Abstract
Introduction
Neonatal mortality during the first week of life is a global issue that is responsible for a large portion of deaths among children under the age of five. There are, however, very few reports about the issue in sub-Saharan Africa. For the sake of developing appropriate policies and initiatives that could aid in addressing the issue, it is important to study the prevalence of mortality during the early neonatal period and associated factors. Thus, the aim of this study was to ascertain the prevalence of and pinpoint the contributing factors to early neonatal mortality in sub-Saharan Africa.
Method
Data from recent demographic and health surveys in sub-Saharan African countries was used for this study. The study included 262,763 live births in total. The determinants of early newborn mortality were identified using a multilevel mixed-effects logistic regression model. To determine the strength and significance of the association between outcome and explanatory variables, the adjusted odds ratio (AOR) at a 95% confidence interval (CI) was computed. Independent variables were deemed statistically significant when the p-value was less than the significance level (0.05).
Result
Early neonatal mortality in sub-Saharan Africa was 22.94 deaths per 1,000 live births. It was found to be significantly associated with maternal age over 35 years (AOR = 1.77, 95% CI: 1.34–2.33), low birth weight (AOR = 3.27, 95% CI: 2.16, 4.94), less than four ANC visits (AOR = 1.12, 95% CI: 1.01, 1.33), delivery with caesarean section (AOR = 1.81, 95% CI: 1.30–2.5), not having any complications during pregnancy (AOR = 0.76, 95% CI: 0.61, 94), and community poverty (AOR = 1.32, 95% CI: 1.05–1.65).
Conclusion
This study found that about twenty-three neonates out of one thousand live births died within the first week of life in sub-Saharan Africa. The age of mothers, birth weight, antenatal care service utilization, mode of delivery, multiple pregnancy, complications during pregnancy, and community poverty should be considered while designing policies and strategies targeting early neonatal mortality in sub-Saharan Africa.
Publisher
Public Library of Science (PLoS)
Reference42 articles.
1. Early neonatal death: a challenge worldwide;L. Lehtonen,2017
2. Determinants of early neonatal mortality in Afghanistan: an analysis of the Demographic and Health Survey 2015;G.M.A. Kibria;Globalization and health,2018
3. Determinants of early neonatal mortality in Nigeria: results from 2013 Nigeria DHS;T. Dahiru;Journal of Pediatrics & Neonatal Care,2015
4. Every Newborn: progress, priorities, and potential beyond survival;J.E. Lawn;The lancet,2014
5. Equity in antenatal care quality: an analysis of 91 national household surveys;C. Arsenault;The Lancet Global Health,2018
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