SlideShare a Scribd company logo
Volume 3, Issue VII, July 2020 | 39
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Analyzing neonatal deaths in Zimbabwe using box-jenkins
arima models
Dr. Smartson P. Nyoni1
, Mr. Thabani Nyoni2
1
ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe
2
Department of Economics, University of Zimbabwe, Harare, Zimbabwe
Email: smartson_p@gmail.com
ABSTRACT
Using annual time series data on neonatal deaths in Zimbabwe from 1966 to 2018, we model and forecast
number of neonatal deaths over the next 25 years using the Box – Jenkins ARIMA technique. Diagnostic tests such
as the ADF tests show that Neonatal Deaths (ND) series is I (2). Based on the AIC, the study presents the ARIMA
(8, 2, 0) model as the optimal model. The diagnostic tests further indicate that the presented model is stable and its
residuals are stationary in levels. The results of the study reveal that the numbers of neonatal deaths per year are
expected to decline sharply in the next 25 years. In order to keep on reducing neonatal deaths in Zimbabwe, the
study offered a four-fold policy prescription.
Keywords: neonatal deaths, Zimbabwe, model.
1. INTRODUCTION
Neonatal death can be defined as the number of neonates dying before reaching 28 days of age (Usman et al.
2019). The first 2 days after birth account for over 50% neonatal deaths, while the first week of life accounts for
over 75% of all neonatal deaths (Carlo & Travers, 2016). Actually, the risk of neonatal death is highest in the first
24 hours of life (Nouri et al., 2013). In fact, 2.6 million children died in the first month of life in 2016 – nearly
7000 newborn deaths every day – most of which occurred in the first week, with about 1 million dying on the first
day and close to 1 million dying within the next 6 days (UNICEF, 2017). The major causes of neonatal deaths are
birth asphyxia, prematurity, sepsis as well as congenital malformation (Carlo & Travers, 2016). Thus, neonatal
deaths are an indicator of healthcare systems in a country (Babaei et al. 2018) in the sense that neonatal deaths
reveal the health of children and development of the economy and culture of a country or region (Chengye, 2012).
Interestingly, neonatal deaths are preventable (Tachiwenyika et al., 2011). In order to enhance the prevention of
neonatal deaths, modeling and forecasting neonatal deaths is critical, especially in developing countries such as
Zimbabwe where neonatal deaths are still prevalent in large numbers. Therefore, this paper, will go a long way in
uncovering the dynamics of neonatal deaths in Zimbabwe and consequently shed more light on health policy
formulation.
1.2 OBJECTIVES OF THE STUDY
i. To investigate the years during which neonatal deaths peaked in Zimbabwe.
ii. To forecast the number of neonatal deaths for the out-of sample period.
iii. To examine the pattern of neonatal deaths for the out-of-sample period.
1.3 RELEVANCE OF THE STUDY
Neonatal death is still a major public health problem worldwide and accounts for more than 60% of
newborn deaths before their first birthday (UNICEF, 2008). Of the world’s 7.7 million deaths in those aged
younger than 5 years, 3.1 million are neonatal deaths (Rajaratnam et al. 2010). Approximately 99% of these
neonatal deaths occur in low and middle – income countries, mostly in sub-Saharan Africa (Lawn et al. 2005)
including Zimbabwe which continues to bear a heavy burden of neonatal mortality (Ministry of Health and Child
Care, 2007). This study seeks to examine and forecast the number of neonatal deaths in Zimbabwe. In order to
reduce the numbers of neonatal deaths to zero, there is need for reliable forecasts that will act as a guiding tool
for policy makers in the health sector; hence, the need for this study.
2. LITERATURE REVIEW
Sarpong (2013) modeled and forecasted maternal mortality ratio (MMR) at the Okomfo Anokye
Teaching Hospital in Kumasi, Ghana, from the year 2000 to 2010; using ARIMA models and found out that the
ARIMA (1, 0, 2) model was optimal for forecasting quarterly MMR at Okomfo Anokye Teaching Hospital. Ezeh
Volume 3, Issue VII, July 2020 | 40
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
et al. (2014) analyzed the determinants of neonatal mortality in Nigeria using the Cox Regression model and found
out that a higher birth order of newborns with a short birth interval of less or equal to 2 years and newborns with
a higher birth order with a longer birth interval of greater than 2 years were significantly associated with neonatal
mortality.
Nyoni (2019) modeled and forecasted maternal deaths in Zimbabwe using annual time series data
covering the period 1990 – 2015 and applied the Box-Jenkins ARIMA models and basically found out that in the
next decade (2016-2025), maternal deaths will increase. In another Zimbabwean study, Chaibva et al. (2019)
analyzed stillbirths and neonatal deaths in Mutare district: the study conducted a retrospective review of 346
patient records, of women who delivered at Sakubva Hospital and those reffered for Mutare district facilities to
Mutare Provincial Hospital, between January and June 2014 and then used descriptive statistics to explore the
contributors to stillbirths and neonatal deaths in Mutare. Their results basically show that of the 346 women,
15.6% (i.e. 54) experienced an adverse pregnancy outcome (stillbirth or neonatal death). Their results also indicate
that contributing factors to adverse pregnancy outcomes included birthweight, gestational age, delivery
complications and delivery methods. In yet another, most recent Zimbabwean study, Nyoni & Nyoni (2020)
analyzed monthly time series data on neonatal death cases at Chitungwiza Central Hospital (CCH) from January
2013 to December 2018 using Box-Jenkins SARIMA models and found out that there will be a slow but steady
decrease in neonatal deaths at CCH over the out-of-sample period, that is, January 2019 to December 2020.
Mishra et al. (2019) forecasted Infant Mortality Rates (IMR) in India using ARIMA models. The forecast
of the sample period (1971-2016) indicated accuracy by the selected ARIMA (2, 1, 1) model. The post sample
forecast with the ARIMA (2, 1, 1) model revealed a decreasing trend of IMR (2017-2025). The forecast IMR for
2025 was found to be 15/1000 live births. Khan et al. (2019) modeled and forecasted IMR of Asian countries
using the log-log regression and ARIMA models and found out that there was a negative correlation between IMR
and GDP (PPP). Secondary data of IMR and GDP (PPP) from 1980 to 2015 was analyzed and forecast was done
from 2016 to 2025: the AR (1) model was found for all countries except Japan and Nepal for which the ARIMA
(1, 1, 1) model was found suitable. Usman et al. (2019) analyzed the incidence of the rate of neonatal mortality in
Nigeria using ARIMA models. Their trend plot of the incidence indicated that there was a steady decrease in the
incidence rate over the years. The ARIMA (1, 1, 1) model was found to be the optimal model. The time series
analysis also revealed that the neonatal mortality rate has reduced by 17.8% from 51.7% in the year 1990 to 33.9%
in the year 2017. This paper follows the leads of Usman et al. (2019) and is the first country-specific study which
has forecasted neonatal deaths in Zimbabwe.
3. MATERIALS & METHODS
ARIMA Models
Autoregressive Integrated Moving Average (ARIMA) models deliver more accurate forecasts than
econometric techniques (Song et al., 2003b). In fact, ARIMA models perform better than multivariate models in
forecasting (du Preez & Witt, 2003). ARIMA models were developed by Box & Jenkins (1970) and their approach
of identification, estimation and diagnostics is based on the principle of parsimony (Asteriou & Hall, 2007). The
generalized ARIMA (p, d, q) model can be represented by a backward shift operator as:
∅(B)(1 − B)d
NDt = θ(B)μt … … … … … … … … … … … … … … … … … … … … … … . … … … … . . [1]
Where the autoregressive (AR) and moving average (MA) characteristic operators are:
∅(B) = (1 − ∅1B − ∅2B2
− ⋯ − ∅pBp
) … … … … … … … … … … … … … … … … … … … . … … … [2]
θ(B) = (1 − θ1B − θ2B2
− ⋯ − θqBq
) … … … … … … … … … … … … … … … … … … … … … … . . [3]
and
(1 − B)d
NDt = ∆d
NDt … … … … … … … … … … … … … … … … … … … … … … … … . … … … … . . [4]
Where ∅the parameter estimate of the autoregressive component is, θ is the parameter estimate of the
moving average component, ∆ is the difference operator, d is the difference, B is the backshift operator and μt is
the disturbance term.
The Box – Jenkins Methodology
The first step towards model selection is to difference the series in order to achieve stationarity. Once
this process is over, the researcher will then examine the correlogram in order to decide on the appropriate orders
of the AR and MA components. It is important to highlight the fact that this procedure (of choosing the AR and
MA components) is biased towards the use of personal judgement because there are no clear – cut rules on how
to decide on the appropriate AR and MA components. Therefore, experience plays a pivotal role in this regard.
The next step is the estimation of the tentative model, after which diagnostic testing shall follow. Diagnostic
Volume 3, Issue VII, July 2020 | 41
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
checking is usually done by generating the set of residuals and testing whether they satisfy the characteristics of
a white noise process. If not, there would be need for model re – specification and repetition of the same process;
