The Lancet Global Health

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The Lancet Global Health National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis  Hannah Blencowe, MRCPCH, Julia Krasevec, MSc, Mercedes de Onis, MD, Prof Robert E Black, MD, Xiaoyi An, MA, Gretchen A Stevens, DSc, Elaine Borghi, PhD, Chika Hayashi, PhD, Diana Estevez, MSc, Luca Cegolon, MD, Suhail Shiekh, MSc, Victoria Ponce Hardy, MSc, Prof Joy E Lawn, FRCPCH, Prof Simon Cousens, DipMathstat  The Lancet Global Health  DOI: 10.1016/S2214-109X(18)30565-5 Copyright © 2019 UNICEF and World Health Organization. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Administrative and survey data inputs and estimation methods LBW=low birthweight. *28 survey datasets were excluded on quality criteria: seven datasets were excluded because of extreme heaping around three values, nine because more than 10% of births weighed at least 4500 g, one because of excessive heaping on the tail end of the birthweight distribution, seven because of an inability to obtain results from adjustment procedures, and four because very low numbers of livebirths were weighed. †8 years of data between 2000 and 2015, with at least one datapoint before 2005 and one after 2010. ‡The estimate for India was based on partial data for the most recent survey; therefore, modelled estimates are not shown for individual country. The Lancet Global Health DOI: (10.1016/S2214-109X(18)30565-5) Copyright © 2019 UNICEF and World Health Organization. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 Low birthweight estimate methodology, by country (map) and region (bars), 2000–15 B-spline regression countries met criteria for minimum number of years of highly representative administrative estimates, hierarchical regression countries did not meet B-spline criteria but had at least one estimate meeting inclusion criteria; no estimate countries did not have any LBW estimate which met the inclusion criteria. See appendix for details. *High-income regions include North America, Europe, and Australia and New Zealand. †Southeast Asia and Oceania excluding Australia and New Zealand. ‡Estimate based on partial data for most recent survey; therefore, modelled estimates are not shown for the individual country. The Lancet Global Health DOI: (10.1016/S2214-109X(18)30565-5) Copyright © 2019 UNICEF and World Health Organization. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 National and regional low birthweight prevalence, 2015 *High-income regions include North America, Europe and Australia and New Zealand. †Southeastern Asia and Oceania does not include Australia or New Zealand. ‡Estimate based on partial data for most recent survey; therefore, modelled estimates are not shown for the individual country. The Lancet Global Health DOI: (10.1016/S2214-109X(18)30565-5) Copyright © 2019 UNICEF and World Health Organization. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 4 Regional and worldwide change in low birthweight between 2000 and 2015 (A) Changes in low birthweight rates. (B) Changes in absolute numbers of low birthweight newborns. *Southeastern Asia and Oceania does not include Australia or New Zealand. †High-income regions include North America, Europe, and Australia and New Zealand. ‡Central Asia labels not on graph due to space limitations, the number LBW is 0·1 million in all years. The Lancet Global Health DOI: (10.1016/S2214-109X(18)30565-5) Copyright © 2019 UNICEF and World Health Organization. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions