Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivar Behav Res. 2004;39(1):99–128.
Google Scholar
David GK, Mitchel K. Survival analysis: a Self‐Learning text.
Allen MP. The t test for the simple regression coefficient. Understanding Regression Analysis. 1997:66–70.
Yan W, Qin C, Tao L, Guo X, Liu Q, Du M, Zhu L, Chen Z, Liang W, Liu M, Liu J. Association between inequalities in human resources for health and all cause and cause specific mortality in 172 countries and territories 1990–2019: observational study. BMJ. 2023;381:e073043.
Google Scholar
Bolan N, Cowgill KD, Walker K, Kak L, Shaver T, Moxon S, Lincetto O. Human resources for health-related challenges to ensuring quality newborn care in low-and middle-income countries: a scoping review. Global Health: Sci Pract. 2021;9(1):160–76.
Farrar DS, Pell LG, Muhammad Y, Khan SH, Tanner Z, Bassani DG, Ahmed I, Karim M, Madhani F, Paracha S, Khan MA. Association of maternal, obstetric, fetal, and neonatal mortality outcomes with Lady Health Worker coverage from a cross-sectional survey of> 10,000 households in Gilgit-Baltistan, Pakistan. PLOS Global Public Health. 2024;4(2):e0002693.
Google Scholar
Zaka N, Umar M, Ahmad AM, Ahmad I, Reza TE, Sarfraz M, Emmanuel F. Equity trends for the UHC service coverage sub-index for reproductive, maternal, newborn and child health in Pakistan: evidence from demographic health surveys. Int J Equity Health. 2023;22(1):230.
Google Scholar
Ma Y, Xiao P, Yu L, Ni H, Huang S, Wang M, Huang Y, Li L, Yang L, Tan C, Zhong Z. The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study. BMC Health Serv Res. 2023;23(1):151.
Google Scholar
Rout HS, editor. Health care systems: a global survey. New Delhi: New century publications; 2011.
Forman R, Ambreen F, Shah SS, Mossialos E, Nasir K. Sehat sahulat: a social health justice policy leaving no one behind. The Lancet Regional Health-Southeast Asia. 2022;1:7.
Hafeez A, Mohamud BK, Shiekh MR, Shah SA, Jooma R. Lady health workers programme in Pakistan: challenges, achievements and the way forward. JPMA J Pak Med Assoc. 2011;61(3):210.
Google Scholar
Ahmed SM, Hossain MA, RajaChowdhury AM, Bhuiya AU. The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution. Hum Resour Health. 2011;9:1–7.
Google Scholar
Karan A, Negandhi H, Hussain S, Zapata T, Mairembam D, De Graeve H, Buchan J, Zodpey S. Size, composition and distribution of health workforce in India: why, and where to invest? Hum Resour Health. 2021;19:1–4.
Google Scholar
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