this time from the second stage. The process may go on and on until an appropriate model is identified (Nyoni,
2018c).
Data Collection
This study is based on 53 observations of annual total Neonatal Deaths (ND) in Zimbabwe. All the data
was gathered from the World Bank online database.
Diagnostic Tests & Model Evaluation
Stationarity Tests: Graphical Analysis
Figure 1
Figure 1 above indicates that the ND series is not stationary since it follows a particular trend over the
period 1966 to 2018. This basically implies that the mean and varience of the ND series is changing over time.
Between 1966 and 1980, neonatal deaths were on the rise in Zimbabwe (then Rhodesia). This could be attributed
to the liberation war (between black majority and white minority) that was taking place in Rhodesia. Soon after
Zimbabwe’s independence, the country inherited a health system which was well functioning and given there was
political stability; neonatal deaths dropped significantly from as high as 10869 deaths in 1980 to as low as 8455
in 1993. The disastrous macroeconomic reforms over the period 1990 – 2000, largely contributed to poor
performance of the health sector and hence neonatal healthcare service delivery was worse off. The following
“lost decade”, that is; 2000 to 2010 was a completely lost decade, as noted by Kanyenze et al. (2017), as it was
characterized by gross macroeconomic mismanagement, hyperinflation and excessive unemployment. This period
was a huge blow to the health sector in Zimbabwe and this could be an explanation as to why neonatal deaths had
to sky-rocket over the period 2000 to 2010. Thereafter, the numbers of neonatal deaths started going down
gradually. This could be attributed to macroeconomic stability that was largely brought about by the introduction
of the United States Dollar (USD) as the official currency, following the rejection of the Zimbabwean dollar which
had lost value. When the economy is performing, the government and its partners are able to mobilize resources
for the health sector and this improves health service delivery. When the economy is not performing, health
workers migrate to greener pastures just like what happened during the lost decade. The government is usually
not able to capacitate and renovate existing healthcare facilities if the economy is not performing. In order to
determine the order of integration of the ND series shown above, the study will employ correlogram analyses
along with the Augmented-Dickey-Fuller (ADF) test.
7000
8000
9000
10000
11000
12000
13000
14000
1970 1980 1990 2000 2010
ND
Volume 3, Issue VII, July 2020 | 42
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
The Correlogram in Levels
Figure 2
The ADF Test
Table 1: Levels-intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -2.929920 0.0493 -3.574446 @1% Not stationary
-2.923780 @5% Stationary
2.599925 @10% Stationary
Table 2: Levels-trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.631186 0.0375 -4.161144 @1% Not stationary
-3.506374 @5% Stationary
-3.183002 @10% Stationary
Table 3: without intercept and trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND 0.305604 0.7702 -2.613010 @1% Not stationary
-1.947665 @5% Not stationary
-1.612573 @10% Not stationary
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
ACF for ND
+- 1.96/T^0.5
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
PACF for ND
+- 1.96/T^0.5
Volume 3, Issue VII, July 2020 | 43
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
The Correlogram (at 1st
Differences)
Figure 3
Table 4: 1st
Difference-intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.084520 0.0343 -3.571310 @1% Not stationary
-2.922449 @5% Stationary
-2.599224 @10% Stationary
Table 5: 1st
Difference-trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.135578 0.1097 -4.156734 @1% Not stationary
-3.504330 @5% Not stationary
-3.181826 @10% Not stationary
Table 6: 1st
Difference-without intercept and trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.071985 0.0028 -2.613010 @1% Stationary
-1.947665 @5% Stationary
-1.612573 @10% Stationary
Figures above, that is; 2 and 3 and tables above, that is; 1 to 6 show that the ND series is not stationary in levels
and even after taking first differences.
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
ACF for d_ND
+- 1.96/T^0.5
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
PACF for d_ND
+- 1.96/T^0.5
Volume 3, Issue VII, July 2020 | 44
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
The Correlogram in (2nd
Differences)
Figure 4
Table 7: 2nd
Difference-intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.675517 0.0076 -3.574446 @1% Stationary
-2.923780 @5% Stationary
-2.599925 @10% Stationary
Table 8: 2nd
Difference-trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.551269 0.0452 -4.161144 @1% Not stationary
-3.506374 @5% Stationary
-3.183002 @10% Stationary
Table 9: 2nd
Difference-without intercept and trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
ND -3.656290 0.0005 -2.614029 @1% Stationary
-1.947816 @5% Stationary
-1.612492 @10% Stationary
Figure 4 and tables 7 – 9 illustrate that the ND series is I (2).
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
ACF for d_d_ND
+- 1.96/T^0.5
-1
-0.5
0
0.5
1
0 2 4 6 8 10 12 14 16
lag
PACF for d_d_ND
+- 1.96/T^0.5
Volume 3, Issue VII, July 2020 | 45
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Evaluation of ARIMA models (without a constant)
Table 10: Evaluation of ARIMA Models
Model AIC U ME MAE RMSE MAPE
ARIMA (1, 2, 1) 508.8748 0.094273 0.13639 26.505 33.009 0.26106
ARIMA (1, 2, 0) 519.8532 0.10747 0.18166 30.387 37.611 0.29746
ARIMA (0, 2, 1) 548.4842 0.13613 -5.7155 36.803 49.579 0.35169
ARIMA (2, 2, 2) 498.1694 0.083948 -1.3455 24.151 28.506 0.23913
ARIMA (2, 2, 1) 497.0830 0.084895 -1.5782 23.865 28.766 0.2369
ARIMA (3, 2, 1) 498.5739 0.08457 -1.5579 24.048 28.622 0.23863
ARIMA (1, 2, 3) 499.0258 0.082422 -0.1567 23.625 28.741 0.23271
ARIMA (3, 2, 3) 497.6955 0.07881 -1.1237 22.872 27.254 0.22513
ARIMA (2, 2, 0) 499.6099 0.087145 -0.67409 23.98 30.075 0.23675
ARIMA (0, 2, 3) 503.4351 0.087326 -1.8571 23.997 30.595 0.23377
ARIMA (3, 2, 0) 496.7449 0.08461 -1.4581 24.097 28.669 0.23892
ARIMA (2, 2, 3) 498.0951 0.079599 -0.56861 23.234 27.871 0.227
ARIMA (3, 2, 2) 500.1682 0.083919 -1.3311 24.15 28.506 0.23909
ARIMA (4, 2, 0) 498.3876 0.084461 -1.6254 23.972 28.571 0.23801
ARIMA (5, 2, 0) 498.4799 0.082455 -1.3021 23.903 28.036 0.23686
ARIMA (6, 2, 0) 496.6646 0.080052 -1.3377 22.345 26.988 0.22224
ARIMA (7, 2, 0) 497.6298 0.079164 -1.4038 21.839 26.712 0.21697
ARIMA (8, 2, 0) 495.5793 0.074962 -1.2423 20.218 25.727 0.19847
ARIMA (9, 2, 0) 496.8071 0.073258 -1.136 20.158 25.514 0.19756
ARIMA (10, 2, 0) 496.9803 0.073258 -1.136 20.175 25.021 0.19801
ARIMA (8, 2, 1) 497.2608 0.07469 -1.2035 20.12 25.643 0.19726
ARIMA (6, 2, 1) 496.6081 0.078026 -1.4242 21.282 26.462 0.21073
A model with a lower AIC value is better than the one with a higher AIC value (Nyoni, 2018b) Similarly,
the U statistic can be used to find a better model in the sense that it must lie between 0 and 1, of which the closer
it is to 0, the better the forecast method (Nyoni, 2018a). In this paper, only the AIC is used to select the optimal
model. Therefore, the ARIMA (8, 2, 0) model is chosen.
Residual & Stability Tests
ADF Tests of the Residuals of the ARIMA (8, 2, 0) Model
Table 11: Levels-intercept
Variable ADF Statistic Probability Critical Values Conclusion
R -6.595173 0.0000 -3.596616 @1% Stationary
-2.933158 @5% Stationary
-2.604867 @10% Stationary
Table 12: Levels-trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
R -6.521314 0.0000 -4.192337 @1% Stationary
-3.520787 @5% Stationary
-3.191277 @10% Stationary
Table 13: without intercept and trend & intercept
Variable ADF Statistic Probability Critical Values Conclusion
R -6.651100 0.0000 -2.621185 @1% Stationary
-1.948886 @5% Stationary
-1.611932 @10% Stationary
Tables 11 – 13 indicate that the residuals of the chosen optimal model, the ARIMA (8, 2, 0) model; are stationary.
Correlogram of the Residuals of the ARIMA (8, 2, 0) Model
Volume 3, Issue VII, July 2020 | 46
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Figure 5: Correlogram of the Residuals
Figure 5 indicates that the estimated model is adequate since ACF and PACF lags are quite short and
within the bands. This implies that the no autocorrelation assumption is not violated in this study.
Test for Normality of Residuals
Figure 6: Normality Test
Since the p-value, that is; [0.9024] is statistically insignificant, it implies that the residuals are normally
distributed, hence the validity of the normality assumption.
Stability Test of the ARIMA (8, 2, 0) Model
-0.4
-0.3
-0.2
-0.1
0
0.1
0.2
0.3
0.4
0 2 4 6 8 10 12 14 16
lag
Residual ACF
+- 1.96/T^0.5
-0.4
-0.3
-0.2
-0.1
0
0.1
0.2
0.3
0.4
0 2 4 6 8 10 12 14 16
lag
Residual PACF
+- 1.96/T^0.5
0
0.002
0.004
0.006
0.008
0.01
0.012
0.014
0.016
0.018
-80 -60 -40 -20 0 20 40 60 80
Density
uhat1
uhat1
N(-1.2423,27.985)
Test statistic for normality:
Chi-square(2) = 0.205 [0.9024]
Volume 3, Issue VII, July 2020 | 47
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Figure 7: Inverse Roots
Since all the AR roots lie inside the unit circle, it implies that the estimated ARIMA process is
(covariance) stationary; thus confirming that the ARIMA (8, 2, 0) model is indeed stable and suitable for
forecasting annual neonatal deaths in Zimbabwe.
4. FINDINGS
Descriptive Statistics
Table 14: Descriptive Statistics
Description Statistic
Mean 9927
Median 9696
Minimum 7361
Maximum 13169
Standard deviation 1503.5
Skewness 0.51971
Excess kurtosis -0.48186
As shown above, the mean is positive, i.e. 9927. This means that the average number of neonatal deaths
over the study period is 9927 deaths per annum. The minimum number of neonatal deaths over the study period
is 7361 deaths and this was recorded in 1961 while the maximum number of neonatal deaths is 13169 deaths and
this was recorded in 2010. The skewness is 0.51971 and the most important characteristic is that it is positive,
meaning that the ND series is positively skewed and non-symmetric. Excess kurtosis is -0.48186; showing that
the ND series is not normally distributed.
Results Presentation
Table 15: Main Results
ARIMA (8, 2, 0) Model:
∆2
NDt = 1.3784∆2
NDt−1 − 0.410827∆2
NDt−2 − 0.00721141∆2
NDt−3 − 4.29788∆2
NDt−4
+ 0.556302∆2
NDt−5 − 0.628168∆2
NDt−6 + 0.648328∆2
NDt−7
− 0.350542∆2
NDt−8 … … … … … … … . . … … … … … . … . . [5]
Variable Coefficient Standard Error z p-value
∅1 1.37840 0.130935 10.53 0.0000***
∅2 -0.410827 0.222244 -1.849 0.0645*
∅3 -0.00721141 0.229988 -0.03136 0.9750
∅4 -0.429788 0.225863 -1.903 0.0571*
∅5 0.556302 0.217560 2.557 0.0106**
∅6 -0.628168 0.232070 -2.707 0.0068***
∅7 0.648328 0.261209 2.482 0.0131**
∅8 -0.350542 0.168886 -2.076 0.0379**
Forecast Graph
-1.5
-1.0
-0.5
0.0
0.5
1.0
1.5
-1.5 -1.0 -0.5 0.0 0.5 1.0 1.5
AR
roots
Inverse Roots of AR/MA Polynomial(s)
Volume 3, Issue VII, July 2020 | 48
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Figure 8: Forecast Graph – In & Out-of-Sample Forecasts
Table 18: Tabulated Out-of-Sample Forecasts
Year Predicted Neonatal Deaths Standard Error 95% Confidence Interval
2019 8859.80 24.8870 (8811.02, 8908.58)
2020 8553.55 87.6841 (8381.69, 8725.40)
2021 8346.06 200.518 (7953.05, 8739.07)
2022 8211.26 372.053 (7482.05, 8940.47)
2023 8164.11 600.245 (6987.65, 9340.57)
2024 8171.63 882.005 (6442.93, 9900.33)
2025 8210.95 1206.25 (5846.74, 10575.2)
2026 8266.03 1562.64 (5203.31, 11328.8)
2027 8292.83 1943.14 (4484.36, 12101.3)
2028 8291.30 2338.84 (3707.27, 12875.3)
2029 8236.43 2744.64 (2857.03, 13615.8)
2030 8127.77 3154.88 (1944.31, 14311.2)
2031 7972.78 3565.74 (984.069, 14961.5)
2032 7764.39 3974.40 (-25.2893, 15554.1)
2033 7525.82 4377.97 (-1054.84, 16106.5)
2034 7255.30 4776.08 (-2105.64, 16616.2)
2035 6968.58 5168.57 (-3161.64, 17098.8)
2036 6679.16 5557.07 (-4212.49, 17570.8)
2037 6389.13 5944.14 (-5261.16, 18039.4)
2038 6118.77 6332.44 (-6292.59, 18530.1)
2039 5865.56 6725.60 (-7316.37, 19047.5)
2040 5639.28 7126.32 (-8328.06, 19606.6)
2041 5441.76 7537.39 (-9331.25, 20214.8)
2042 5266.27 7960.91 (-10336.8, 20869.4)
2043 5117.03 8398.09 (-11342.9, 21577.0)
Predicted ND
-15000
-10000
-5000
0
5000
10000
15000
20000
25000
1970 1980 1990 2000 2010 2020 2030 2040
95 percent interval
ND
forecast
Volume 3, Issue VII, July 2020 | 49
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Figure 9: Graphical Analysis of Out-of-Sample Forecasts
Table 15 shows the main results of the ARIMA (8, 2, 0) model. Figure 8 and 9 as well as table 18 are
out-of-sample forecasts of the ARIMA (8, 2, 0) model. As clearly shown in figure 9, the number of neonatal
deaths per year, over the out-of-sample period, show a sharply downwards trend. This is encouraging and
commendable, for a developing country like Zimbabwe. These results are consistent with Nyoni & Nyoni (2020).
Policy Implications
i. The government of Zimbabwe should continue to intensify training programs in resuscitation and in essential
newborn care in order to maintain low levels of and or eradicate neonatal deaths.
ii. The government of Zimbabwe should work towards improving access to healthcare services through out the
whole country.
iii. The government of Zimbabwe should also work toward capacity building in virtually all public health
institutions in the country to ensure that comprehensive neonatal care services are offered country-wide.
iv. The government of Zimbabwe should encourage and promote consistent home visits by community health
workers, for neonatal care.
5. CONCLUSION
The study shows that the ARIMA (8, 2, 0) model is not only stable but also the most suitable model to
forecast neonatal deaths in Zimbabwe for the next 25 years. The model predicts a sharp decrease in neonatal
deaths in Zimbabwe. Such a trend should be maintained and in this regard, a four-fold policy prescription has
been offered. These findings are essential for the government of Zimbabwe, especially when it comes to long-
term planning with regards to neonatal care in the country.
REFERENCES
1. Asteriou, D. & Hall, S. G. (2007). Applied Econometrics: a modern approach, Revised Edition, Palgrave
MacMillan, New York.
2. Babaei, H., Dehghan, M., & Pirkashani, L. M. (2018). Study of Causes of Neonatal Mortality and Its Related
Factors in the Neonatal Intensive Care Unit of Iman Reza Hospital in Kermanshah during (2014 - 2016),
International Journal of Pediatrics, 6 (5): 7641 – 7649.
3. Box, G. E. P., & Jenkins, G. M. (1970). Time Series Analysis: Forecasting and Control, Holden Day, San
Francisco.
4. Carlo, W. A., & Travers, C. P. (2016). Maternal and Neonatal Mortality: Time To Act, Journal of Pediatrics,
92 (6): 543 – 545.
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
2015 2020 2025 2030 2035 2040 2045
Predicted
Neonatal
Deaths
Year
Predicted Neonatal Deaths Линейная (Predicted Neonatal Deaths)
Volume 3, Issue VII, July 2020 | 50
e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
5. Chaibva, B. V., Olorunju, S., Nyadundu, S., & Beke, A. (2019). Adverse Pregnancy Outcomes “Stillbirth and
Early Neonatal Deaths” in Mutare District, Zimbabwe (2014): A Descriptive Study, BMC Pregnancy and
Childbirth, 19 (86): 1 – 7.
6. Chengye, J. (2012). Child and Adolescent Health, People’s Medical Publishing House, Beijing.
7. du Preez, J. & Witt, S. F. (2003). Univariate and multivariate time series forecasting: An application to
tourism demand, International Journal of Forecasting, 19: 435 – 451.
8. Ezeh, O. K., Agho, K. E., Dibley, M. J., Hall, J., & Page, A. N. (2014). Determinants of Neonatal Mortality
in Nigeria: Evidence From the 2008 Demographic and Health Survey, BMC Public Health, 14: 521 – 531.
9. Kanyenze, G., Chitambara, P., & Tyson, J. (2017). The Outlook For The Zimbabwean Economy, Supporting
Economic Transformation (SET), Harare.
10. Khan, M. S., Fatima, S., Zia, S. S., Hussain, E., Faraz, T. R., & Khalid, F. (2019). Modeling and Forecasting
Infant Mortality Rates of Asian Countries in the Perspective of GDP (PPP), International Journal of Scientific
and Engineering Research, 10 (3): 18 – 23.
11. Lawn, J. E., Cousens, S., & Zupan, J. (2005). Neonatal Survival 1:4 Million Deaths: When? Where? Where?
Why? Neonatal Survival Series Paper 1, Lancet, 365: 891 – 900.
12. Ministry of Health and Child Care (2007). The Zimbabwe National Maternal and Neonatal Health Road Map
(2007-2015), Government of Zimbabwe, Harare.
13. Mishra, A. K., Sahanaa, C., & Manikandan, M. (2019). Forecasting Indian Infant Mortality Rate: An
Application of Autoregressive Integrated Moving Average Model, Journal of Family and Community
Medicine, 26: 123 – 126.
14. Nouri, A., Barati, L., Qhezelsofly, F., & Niazi, S. (2013). Causes of Infant Mortality in Kalaleh City During
2004 – 2012, Hakim Jorjani Journal, 1 (2): 2 – 37.
15. Nyoni, S. P., & Nyoni, T. (2020). ARIMA Modeling of Neonatal Mortality in Chitungwiza Central Hospital,
International Journal of Multidisciplinary Research (IJMR), 6 (2): 189 – 196.
16. Nyoni, T (2018b). Modeling and Forecasting Inflation in Kenya: Recent Insights from ARIMA and GARCH
analysis, Dimorian Review, 5 (6): 16 – 40.
17. Nyoni, T. (2018a). Modeling and Forecasting Naira/USD Exchange Rate in Nigeria: A Box-Jenkins ARIMA
Approach, MPRA Paper No. 88622, University Library of Munich, Munich.
18. Nyoni, T. (2018c). Box – Jenkins ARIMA Approach to Predicting net FDI inflows in Zimbabwe, MPRA
Paper No. 87737, University Library of Munich, Munich.
19. Nyoni, T. (2019). Maternal Deaths in Zimbabwe: Is it a Crime to be a Woman in Zimbabwe? MPRA Paper
No. 96789, University Library of Munich, Munich.
20. Rajaratnam, J. K., Marcus, J. R., & Flaxman, A. D. (2010). Neonatal, postnatal, childhood and under-5
mortality for 187 countries, 1970 – 2010: A Systematic Analysis of Progress Towards Millennium
Development Goal 4, Lancet, 375: 1988 – 2008.
21. Sarpong, S. A. (2013). Modeling and Forecasting Maternal Mortality; An Application of ARIMA Models,
International Journal of Applied Science and Technology, 3 (1): 19 – 28.
22. Song, H., Witt, S. F. & Jensen, T. C. (2003b). Tourism forecasting: accuracy of alternative econometric
models, International Journal of Forecasting, 19: 123 – 141.
23. Tachiwenyika, E., Gombe, N., Shambira, G., Chadambuka, A., Tshimanga, M., & Zizhou, S. (2011).
Determinants of Perinatal Mortality in Marondera District, Mashonaland East Province of Zimbabwe, 2009:
a Case Control Study, Pan African Medical Journal, pp: 1 – 8.
24. UNICEF (2008). The State of the World’s Children, Child Survival-UNICEF.
25. UNICEF (2017). The neonatal period is the most vulnerable time for a child. http://data.unicef.org/child-
mortality/neonatal.html ; accessed 29/01/2020.
26. Usman, A., Sulaiman, M. A., & Abubakar, I. (2019). Trend of Neonatal Mortality In Nigeria From 1990 to
2017 Using Time Series Analysis, Journal of Applied Sciences and Environmental Management, 23 (5): 865
– 869.

