Survival of neonates and predictors of their mortality in Tigray region, Northern Ethiopia: prospective cohort study
Identifieur interne : 000D76 ( Main/Exploration ); précédent : 000D75; suivant : 000D77Survival of neonates and predictors of their mortality in Tigray region, Northern Ethiopia: prospective cohort study
Auteurs : Hayelom Gebrekirstos Mengesha [Éthiopie] ; Alem Desta Wuneh [Éthiopie] ; Wondwossen Terefe Lerebo [Éthiopie] ; Tesfay Hailu Tekle [Éthiopie]Source :
- BMC Pregnancy and Childbirth [ 1471-2393 ] ; 2016.
Abstract
Neonatal mortality accounts for an estimated 2.8 million deaths worldwide, which constitutes 44 % of under-5-mortality and 60 % of infant mortality. Neonatal mortality predictors vary by country with the availability and quality of health care. Therefore, aim of this study was to estimate survival time and identify predictors of neonatal mortality in Tigray region, northern Ethiopia.
A prospective cohort study design was carried out among a cohort of neonates delivered in seven hospitals of Tigray from April to July, 2014 and followed up for a total of 28 days. Data were collected by interviewing mothers using structured questionnaires and assessments of the neonate and mothers by midwives. Kaplan-Meier, Log rank test and Cox-proportional hazard regressions were used. STATA V-11 program was used for data entry, cleaning and analysis.
From 1152 neonates, 68 died (neonatal mortality rate 62.5/1000 live births), 73.52 % of the neonates died within 7 days, 60 were lost to follow-up and the percentage of survival at 28 days was 93.96 % (95 % CI: 92.4, 95.2 %). Predictors of neonatal mortality were: normal birth weight (AHR: 0.45, 95 % CI: 0.24, 0.84), not initiating exclusive breastfeeding (AHR: 7.5, 95 % CI: 3.77, 15.05), neonatal complications (AHR: 0.14, 95 % CI 0.07, 0.29), maternal complications (AHR: 0.37, 95 % CI: 0.22, 0.63) and proximity (AHR: 2.5, 95 % CI: 1.29, 4.91).
Neonatal mortality is unacceptably very high. Managing complications and low birth weight, initiating exclusive breast feeding, improving quality of services and ensuring a continuum of care are recommended to increase survival of neonates.
Url:
DOI: 10.1186/s12884-016-0994-9
PubMed: 27485138
PubMed Central: 4971662
Affiliations:
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Gebrekirstos Mengesha</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Adigrat University, College of Medicine and Health science, Adigrat, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Adigrat University, College of Medicine and Health science, Adigrat</wicri:regionArea><wicri:noRegion>Adigrat</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Mekelle University, College of Health Science, Mekelle, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Mekelle University, College of Health Science, Mekelle</wicri:regionArea><wicri:noRegion>Mekelle</wicri:noRegion></affiliation></author><author><name sortKey="Wuneh, Alem Desta" sort="Wuneh, Alem Desta" uniqKey="Wuneh A" first="Alem Desta" last="Wuneh">Alem Desta Wuneh</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Mekelle University, College of Health Science, Mekelle, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Mekelle University, College of Health Science, Mekelle</wicri:regionArea><wicri:noRegion>Mekelle</wicri:noRegion></affiliation></author><author><name sortKey="Lerebo, Wondwossen Terefe" sort="Lerebo, Wondwossen Terefe" uniqKey="Lerebo W" first="Wondwossen Terefe" last="Lerebo">Wondwossen Terefe Lerebo</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Mekelle University, College of Health Science, Mekelle, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Mekelle University, College of Health Science, Mekelle</wicri:regionArea><wicri:noRegion>Mekelle</wicri:noRegion></affiliation></author><author><name sortKey="Tekle, Tesfay Hailu" sort="Tekle, Tesfay Hailu" uniqKey="Tekle T" first="Tesfay Hailu" last="Tekle">Tesfay Hailu Tekle</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Mekelle University, College of Health Science, Mekelle, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Mekelle University, College of Health Science, Mekelle</wicri:regionArea><wicri:noRegion>Mekelle</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Pregnancy and Childbirth</title><idno type="eISSN">1471-2393</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Neonatal mortality accounts for an estimated 2.8 million deaths worldwide, which constitutes 44 % of under-5-mortality and 60 % of infant mortality. Neonatal mortality predictors vary by country with the availability and quality of health care. Therefore, aim of this study was to estimate survival time and identify predictors of neonatal mortality in Tigray region, northern Ethiopia.</p></sec><sec><title>Method</title><p>A prospective cohort study design was carried out among a cohort of neonates delivered in seven hospitals of Tigray from April to July, 2014 and followed up for a total of 28 days. Data were collected by interviewing mothers using structured questionnaires and assessments of the neonate and mothers by midwives. Kaplan-Meier, Log rank test and Cox-proportional hazard regressions were used. STATA V-11 program was used for data entry, cleaning and analysis.</p></sec><sec><title>Results</title><p>From 1152 neonates, 68 died (neonatal mortality rate 62.5/1000 live births), 73.52 % of the neonates died within 7 days, 60 were lost to follow-up and the percentage of survival at 28 days was 93.96 % (95 % CI: 92.4, 95.2 %). Predictors of neonatal mortality were: normal birth weight (AHR: 0.45, 95 % CI: 0.24, 0.84), not initiating exclusive breastfeeding (AHR: 7.5, 95 % CI: 3.77, 15.05), neonatal complications (AHR: 0.14, 95 % CI 0.07, 0.29), maternal complications (AHR: 0.37, 95 % CI: 0.22, 0.63) and proximity (AHR: 2.5, 95 % CI: 1.29, 4.91).</p></sec><sec><title>Conclusion</title><p>Neonatal mortality is unacceptably very high. Managing complications and low birth weight, initiating exclusive breast feeding, improving quality of services and ensuring a continuum of care are recommended to increase survival of neonates.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kayongo, M" uniqKey="Kayongo M">M Kayongo</name></author><author><name sortKey="Rubardt, M" uniqKey="Rubardt M">M Rubardt</name></author><author><name sortKey="Butera, J" uniqKey="Butera J">J Butera</name></author><author><name sortKey="Abdullah, M" uniqKey="Abdullah M">M Abdullah</name></author><author><name sortKey="Mboninyibuka, D" uniqKey="Mboninyibuka D">D Mboninyibuka</name></author><author><name sortKey="Madili, M" uniqKey="Madili M">M Madili</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mekbib, 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uniqKey="Tekle T" first="Tesfay Hailu" last="Tekle">Tesfay Hailu Tekle</name><name sortKey="Wuneh, Alem Desta" sort="Wuneh, Alem Desta" uniqKey="Wuneh A" first="Alem Desta" last="Wuneh">Alem Desta Wuneh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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