Factors affecting neonatal mortality in the general population: evidence from the 2016 Ethiopian Demographic and Health Survey (EDHS)—multilevel analysis

Wolde, Haileab Fekadu; Gonete, Kedir Abdela; Baraki, Adhanom Gebreegziabher; Lakew, Ayenew Molla

doi:10.1186/s13104-019-4668-3

Cited by 67 publications

(83 citation statements)

References 28 publications

(38 reference statements)

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“…Similar ndings had been reported by other authors; Bello et al 32 reported a higher risk of death among out born preterm babies of lower gestation in Maiduguri, North Eastern Nigeria while Nga et al 18 identi ed poor referral system, place of birth and ethnicity as risk factors for neonatal deaths in rural north Vietnam. Over 75% of abdominal deliveries among our patients were performed presumably as a salvage procedure in most of the babies and this may account for the lower risk of mortality associated with C/S delivery.…”

Section: Discussionsupporting

confidence: 87%

“…The focus of most community-based neonatal studies is the determination of sociodemographic risk factors for neonatal mortality. [15][16][17][18][19] On the other hand, hospital-based studies have the potential to identify speci c causes of neonatal mortality. [20][21][22][23] These two types of research studies complement each other in providing comprehensive data for holistic neonatal interventions.…”

Section: Introductionmentioning

confidence: 99%

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Determination of Neonatal Case-Specific Fatality Rates in a tertiary health institution in North Central Nigeria

Audu

Otuneye

Mairami

et al. 2020

Preprint

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Background The current neonatal mortality rate in Nigeria (37/1000) is among the highest in the world and the major causes have consistently been reported as sepsis, perinatal asphyxia and prematurity. However, case-specific fatality which defines the risk of dying from these and other neonatal morbidities is rarely emphasized. Determination of case-specific fatality rates (CSFR) may inform a change in our current approach to neonatal care interventions which may eventually bring about the much-needed reduction in our neonatal mortality rate. Our aim was to determine the case-specific fatality rates for the common causes of mortality among hospitalized neonates at the National Hospital Abuja (NHA).Methods: Relevant demographic and clinical data on all neonates admitted into the NICU at the NHA over a period of 13 months (January 2017 to February 2018) were extracted from the Neonatal Registry database and analyzed using appropriate statistical methods with the SPSS version 20 software. The case-specific fatality rates were computed for the predominant morbidities in addition to determination of the neonatal mortality rates and associated risk factors.Results and conclusion: A total of 730 neonates were admitted, out of which 391 (53.6%) were females, 396 (54.5%) were inborn and 396 (54.2%) were term. The three most prevalent morbidities were prematurity 272(37.2%), neonatal Jaundice 208(28.4%) and perinatal asphyxia 91(12.5%) while the most common causes of mortality were prematurity 47/113(41.6%), congenital malformations 27/113(23.9%) and perinatal asphyxia 26/113(23%). Congenital malformations had the highest case-specific fatality 27/83(32.5%) followed by Perinatal Asphyxia 26/91(28.6%) and prematurity 47/272(20.7%). The mortality pattern differed between inborn and out born babies. Implications of these case-specific fatality rates for targeted interventions are discussed.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Determination of Neonatal Case-Specific Fatality Rates in a tertiary health institution in North Central Nigeria

Audu

Otuneye

Mairami

et al. 2020

Preprint

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“…Furthermore, the response rate for the women's questionnaire in all years was very high (2004:97.6%, 2006:98.3, 2010:80%, 2014:95.7%). Finally, factors predicting neonatal survival in our analysis are congruent with previous findings [29,30,31].…”

Section: Discussionsupporting

confidence: 91%

Service utilization patterns for childbirth and neonatal mortality in the occupied Palestinian territory during conflict

Siam

Leone

2020

European Journal of Public Health

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Background The global incidence of man-made crises has increased in the last decade. Evidence on deviations in service uptake during conflict is needed to better understand the link between conflict and adverse neonatal outcomes. We assessed the association between conflict intensity in the occupied Palestinian territory (oPt) at time of birth and (i) utilization patterns for childbirth across different providers; and (ii) neonatal mortality. Methods We combined data on conflict intensity with four demographic and health surveys (2004, 2006, 2010 and 2014) that included nationally representative samples of women of childbearing age. Our exposure variable was casualties per 100 000 population in defined sub-regions of the oPt. Our outcome specifications were a binary variable for neonatal deaths and a categorical variable for childbirth location. We used multivariate logistic and multinomial regressions to assess the associations. Results High conflict intensity was associated with fewer childbirths in the private sector (RR=0.97, P=0.04), and non-governmental organizations (RR=0.95, P=0.03) compared to public facilities. Conflict intensity was not associated with higher neonatal mortality beyond 2004. Conclusions Policy implications include better preparedness in the public sector for childbirth during conflict and exploring reasons for the slow decline in neonatal mortality in the territory beyond conflict at time of birth.

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“…wealth and education) [5,7]. Third, previous studies used traditional regression methods [8,10,11] that do not follow the WHO recommendation for inequality studies [9] or were limited to certain specific areas in the country without including the national context [11,12]. Finally, it assessed NMR inequality for the four Ethiopia Demographic and Health Surveys (EDHS 2000(EDHS , 2005(EDHS , 2011(EDHS , 2016 and was not limited to the first and the last EDHS rounds, unlike prior studies [5,13].…”

Section: Introductionmentioning

confidence: 99%

Inequalities and trends in Neonatal Mortality Rate (NMR) in Ethiopia: Evidence from the Ethiopia Demographic and Health Surveys, 2000–2016

2020

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Background Substantial inequality in neonatal mortality rates (NMR) remains in low-and middle-income countries to the detriment of disadvantaged subpopulations. In Ethiopia, there is a dearth of evidence on the extent and trends of disparity in NMR. This study assessed the socioeconomic, residence and sex-based inequalities in NMR, as well as examined its change over a sixteen year period in Ethiopia. Methods Using the World Health Organization's (WHO) Health Equity Assessment Toolkit (HEAT) software, data from the Ethiopia Demographic and Health Surveys (EDHS) were analyzed between 2000 and 2016. NMR was disaggregated by four equity stratifiers: education, wealth, residence and sex. In addition, absolute and relative inequality measures, namely Difference, Population Attributable Risk (PAR), Ratio, Relative Concentration Index (RCI) and Slope Index of Inequality (SII) were calculated to understand inequalities from different perspectives. Corresponding 95% Uncertainty Intervals (UIs) were computed to measure statistical significance. Findings Large educational inequalities in NMR were found in 2000, 2005, and 2011, while wealthdriven inequality occurred in 2011. Sex disparity was noted in all the surveys, and urbanrural differentials remained in all the surveys except in 2016. While socioeconomic and area-related inequalities decreased over time, sex related inequality did not change during the period of study.

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Factors affecting neonatal mortality in the general population: evidence from the 2016 Ethiopian Demographic and Health Survey (EDHS)—multilevel analysis

Cited by 67 publications

References 28 publications

Determination of Neonatal Case-Specific Fatality Rates in a tertiary health institution in North Central Nigeria

Determination of Neonatal Case-Specific Fatality Rates in a tertiary health institution in North Central Nigeria

Service utilization patterns for childbirth and neonatal mortality in the occupied Palestinian territory during conflict

Inequalities and trends in Neonatal Mortality Rate (NMR) in Ethiopia: Evidence from the Ethiopia Demographic and Health Surveys, 2000–2016

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