More Related Content

What's hot

Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
International Multispeciality Journal of Health
 
A04730108
A04730108A04730108
A04730108
IOSR-JEN
 
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
IJEAB
 
Imjh mar-2015-5
Imjh mar-2015-5Imjh mar-2015-5
Current point of view in preterm labor management in albania (2)
Current point of view in preterm labor management in albania (2)Current point of view in preterm labor management in albania (2)
Current point of view in preterm labor management in albania (2)
Alexander Decker
 
Prof biranabortion in indonesia
Prof biranabortion in indonesiaProf biranabortion in indonesia
Prof biranabortion in indonesia
Biran Affandi
 
Ijsn vol3(2)12-22
Ijsn vol3(2)12-22Ijsn vol3(2)12-22
Ijsn vol3(2)12-22
Firas Abdulateef
 
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
International Multispeciality Journal of Health
 
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
ijtsrd
 
Nuclear TK1 expression is an independent prognostic factor for survival in pr...
Nuclear TK1 expression is an independent prognostic factor for survival in pr...Nuclear TK1 expression is an independent prognostic factor for survival in pr...
Nuclear TK1 expression is an independent prognostic factor for survival in pr...
Enrique Moreno Gonzalez
 
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
Crimsonpublishers-IGRWH
 
Ocp 24
Ocp 24Ocp 24
Placental Elastography in Intrauterine Growth Restriction: A Case–control Study
Placental Elastography in Intrauterine Growth Restriction: A Case–control StudyPlacental Elastography in Intrauterine Growth Restriction: A Case–control Study
Placental Elastography in Intrauterine Growth Restriction: A Case–control Study
asclepiuspdfs
 
Paper 5 (eleazar c. nwogu)
Paper 5 (eleazar c. nwogu)Paper 5 (eleazar c. nwogu)
Paper 5 (eleazar c. nwogu)
Nadeem Shafique Butt
 
CURRECT MRM ARTICAL
CURRECT MRM  ARTICALCURRECT MRM  ARTICAL
CURRECT MRM ARTICAL
Dr. Lutfa
 
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
Premier Publishers
 
Banerjee CV
Banerjee CVBanerjee CV
Banerjee CV
Kaberi Banerjee
 
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
iosrjce
 
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
Mario Guillermo Simonovich
 
Sonographic fetal weight estimation –
Sonographic fetal weight estimation –Sonographic fetal weight estimation –
Sonographic fetal weight estimation –
Luis Carlos Murillo Valencia
 

What's hot (20)

Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
Clinical assessment of Fetal weight estimation using Johnson's formula & Ultr...
 
A04730108
A04730108A04730108
A04730108
 
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
Breastfeeding Practices of Postnatal Mothers: Exclusivity, Frequency and Dura...
 
Imjh mar-2015-5
Imjh mar-2015-5Imjh mar-2015-5
Imjh mar-2015-5
 
Current point of view in preterm labor management in albania (2)
Current point of view in preterm labor management in albania (2)Current point of view in preterm labor management in albania (2)
Current point of view in preterm labor management in albania (2)
 
Prof biranabortion in indonesia
Prof biranabortion in indonesiaProf biranabortion in indonesia
Prof biranabortion in indonesia
 
Ijsn vol3(2)12-22
Ijsn vol3(2)12-22Ijsn vol3(2)12-22
Ijsn vol3(2)12-22
 
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
Comparison of Intravaginal Misoprostol Tablet (Prostaglandin E1) and Intracer...
 
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
Effectiveness of Early Ambulation on Post Operative Recovery among the Women ...
 
Nuclear TK1 expression is an independent prognostic factor for survival in pr...
Nuclear TK1 expression is an independent prognostic factor for survival in pr...Nuclear TK1 expression is an independent prognostic factor for survival in pr...
Nuclear TK1 expression is an independent prognostic factor for survival in pr...
 
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
Indications and Outcomes of Emergency Caesarean Section at St Paul’s Hospital...
 
Ocp 24
Ocp 24Ocp 24
Ocp 24
 
Placental Elastography in Intrauterine Growth Restriction: A Case–control Study
Placental Elastography in Intrauterine Growth Restriction: A Case–control StudyPlacental Elastography in Intrauterine Growth Restriction: A Case–control Study
Placental Elastography in Intrauterine Growth Restriction: A Case–control Study
 
Paper 5 (eleazar c. nwogu)
Paper 5 (eleazar c. nwogu)Paper 5 (eleazar c. nwogu)
Paper 5 (eleazar c. nwogu)
 
CURRECT MRM ARTICAL
CURRECT MRM  ARTICALCURRECT MRM  ARTICAL
CURRECT MRM ARTICAL
 
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
 
Banerjee CV
Banerjee CVBanerjee CV
Banerjee CV
 
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
Epidemiological Determinants affecting Caesarean Section in a Rural Block of ...
 
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
The Breast Cancer Epidemic: Modeling and Forecasts Based on Abortion and Othe...
 
Sonographic fetal weight estimation –
Sonographic fetal weight estimation –Sonographic fetal weight estimation –
Sonographic fetal weight estimation –
 

Similar to Analyzing neonatal deaths in Zimbabwe using box-jenkins arima models

A box-jenkins sarima analysis of dysentery cases in children aged below five ...
A box-jenkins sarima analysis of dysentery cases in children aged below five ...A box-jenkins sarima analysis of dysentery cases in children aged below five ...
A box-jenkins sarima analysis of dysentery cases in children aged below five ...
SubmissionResearchpa
 
03_AJMS_241_19.pdf
03_AJMS_241_19.pdf03_AJMS_241_19.pdf
03_AJMS_241_19.pdf
BRNSS Publication Hub
 
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
BRNSS Publication Hub
 
Neonatal mortality measurement what's new
Neonatal mortality measurement   what's newNeonatal mortality measurement   what's new
Neonatal mortality measurement what's new
newborn1
 
Neonatal mortality measurement what's new
Neonatal mortality measurement   what's newNeonatal mortality measurement   what's new
Neonatal mortality measurement what's new
newborn1
 
Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
	Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...	Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
inventionjournals
 
Aytenew publication
Aytenew publicationAytenew publication
Aytenew publication
aytenewgetabalew
 
Factors Associated with Antenatal Care Service Utilization among Women with C...
Factors Associated with Antenatal Care Service Utilization among Women with C...Factors Associated with Antenatal Care Service Utilization among Women with C...
Factors Associated with Antenatal Care Service Utilization among Women with C...
YogeshIJTSRD
 
Maternal mortality for 181 countries
Maternal mortality for 181 countriesMaternal mortality for 181 countries
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docxSheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
bjohn46
 
malnutration.pdf
malnutration.pdfmalnutration.pdf
malnutration.pdf
kwadwoAmedi
 
Childbirth practices in the akpabuyo rural health and demographic surveillanc...
Childbirth practices in the akpabuyo rural health and demographic surveillanc...Childbirth practices in the akpabuyo rural health and demographic surveillanc...
Childbirth practices in the akpabuyo rural health and demographic surveillanc...
Alexander Decker
 
Shift work and Risks in Pregnant Women
Shift work and Risks in Pregnant WomenShift work and Risks in Pregnant Women
Shift work and Risks in Pregnant Women
IJEAB
 
IRJET - Cervical Cancer Prognosis using MARS and Classification
IRJET - Cervical Cancer Prognosis using MARS and ClassificationIRJET - Cervical Cancer Prognosis using MARS and Classification
IRJET - Cervical Cancer Prognosis using MARS and Classification
IRJET Journal
 
J023089094
J023089094J023089094
J023089094
inventionjournals
 
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
Crescent University Abeokuta
 
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
HFG Project
 
Error detection in census data age reporting
Error detection in census data age reportingError detection in census data age reporting
Error detection in census data age reporting
cimran15
 
The effect of household characteristics on child mortality in ghana
The effect of household characteristics on child mortality in ghanaThe effect of household characteristics on child mortality in ghana
The effect of household characteristics on child mortality in ghana
Alexander Decker
 
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
iosrjce
 

Similar to Analyzing neonatal deaths in Zimbabwe using box-jenkins arima models (20)

A box-jenkins sarima analysis of dysentery cases in children aged below five ...
A box-jenkins sarima analysis of dysentery cases in children aged below five ...A box-jenkins sarima analysis of dysentery cases in children aged below five ...
A box-jenkins sarima analysis of dysentery cases in children aged below five ...
 
03_AJMS_241_19.pdf
03_AJMS_241_19.pdf03_AJMS_241_19.pdf
03_AJMS_241_19.pdf
 
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
An Extension of Calderón Transfer Principle and its Application to Ergodic Ma...
 
Neonatal mortality measurement what's new
Neonatal mortality measurement   what's newNeonatal mortality measurement   what's new
Neonatal mortality measurement what's new
 
Neonatal mortality measurement what's new
Neonatal mortality measurement   what's newNeonatal mortality measurement   what's new
Neonatal mortality measurement what's new
 
Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
	Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...	Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
Model for the Prediction of the Reported Cases of Vesco Vaginal Fistula in K...
 
Aytenew publication
Aytenew publicationAytenew publication
Aytenew publication
 
Factors Associated with Antenatal Care Service Utilization among Women with C...
Factors Associated with Antenatal Care Service Utilization among Women with C...Factors Associated with Antenatal Care Service Utilization among Women with C...
Factors Associated with Antenatal Care Service Utilization among Women with C...
 
Maternal mortality for 181 countries
Maternal mortality for 181 countriesMaternal mortality for 181 countries
Maternal mortality for 181 countries
 
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docxSheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
Sheet1idsbpgestage139272242334025458335533564327739318442895229104.docx
 
malnutration.pdf
malnutration.pdfmalnutration.pdf
malnutration.pdf
 
Childbirth practices in the akpabuyo rural health and demographic surveillanc...
Childbirth practices in the akpabuyo rural health and demographic surveillanc...Childbirth practices in the akpabuyo rural health and demographic surveillanc...
Childbirth practices in the akpabuyo rural health and demographic surveillanc...
 
Shift work and Risks in Pregnant Women
Shift work and Risks in Pregnant WomenShift work and Risks in Pregnant Women
Shift work and Risks in Pregnant Women
 
IRJET - Cervical Cancer Prognosis using MARS and Classification
IRJET - Cervical Cancer Prognosis using MARS and ClassificationIRJET - Cervical Cancer Prognosis using MARS and Classification
IRJET - Cervical Cancer Prognosis using MARS and Classification
 
J023089094
J023089094J023089094
J023089094
 
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
On a Sequential Probit Model of Infant Mortality in Nigeria, by K.T. Amzat an...
 
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...
 
Error detection in census data age reporting
Error detection in census data age reportingError detection in census data age reporting
Error detection in census data age reporting
 
The effect of household characteristics on child mortality in ghana
The effect of household characteristics on child mortality in ghanaThe effect of household characteristics on child mortality in ghana
The effect of household characteristics on child mortality in ghana
 
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...
 

More from SubmissionResearchpa

Harmony between society and personality, and its influence on the phenomenon ...
Harmony between society and personality, and its influence on the phenomenon ...Harmony between society and personality, and its influence on the phenomenon ...
Harmony between society and personality, and its influence on the phenomenon ...
SubmissionResearchpa
 
Establishment of the Institute and Waqf aspects of its development in Central...
Establishment of the Institute and Waqf aspects of its development in Central...Establishment of the Institute and Waqf aspects of its development in Central...
Establishment of the Institute and Waqf aspects of its development in Central...
SubmissionResearchpa
 
The history of the Kokand Khanate in the press of Turkestan (According to Sut...
The history of the Kokand Khanate in the press of Turkestan (According to Sut...The history of the Kokand Khanate in the press of Turkestan (According to Sut...
The history of the Kokand Khanate in the press of Turkestan (According to Sut...
SubmissionResearchpa
 
Of partial defects of the dental rows of dynamic study of the state of the mu...
Of partial defects of the dental rows of dynamic study of the state of the mu...Of partial defects of the dental rows of dynamic study of the state of the mu...
Of partial defects of the dental rows of dynamic study of the state of the mu...
SubmissionResearchpa
 
The essence and specifics of modern social and cultural activities in Karakal...
The essence and specifics of modern social and cultural activities in Karakal...The essence and specifics of modern social and cultural activities in Karakal...
The essence and specifics of modern social and cultural activities in Karakal...
SubmissionResearchpa
 
International commercial arbitration in Uzbekistan: current state and develop...
International commercial arbitration in Uzbekistan: current state and develop...International commercial arbitration in Uzbekistan: current state and develop...
International commercial arbitration in Uzbekistan: current state and develop...
SubmissionResearchpa
 
Obtaining higher fatty alcohols based on low molecular polyethylene and their...
Obtaining higher fatty alcohols based on low molecular polyethylene and their...Obtaining higher fatty alcohols based on low molecular polyethylene and their...
Obtaining higher fatty alcohols based on low molecular polyethylene and their...
SubmissionResearchpa
 
Re-positioning adult education for development to thrive in Nigeria
Re-positioning adult education for development to thrive in NigeriaRe-positioning adult education for development to thrive in Nigeria
Re-positioning adult education for development to thrive in Nigeria
SubmissionResearchpa
 
Re-thinking adult basic education in the 21st century
Re-thinking adult basic education in the 21st centuryRe-thinking adult basic education in the 21st century
Re-thinking adult basic education in the 21st century
SubmissionResearchpa
 
Uyghur folk singing genre
Uyghur folk singing genreUyghur folk singing genre
Uyghur folk singing genre
SubmissionResearchpa
 
Infantile cerebral palsy and dental anomalies
Infantile cerebral palsy and dental anomaliesInfantile cerebral palsy and dental anomalies
Infantile cerebral palsy and dental anomalies
SubmissionResearchpa
 
An innovative mechanisms to increase the effectiveness of independent educati...
An innovative mechanisms to increase the effectiveness of independent educati...An innovative mechanisms to increase the effectiveness of independent educati...
An innovative mechanisms to increase the effectiveness of independent educati...
SubmissionResearchpa
 
The role of radiation diagnostic methods in pathological changes of the hip j...
The role of radiation diagnostic methods in pathological changes of the hip j...The role of radiation diagnostic methods in pathological changes of the hip j...
The role of radiation diagnostic methods in pathological changes of the hip j...
SubmissionResearchpa
 
Idealistic study of proverbs
Idealistic study of proverbsIdealistic study of proverbs
Idealistic study of proverbs
SubmissionResearchpa
 
Positive and negative features of mythological images in the epics “Beowulf” ...
Positive and negative features of mythological images in the epics “Beowulf” ...Positive and negative features of mythological images in the epics “Beowulf” ...
Positive and negative features of mythological images in the epics “Beowulf” ...
SubmissionResearchpa
 
Special three processes of production and implementation
Special three processes of production and implementationSpecial three processes of production and implementation
Special three processes of production and implementation
SubmissionResearchpa
 
Improving traditional methods of teaching chemistry
Improving traditional methods of teaching chemistryImproving traditional methods of teaching chemistry
Improving traditional methods of teaching chemistry
SubmissionResearchpa
 
Expression of spiritual experiences in art
Expression of spiritual experiences in artExpression of spiritual experiences in art
Expression of spiritual experiences in art
SubmissionResearchpa
 
Natural emergencies
Natural emergenciesNatural emergencies
Natural emergencies
SubmissionResearchpa
 
Due to intolerance of dental materials used for therapeutic treatment
Due to intolerance of dental materials used for therapeutic treatmentDue to intolerance of dental materials used for therapeutic treatment
Due to intolerance of dental materials used for therapeutic treatment
SubmissionResearchpa
 

More from SubmissionResearchpa (20)

Harmony between society and personality, and its influence on the phenomenon ...
Harmony between society and personality, and its influence on the phenomenon ...Harmony between society and personality, and its influence on the phenomenon ...
Harmony between society and personality, and its influence on the phenomenon ...
 
Establishment of the Institute and Waqf aspects of its development in Central...
Establishment of the Institute and Waqf aspects of its development in Central...Establishment of the Institute and Waqf aspects of its development in Central...
Establishment of the Institute and Waqf aspects of its development in Central...
 
The history of the Kokand Khanate in the press of Turkestan (According to Sut...
The history of the Kokand Khanate in the press of Turkestan (According to Sut...The history of the Kokand Khanate in the press of Turkestan (According to Sut...
The history of the Kokand Khanate in the press of Turkestan (According to Sut...
 
Of partial defects of the dental rows of dynamic study of the state of the mu...
Of partial defects of the dental rows of dynamic study of the state of the mu...Of partial defects of the dental rows of dynamic study of the state of the mu...
Of partial defects of the dental rows of dynamic study of the state of the mu...
 
The essence and specifics of modern social and cultural activities in Karakal...
The essence and specifics of modern social and cultural activities in Karakal...The essence and specifics of modern social and cultural activities in Karakal...
The essence and specifics of modern social and cultural activities in Karakal...
 
International commercial arbitration in Uzbekistan: current state and develop...
International commercial arbitration in Uzbekistan: current state and develop...International commercial arbitration in Uzbekistan: current state and develop...
International commercial arbitration in Uzbekistan: current state and develop...
 
Obtaining higher fatty alcohols based on low molecular polyethylene and their...
Obtaining higher fatty alcohols based on low molecular polyethylene and their...Obtaining higher fatty alcohols based on low molecular polyethylene and their...
Obtaining higher fatty alcohols based on low molecular polyethylene and their...
 
Re-positioning adult education for development to thrive in Nigeria
Re-positioning adult education for development to thrive in NigeriaRe-positioning adult education for development to thrive in Nigeria
Re-positioning adult education for development to thrive in Nigeria
 
Re-thinking adult basic education in the 21st century
Re-thinking adult basic education in the 21st centuryRe-thinking adult basic education in the 21st century
Re-thinking adult basic education in the 21st century
 
Uyghur folk singing genre
Uyghur folk singing genreUyghur folk singing genre
Uyghur folk singing genre
 
Infantile cerebral palsy and dental anomalies
Infantile cerebral palsy and dental anomaliesInfantile cerebral palsy and dental anomalies
Infantile cerebral palsy and dental anomalies
 
An innovative mechanisms to increase the effectiveness of independent educati...
An innovative mechanisms to increase the effectiveness of independent educati...An innovative mechanisms to increase the effectiveness of independent educati...
An innovative mechanisms to increase the effectiveness of independent educati...
 
The role of radiation diagnostic methods in pathological changes of the hip j...
The role of radiation diagnostic methods in pathological changes of the hip j...The role of radiation diagnostic methods in pathological changes of the hip j...
The role of radiation diagnostic methods in pathological changes of the hip j...
 
Idealistic study of proverbs
Idealistic study of proverbsIdealistic study of proverbs
Idealistic study of proverbs
 
Positive and negative features of mythological images in the epics “Beowulf” ...
Positive and negative features of mythological images in the epics “Beowulf” ...Positive and negative features of mythological images in the epics “Beowulf” ...
Positive and negative features of mythological images in the epics “Beowulf” ...
 
Special three processes of production and implementation
Special three processes of production and implementationSpecial three processes of production and implementation
Special three processes of production and implementation
 
Improving traditional methods of teaching chemistry
Improving traditional methods of teaching chemistryImproving traditional methods of teaching chemistry
Improving traditional methods of teaching chemistry
 
Expression of spiritual experiences in art
Expression of spiritual experiences in artExpression of spiritual experiences in art
Expression of spiritual experiences in art
 
Natural emergencies
Natural emergenciesNatural emergencies
Natural emergencies
 
Due to intolerance of dental materials used for therapeutic treatment
Due to intolerance of dental materials used for therapeutic treatmentDue to intolerance of dental materials used for therapeutic treatment
Due to intolerance of dental materials used for therapeutic treatment
 

Recently uploaded

RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
IreneSebastianRueco1
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
David Douglas School District
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
adhitya5119
 
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptxA Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
thanhdowork
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
Jean Carlos Nunes Paixão
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Dr. Vinod Kumar Kanvaria
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
chanes7
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
Priyankaranawat4
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
Colégio Santa Teresinha
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
Priyankaranawat4
 
S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
tarandeep35
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
Celine George
 
Top five deadliest dog breeds in America
Top five deadliest dog breeds in AmericaTop five deadliest dog breeds in America
Top five deadliest dog breeds in America
Bisnar Chase Personal Injury Attorneys
 
Advantages and Disadvantages of CMS from an SEO Perspective
Advantages and Disadvantages of CMS from an SEO PerspectiveAdvantages and Disadvantages of CMS from an SEO Perspective
Advantages and Disadvantages of CMS from an SEO Perspective
Krisztián Száraz
 
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
Ashish Kohli
 

Recently uploaded (20)

RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
 
A Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptxA Survey of Techniques for Maximizing LLM Performance.pptx
A Survey of Techniques for Maximizing LLM Performance.pptx
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
 
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
 
S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
 
Top five deadliest dog breeds in America
Top five deadliest dog breeds in AmericaTop five deadliest dog breeds in America
Top five deadliest dog breeds in America
 
Advantages and Disadvantages of CMS from an SEO Perspective
Advantages and Disadvantages of CMS from an SEO PerspectiveAdvantages and Disadvantages of CMS from an SEO Perspective
Advantages and Disadvantages of CMS from an SEO Perspective
 
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
Aficamten in HCM (SEQUOIA HCM TRIAL 2024)
 

Analyzing neonatal deaths in Zimbabwe using box-jenkins arima models

  • 1. Volume 3, Issue VII, July 2020 | 39 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Analyzing neonatal deaths in Zimbabwe using box-jenkins arima models Dr. Smartson P. Nyoni1 , Mr. Thabani Nyoni2 1 ZICHIRe Project, University of Zimbabwe, Harare, Zimbabwe 2 Department of Economics, University of Zimbabwe, Harare, Zimbabwe Email: smartson_p@gmail.com ABSTRACT Using annual time series data on neonatal deaths in Zimbabwe from 1966 to 2018, we model and forecast number of neonatal deaths over the next 25 years using the Box – Jenkins ARIMA technique. Diagnostic tests such as the ADF tests show that Neonatal Deaths (ND) series is I (2). Based on the AIC, the study presents the ARIMA (8, 2, 0) model as the optimal model. The diagnostic tests further indicate that the presented model is stable and its residuals are stationary in levels. The results of the study reveal that the numbers of neonatal deaths per year are expected to decline sharply in the next 25 years. In order to keep on reducing neonatal deaths in Zimbabwe, the study offered a four-fold policy prescription. Keywords: neonatal deaths, Zimbabwe, model. 1. INTRODUCTION Neonatal death can be defined as the number of neonates dying before reaching 28 days of age (Usman et al. 2019). The first 2 days after birth account for over 50% neonatal deaths, while the first week of life accounts for over 75% of all neonatal deaths (Carlo & Travers, 2016). Actually, the risk of neonatal death is highest in the first 24 hours of life (Nouri et al., 2013). In fact, 2.6 million children died in the first month of life in 2016 – nearly 7000 newborn deaths every day – most of which occurred in the first week, with about 1 million dying on the first day and close to 1 million dying within the next 6 days (UNICEF, 2017). The major causes of neonatal deaths are birth asphyxia, prematurity, sepsis as well as congenital malformation (Carlo & Travers, 2016). Thus, neonatal deaths are an indicator of healthcare systems in a country (Babaei et al. 2018) in the sense that neonatal deaths reveal the health of children and development of the economy and culture of a country or region (Chengye, 2012). Interestingly, neonatal deaths are preventable (Tachiwenyika et al., 2011). In order to enhance the prevention of neonatal deaths, modeling and forecasting neonatal deaths is critical, especially in developing countries such as Zimbabwe where neonatal deaths are still prevalent in large numbers. Therefore, this paper, will go a long way in uncovering the dynamics of neonatal deaths in Zimbabwe and consequently shed more light on health policy formulation. 1.2 OBJECTIVES OF THE STUDY i. To investigate the years during which neonatal deaths peaked in Zimbabwe. ii. To forecast the number of neonatal deaths for the out-of sample period. iii. To examine the pattern of neonatal deaths for the out-of-sample period. 1.3 RELEVANCE OF THE STUDY Neonatal death is still a major public health problem worldwide and accounts for more than 60% of newborn deaths before their first birthday (UNICEF, 2008). Of the world’s 7.7 million deaths in those aged younger than 5 years, 3.1 million are neonatal deaths (Rajaratnam et al. 2010). Approximately 99% of these neonatal deaths occur in low and middle – income countries, mostly in sub-Saharan Africa (Lawn et al. 2005) including Zimbabwe which continues to bear a heavy burden of neonatal mortality (Ministry of Health and Child Care, 2007). This study seeks to examine and forecast the number of neonatal deaths in Zimbabwe. In order to reduce the numbers of neonatal deaths to zero, there is need for reliable forecasts that will act as a guiding tool for policy makers in the health sector; hence, the need for this study. 2. LITERATURE REVIEW Sarpong (2013) modeled and forecasted maternal mortality ratio (MMR) at the Okomfo Anokye Teaching Hospital in Kumasi, Ghana, from the year 2000 to 2010; using ARIMA models and found out that the ARIMA (1, 0, 2) model was optimal for forecasting quarterly MMR at Okomfo Anokye Teaching Hospital. Ezeh
  • 2. Volume 3, Issue VII, July 2020 | 40 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education et al. (2014) analyzed the determinants of neonatal mortality in Nigeria using the Cox Regression model and found out that a higher birth order of newborns with a short birth interval of less or equal to 2 years and newborns with a higher birth order with a longer birth interval of greater than 2 years were significantly associated with neonatal mortality. Nyoni (2019) modeled and forecasted maternal deaths in Zimbabwe using annual time series data covering the period 1990 – 2015 and applied the Box-Jenkins ARIMA models and basically found out that in the next decade (2016-2025), maternal deaths will increase. In another Zimbabwean study, Chaibva et al. (2019) analyzed stillbirths and neonatal deaths in Mutare district: the study conducted a retrospective review of 346 patient records, of women who delivered at Sakubva Hospital and those reffered for Mutare district facilities to Mutare Provincial Hospital, between January and June 2014 and then used descriptive statistics to explore the contributors to stillbirths and neonatal deaths in Mutare. Their results basically show that of the 346 women, 15.6% (i.e. 54) experienced an adverse pregnancy outcome (stillbirth or neonatal death). Their results also indicate that contributing factors to adverse pregnancy outcomes included birthweight, gestational age, delivery complications and delivery methods. In yet another, most recent Zimbabwean study, Nyoni & Nyoni (2020) analyzed monthly time series data on neonatal death cases at Chitungwiza Central Hospital (CCH) from January 2013 to December 2018 using Box-Jenkins SARIMA models and found out that there will be a slow but steady decrease in neonatal deaths at CCH over the out-of-sample period, that is, January 2019 to December 2020. Mishra et al. (2019) forecasted Infant Mortality Rates (IMR) in India using ARIMA models. The forecast of the sample period (1971-2016) indicated accuracy by the selected ARIMA (2, 1, 1) model. The post sample forecast with the ARIMA (2, 1, 1) model revealed a decreasing trend of IMR (2017-2025). The forecast IMR for 2025 was found to be 15/1000 live births. Khan et al. (2019) modeled and forecasted IMR of Asian countries using the log-log regression and ARIMA models and found out that there was a negative correlation between IMR and GDP (PPP). Secondary data of IMR and GDP (PPP) from 1980 to 2015 was analyzed and forecast was done from 2016 to 2025: the AR (1) model was found for all countries except Japan and Nepal for which the ARIMA (1, 1, 1) model was found suitable. Usman et al. (2019) analyzed the incidence of the rate of neonatal mortality in Nigeria using ARIMA models. Their trend plot of the incidence indicated that there was a steady decrease in the incidence rate over the years. The ARIMA (1, 1, 1) model was found to be the optimal model. The time series analysis also revealed that the neonatal mortality rate has reduced by 17.8% from 51.7% in the year 1990 to 33.9% in the year 2017. This paper follows the leads of Usman et al. (2019) and is the first country-specific study which has forecasted neonatal deaths in Zimbabwe. 3. MATERIALS & METHODS ARIMA Models Autoregressive Integrated Moving Average (ARIMA) models deliver more accurate forecasts than econometric techniques (Song et al., 2003b). In fact, ARIMA models perform better than multivariate models in forecasting (du Preez & Witt, 2003). ARIMA models were developed by Box & Jenkins (1970) and their approach of identification, estimation and diagnostics is based on the principle of parsimony (Asteriou & Hall, 2007). The generalized ARIMA (p, d, q) model can be represented by a backward shift operator as: ∅(B)(1 − B)d NDt = θ(B)μt … … … … … … … … … … … … … … … … … … … … … … . … … … … . . [1] Where the autoregressive (AR) and moving average (MA) characteristic operators are: ∅(B) = (1 − ∅1B − ∅2B2 − ⋯ − ∅pBp ) … … … … … … … … … … … … … … … … … … … . … … … [2] θ(B) = (1 − θ1B − θ2B2 − ⋯ − θqBq ) … … … … … … … … … … … … … … … … … … … … … … . . [3] and (1 − B)d NDt = ∆d NDt … … … … … … … … … … … … … … … … … … … … … … … … . … … … … . . [4] Where ∅the parameter estimate of the autoregressive component is, θ is the parameter estimate of the moving average component, ∆ is the difference operator, d is the difference, B is the backshift operator and μt is the disturbance term. The Box – Jenkins Methodology The first step towards model selection is to difference the series in order to achieve stationarity. Once this process is over, the researcher will then examine the correlogram in order to decide on the appropriate orders of the AR and MA components. It is important to highlight the fact that this procedure (of choosing the AR and MA components) is biased towards the use of personal judgement because there are no clear – cut rules on how to decide on the appropriate AR and MA components. Therefore, experience plays a pivotal role in this regard. The next step is the estimation of the tentative model, after which diagnostic testing shall follow. Diagnostic
  • 3. Volume 3, Issue VII, July 2020 | 41 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education checking is usually done by generating the set of residuals and testing whether they satisfy the characteristics of a white noise process. If not, there would be need for model re – specification and repetition of the same process; this time from the second stage. The process may go on and on until an appropriate model is identified (Nyoni, 2018c). Data Collection This study is based on 53 observations of annual total Neonatal Deaths (ND) in Zimbabwe. All the data was gathered from the World Bank online database. Diagnostic Tests & Model Evaluation Stationarity Tests: Graphical Analysis Figure 1 Figure 1 above indicates that the ND series is not stationary since it follows a particular trend over the period 1966 to 2018. This basically implies that the mean and varience of the ND series is changing over time. Between 1966 and 1980, neonatal deaths were on the rise in Zimbabwe (then Rhodesia). This could be attributed to the liberation war (between black majority and white minority) that was taking place in Rhodesia. Soon after Zimbabwe’s independence, the country inherited a health system which was well functioning and given there was political stability; neonatal deaths dropped significantly from as high as 10869 deaths in 1980 to as low as 8455 in 1993. The disastrous macroeconomic reforms over the period 1990 – 2000, largely contributed to poor performance of the health sector and hence neonatal healthcare service delivery was worse off. The following “lost decade”, that is; 2000 to 2010 was a completely lost decade, as noted by Kanyenze et al. (2017), as it was characterized by gross macroeconomic mismanagement, hyperinflation and excessive unemployment. This period was a huge blow to the health sector in Zimbabwe and this could be an explanation as to why neonatal deaths had to sky-rocket over the period 2000 to 2010. Thereafter, the numbers of neonatal deaths started going down gradually. This could be attributed to macroeconomic stability that was largely brought about by the introduction of the United States Dollar (USD) as the official currency, following the rejection of the Zimbabwean dollar which had lost value. When the economy is performing, the government and its partners are able to mobilize resources for the health sector and this improves health service delivery. When the economy is not performing, health workers migrate to greener pastures just like what happened during the lost decade. The government is usually not able to capacitate and renovate existing healthcare facilities if the economy is not performing. In order to determine the order of integration of the ND series shown above, the study will employ correlogram analyses along with the Augmented-Dickey-Fuller (ADF) test. 7000 8000 9000 10000 11000 12000 13000 14000 1970 1980 1990 2000 2010 ND
  • 4. Volume 3, Issue VII, July 2020 | 42 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education The Correlogram in Levels Figure 2 The ADF Test Table 1: Levels-intercept Variable ADF Statistic Probability Critical Values Conclusion ND -2.929920 0.0493 -3.574446 @1% Not stationary -2.923780 @5% Stationary 2.599925 @10% Stationary Table 2: Levels-trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.631186 0.0375 -4.161144 @1% Not stationary -3.506374 @5% Stationary -3.183002 @10% Stationary Table 3: without intercept and trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND 0.305604 0.7702 -2.613010 @1% Not stationary -1.947665 @5% Not stationary -1.612573 @10% Not stationary -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag ACF for ND +- 1.96/T^0.5 -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag PACF for ND +- 1.96/T^0.5
  • 5. Volume 3, Issue VII, July 2020 | 43 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education The Correlogram (at 1st Differences) Figure 3 Table 4: 1st Difference-intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.084520 0.0343 -3.571310 @1% Not stationary -2.922449 @5% Stationary -2.599224 @10% Stationary Table 5: 1st Difference-trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.135578 0.1097 -4.156734 @1% Not stationary -3.504330 @5% Not stationary -3.181826 @10% Not stationary Table 6: 1st Difference-without intercept and trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.071985 0.0028 -2.613010 @1% Stationary -1.947665 @5% Stationary -1.612573 @10% Stationary Figures above, that is; 2 and 3 and tables above, that is; 1 to 6 show that the ND series is not stationary in levels and even after taking first differences. -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag ACF for d_ND +- 1.96/T^0.5 -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag PACF for d_ND +- 1.96/T^0.5
  • 6. Volume 3, Issue VII, July 2020 | 44 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education The Correlogram in (2nd Differences) Figure 4 Table 7: 2nd Difference-intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.675517 0.0076 -3.574446 @1% Stationary -2.923780 @5% Stationary -2.599925 @10% Stationary Table 8: 2nd Difference-trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.551269 0.0452 -4.161144 @1% Not stationary -3.506374 @5% Stationary -3.183002 @10% Stationary Table 9: 2nd Difference-without intercept and trend & intercept Variable ADF Statistic Probability Critical Values Conclusion ND -3.656290 0.0005 -2.614029 @1% Stationary -1.947816 @5% Stationary -1.612492 @10% Stationary Figure 4 and tables 7 – 9 illustrate that the ND series is I (2). -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag ACF for d_d_ND +- 1.96/T^0.5 -1 -0.5 0 0.5 1 0 2 4 6 8 10 12 14 16 lag PACF for d_d_ND +- 1.96/T^0.5
  • 7. Volume 3, Issue VII, July 2020 | 45 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Evaluation of ARIMA models (without a constant) Table 10: Evaluation of ARIMA Models Model AIC U ME MAE RMSE MAPE ARIMA (1, 2, 1) 508.8748 0.094273 0.13639 26.505 33.009 0.26106 ARIMA (1, 2, 0) 519.8532 0.10747 0.18166 30.387 37.611 0.29746 ARIMA (0, 2, 1) 548.4842 0.13613 -5.7155 36.803 49.579 0.35169 ARIMA (2, 2, 2) 498.1694 0.083948 -1.3455 24.151 28.506 0.23913 ARIMA (2, 2, 1) 497.0830 0.084895 -1.5782 23.865 28.766 0.2369 ARIMA (3, 2, 1) 498.5739 0.08457 -1.5579 24.048 28.622 0.23863 ARIMA (1, 2, 3) 499.0258 0.082422 -0.1567 23.625 28.741 0.23271 ARIMA (3, 2, 3) 497.6955 0.07881 -1.1237 22.872 27.254 0.22513 ARIMA (2, 2, 0) 499.6099 0.087145 -0.67409 23.98 30.075 0.23675 ARIMA (0, 2, 3) 503.4351 0.087326 -1.8571 23.997 30.595 0.23377 ARIMA (3, 2, 0) 496.7449 0.08461 -1.4581 24.097 28.669 0.23892 ARIMA (2, 2, 3) 498.0951 0.079599 -0.56861 23.234 27.871 0.227 ARIMA (3, 2, 2) 500.1682 0.083919 -1.3311 24.15 28.506 0.23909 ARIMA (4, 2, 0) 498.3876 0.084461 -1.6254 23.972 28.571 0.23801 ARIMA (5, 2, 0) 498.4799 0.082455 -1.3021 23.903 28.036 0.23686 ARIMA (6, 2, 0) 496.6646 0.080052 -1.3377 22.345 26.988 0.22224 ARIMA (7, 2, 0) 497.6298 0.079164 -1.4038 21.839 26.712 0.21697 ARIMA (8, 2, 0) 495.5793 0.074962 -1.2423 20.218 25.727 0.19847 ARIMA (9, 2, 0) 496.8071 0.073258 -1.136 20.158 25.514 0.19756 ARIMA (10, 2, 0) 496.9803 0.073258 -1.136 20.175 25.021 0.19801 ARIMA (8, 2, 1) 497.2608 0.07469 -1.2035 20.12 25.643 0.19726 ARIMA (6, 2, 1) 496.6081 0.078026 -1.4242 21.282 26.462 0.21073 A model with a lower AIC value is better than the one with a higher AIC value (Nyoni, 2018b) Similarly, the U statistic can be used to find a better model in the sense that it must lie between 0 and 1, of which the closer it is to 0, the better the forecast method (Nyoni, 2018a). In this paper, only the AIC is used to select the optimal model. Therefore, the ARIMA (8, 2, 0) model is chosen. Residual & Stability Tests ADF Tests of the Residuals of the ARIMA (8, 2, 0) Model Table 11: Levels-intercept Variable ADF Statistic Probability Critical Values Conclusion R -6.595173 0.0000 -3.596616 @1% Stationary -2.933158 @5% Stationary -2.604867 @10% Stationary Table 12: Levels-trend & intercept Variable ADF Statistic Probability Critical Values Conclusion R -6.521314 0.0000 -4.192337 @1% Stationary -3.520787 @5% Stationary -3.191277 @10% Stationary Table 13: without intercept and trend & intercept Variable ADF Statistic Probability Critical Values Conclusion R -6.651100 0.0000 -2.621185 @1% Stationary -1.948886 @5% Stationary -1.611932 @10% Stationary Tables 11 – 13 indicate that the residuals of the chosen optimal model, the ARIMA (8, 2, 0) model; are stationary. Correlogram of the Residuals of the ARIMA (8, 2, 0) Model
  • 8. Volume 3, Issue VII, July 2020 | 46 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Figure 5: Correlogram of the Residuals Figure 5 indicates that the estimated model is adequate since ACF and PACF lags are quite short and within the bands. This implies that the no autocorrelation assumption is not violated in this study. Test for Normality of Residuals Figure 6: Normality Test Since the p-value, that is; [0.9024] is statistically insignificant, it implies that the residuals are normally distributed, hence the validity of the normality assumption. Stability Test of the ARIMA (8, 2, 0) Model -0.4 -0.3 -0.2 -0.1 0 0.1 0.2 0.3 0.4 0 2 4 6 8 10 12 14 16 lag Residual ACF +- 1.96/T^0.5 -0.4 -0.3 -0.2 -0.1 0 0.1 0.2 0.3 0.4 0 2 4 6 8 10 12 14 16 lag Residual PACF +- 1.96/T^0.5 0 0.002 0.004 0.006 0.008 0.01 0.012 0.014 0.016 0.018 -80 -60 -40 -20 0 20 40 60 80 Density uhat1 uhat1 N(-1.2423,27.985) Test statistic for normality: Chi-square(2) = 0.205 [0.9024]
  • 9. Volume 3, Issue VII, July 2020 | 47 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Figure 7: Inverse Roots Since all the AR roots lie inside the unit circle, it implies that the estimated ARIMA process is (covariance) stationary; thus confirming that the ARIMA (8, 2, 0) model is indeed stable and suitable for forecasting annual neonatal deaths in Zimbabwe. 4. FINDINGS Descriptive Statistics Table 14: Descriptive Statistics Description Statistic Mean 9927 Median 9696 Minimum 7361 Maximum 13169 Standard deviation 1503.5 Skewness 0.51971 Excess kurtosis -0.48186 As shown above, the mean is positive, i.e. 9927. This means that the average number of neonatal deaths over the study period is 9927 deaths per annum. The minimum number of neonatal deaths over the study period is 7361 deaths and this was recorded in 1961 while the maximum number of neonatal deaths is 13169 deaths and this was recorded in 2010. The skewness is 0.51971 and the most important characteristic is that it is positive, meaning that the ND series is positively skewed and non-symmetric. Excess kurtosis is -0.48186; showing that the ND series is not normally distributed. Results Presentation Table 15: Main Results ARIMA (8, 2, 0) Model: ∆2 NDt = 1.3784∆2 NDt−1 − 0.410827∆2 NDt−2 − 0.00721141∆2 NDt−3 − 4.29788∆2 NDt−4 + 0.556302∆2 NDt−5 − 0.628168∆2 NDt−6 + 0.648328∆2 NDt−7 − 0.350542∆2 NDt−8 … … … … … … … . . … … … … … . … . . [5] Variable Coefficient Standard Error z p-value ∅1 1.37840 0.130935 10.53 0.0000*** ∅2 -0.410827 0.222244 -1.849 0.0645* ∅3 -0.00721141 0.229988 -0.03136 0.9750 ∅4 -0.429788 0.225863 -1.903 0.0571* ∅5 0.556302 0.217560 2.557 0.0106** ∅6 -0.628168 0.232070 -2.707 0.0068*** ∅7 0.648328 0.261209 2.482 0.0131** ∅8 -0.350542 0.168886 -2.076 0.0379** Forecast Graph -1.5 -1.0 -0.5 0.0 0.5 1.0 1.5 -1.5 -1.0 -0.5 0.0 0.5 1.0 1.5 AR roots Inverse Roots of AR/MA Polynomial(s)
  • 10. Volume 3, Issue VII, July 2020 | 48 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Figure 8: Forecast Graph – In & Out-of-Sample Forecasts Table 18: Tabulated Out-of-Sample Forecasts Year Predicted Neonatal Deaths Standard Error 95% Confidence Interval 2019 8859.80 24.8870 (8811.02, 8908.58) 2020 8553.55 87.6841 (8381.69, 8725.40) 2021 8346.06 200.518 (7953.05, 8739.07) 2022 8211.26 372.053 (7482.05, 8940.47) 2023 8164.11 600.245 (6987.65, 9340.57) 2024 8171.63 882.005 (6442.93, 9900.33) 2025 8210.95 1206.25 (5846.74, 10575.2) 2026 8266.03 1562.64 (5203.31, 11328.8) 2027 8292.83 1943.14 (4484.36, 12101.3) 2028 8291.30 2338.84 (3707.27, 12875.3) 2029 8236.43 2744.64 (2857.03, 13615.8) 2030 8127.77 3154.88 (1944.31, 14311.2) 2031 7972.78 3565.74 (984.069, 14961.5) 2032 7764.39 3974.40 (-25.2893, 15554.1) 2033 7525.82 4377.97 (-1054.84, 16106.5) 2034 7255.30 4776.08 (-2105.64, 16616.2) 2035 6968.58 5168.57 (-3161.64, 17098.8) 2036 6679.16 5557.07 (-4212.49, 17570.8) 2037 6389.13 5944.14 (-5261.16, 18039.4) 2038 6118.77 6332.44 (-6292.59, 18530.1) 2039 5865.56 6725.60 (-7316.37, 19047.5) 2040 5639.28 7126.32 (-8328.06, 19606.6) 2041 5441.76 7537.39 (-9331.25, 20214.8) 2042 5266.27 7960.91 (-10336.8, 20869.4) 2043 5117.03 8398.09 (-11342.9, 21577.0) Predicted ND -15000 -10000 -5000 0 5000 10000 15000 20000 25000 1970 1980 1990 2000 2010 2020 2030 2040 95 percent interval ND forecast
  • 11. Volume 3, Issue VII, July 2020 | 49 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education Figure 9: Graphical Analysis of Out-of-Sample Forecasts Table 15 shows the main results of the ARIMA (8, 2, 0) model. Figure 8 and 9 as well as table 18 are out-of-sample forecasts of the ARIMA (8, 2, 0) model. As clearly shown in figure 9, the number of neonatal deaths per year, over the out-of-sample period, show a sharply downwards trend. This is encouraging and commendable, for a developing country like Zimbabwe. These results are consistent with Nyoni & Nyoni (2020). Policy Implications i. The government of Zimbabwe should continue to intensify training programs in resuscitation and in essential newborn care in order to maintain low levels of and or eradicate neonatal deaths. ii. The government of Zimbabwe should work towards improving access to healthcare services through out the whole country. iii. The government of Zimbabwe should also work toward capacity building in virtually all public health institutions in the country to ensure that comprehensive neonatal care services are offered country-wide. iv. The government of Zimbabwe should encourage and promote consistent home visits by community health workers, for neonatal care. 5. CONCLUSION The study shows that the ARIMA (8, 2, 0) model is not only stable but also the most suitable model to forecast neonatal deaths in Zimbabwe for the next 25 years. The model predicts a sharp decrease in neonatal deaths in Zimbabwe. Such a trend should be maintained and in this regard, a four-fold policy prescription has been offered. These findings are essential for the government of Zimbabwe, especially when it comes to long- term planning with regards to neonatal care in the country. REFERENCES 1. Asteriou, D. & Hall, S. G. (2007). Applied Econometrics: a modern approach, Revised Edition, Palgrave MacMillan, New York. 2. Babaei, H., Dehghan, M., & Pirkashani, L. M. (2018). Study of Causes of Neonatal Mortality and Its Related Factors in the Neonatal Intensive Care Unit of Iman Reza Hospital in Kermanshah during (2014 - 2016), International Journal of Pediatrics, 6 (5): 7641 – 7649. 3. Box, G. E. P., & Jenkins, G. M. (1970). Time Series Analysis: Forecasting and Control, Holden Day, San Francisco. 4. Carlo, W. A., & Travers, C. P. (2016). Maternal and Neonatal Mortality: Time To Act, Journal of Pediatrics, 92 (6): 543 – 545. 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 2015 2020 2025 2030 2035 2040 2045 Predicted Neonatal Deaths Year Predicted Neonatal Deaths Линейная (Predicted Neonatal Deaths)
  • 12. Volume 3, Issue VII, July 2020 | 50 e-ISSN : 2620 3502 p-ISSN : 2615 3785 International Journal on Integrated Education 5. Chaibva, B. V., Olorunju, S., Nyadundu, S., & Beke, A. (2019). Adverse Pregnancy Outcomes “Stillbirth and Early Neonatal Deaths” in Mutare District, Zimbabwe (2014): A Descriptive Study, BMC Pregnancy and Childbirth, 19 (86): 1 – 7. 6. Chengye, J. (2012). Child and Adolescent Health, People’s Medical Publishing House, Beijing. 7. du Preez, J. & Witt, S. F. (2003). Univariate and multivariate time series forecasting: An application to tourism demand, International Journal of Forecasting, 19: 435 – 451. 8. Ezeh, O. K., Agho, K. E., Dibley, M. J., Hall, J., & Page, A. N. (2014). Determinants of Neonatal Mortality in Nigeria: Evidence From the 2008 Demographic and Health Survey, BMC Public Health, 14: 521 – 531. 9. Kanyenze, G., Chitambara, P., & Tyson, J. (2017). The Outlook For The Zimbabwean Economy, Supporting Economic Transformation (SET), Harare. 10. Khan, M. S., Fatima, S., Zia, S. S., Hussain, E., Faraz, T. R., & Khalid, F. (2019). Modeling and Forecasting Infant Mortality Rates of Asian Countries in the Perspective of GDP (PPP), International Journal of Scientific and Engineering Research, 10 (3): 18 – 23. 11. Lawn, J. E., Cousens, S., & Zupan, J. (2005). Neonatal Survival 1:4 Million Deaths: When? Where? Where? Why? Neonatal Survival Series Paper 1, Lancet, 365: 891 – 900. 12. Ministry of Health and Child Care (2007). The Zimbabwe National Maternal and Neonatal Health Road Map (2007-2015), Government of Zimbabwe, Harare. 13. Mishra, A. K., Sahanaa, C., & Manikandan, M. (2019). Forecasting Indian Infant Mortality Rate: An Application of Autoregressive Integrated Moving Average Model, Journal of Family and Community Medicine, 26: 123 – 126. 14. Nouri, A., Barati, L., Qhezelsofly, F., & Niazi, S. (2013). Causes of Infant Mortality in Kalaleh City During 2004 – 2012, Hakim Jorjani Journal, 1 (2): 2 – 37. 15. Nyoni, S. P., & Nyoni, T. (2020). ARIMA Modeling of Neonatal Mortality in Chitungwiza Central Hospital, International Journal of Multidisciplinary Research (IJMR), 6 (2): 189 – 196. 16. Nyoni, T (2018b). Modeling and Forecasting Inflation in Kenya: Recent Insights from ARIMA and GARCH analysis, Dimorian Review, 5 (6): 16 – 40. 17. Nyoni, T. (2018a). Modeling and Forecasting Naira/USD Exchange Rate in Nigeria: A Box-Jenkins ARIMA Approach, MPRA Paper No. 88622, University Library of Munich, Munich. 18. Nyoni, T. (2018c). Box – Jenkins ARIMA Approach to Predicting net FDI inflows in Zimbabwe, MPRA Paper No. 87737, University Library of Munich, Munich. 19. Nyoni, T. (2019). Maternal Deaths in Zimbabwe: Is it a Crime to be a Woman in Zimbabwe? MPRA Paper No. 96789, University Library of Munich, Munich. 20. Rajaratnam, J. K., Marcus, J. R., & Flaxman, A. D. (2010). Neonatal, postnatal, childhood and under-5 mortality for 187 countries, 1970 – 2010: A Systematic Analysis of Progress Towards Millennium Development Goal 4, Lancet, 375: 1988 – 2008. 21. Sarpong, S. A. (2013). Modeling and Forecasting Maternal Mortality; An Application of ARIMA Models, International Journal of Applied Science and Technology, 3 (1): 19 – 28. 22. Song, H., Witt, S. F. & Jensen, T. C. (2003b). Tourism forecasting: accuracy of alternative econometric models, International Journal of Forecasting, 19: 123 – 141. 23. Tachiwenyika, E., Gombe, N., Shambira, G., Chadambuka, A., Tshimanga, M., & Zizhou, S. (2011). Determinants of Perinatal Mortality in Marondera District, Mashonaland East Province of Zimbabwe, 2009: a Case Control Study, Pan African Medical Journal, pp: 1 – 8. 24. UNICEF (2008). The State of the World’s Children, Child Survival-UNICEF. 25. UNICEF (2017). The neonatal period is the most vulnerable time for a child. http://data.unicef.org/child- mortality/neonatal.html ; accessed 29/01/2020. 26. Usman, A., Sulaiman, M. A., & Abubakar, I. (2019). Trend of Neonatal Mortality In Nigeria From 1990 to 2017 Using Time Series Analysis, Journal of Applied Sciences and Environmental Management, 23 (5): 865 – 869.