Preventable Causes of Neonatal Mortality and Associated Factors Among Neonates Admitted to Neonatal Intensive Care Units of Addis Ababa Governmental Hospitals From 2011-2015 Gc: A Retrospective Study
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Date
2016-06
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Addis Ababa University
Abstract
Background: Ethiopia witnessed an unprecedented decline in under-5 mortality from 166 per
1000 in 2000 to 88 per 1000 live births in 2011; an average decline of 47%. But still today,
approximately 42% of mortality in Ethiopia attributes to high neonatal deaths; which needs
further action like implementing SDG.
Objective: To assess preventable causes and factors associated with neonatal mortality among
neonates admitted to NICUs of Addis Ababa Governmental Hospitals from 2011-15GC.
Methods and materials: Facility based retrospective study was conducted at NICUs of public
hospitals in Addis Ababa using secondary data of neonatal mortality among neonates admitted in
Neonatal Intensive Care Units from 2011-2015 GC. The sampling has two stages and the overall
design effect of 1.5 was considered. Data was collected using the data extraction checklist after
conducting pre-test. Then the collected data was coded and entered in to Epi data of version 3.1
and exported to SPSS for windows version 21.0 for cleaning, editing, and analysis. Binary and
multiple logistic regressions have been used to observe the association between independent
variables and dependent variable.
Result: The study included 561 neonates died after admission to NICUs in Addis Ababa
Governmental Hospitals and data was collected for different variables of interest like obstetrics
and gynecologic related, medical problems on admission including time of death to find
significant association with neonatal mortality. The likely of dying from sepsis(recorded cause of
death) within 7-28 days was 1.8 times more likely as compared to likely of dying within first
week of life (AOR=1.81, 95% CI: 1.119-2.934, P=0.016). In the same way, The likely of dying
from hypothermia within 7-28 days was 1.68 times more likely as compared to likely of dying
within first week of life (AOR=1.68, 95%, CI: 1.054-2.67, p=0.029)
Conclusion and Recommendation: In general, the study has found significant association of
neonatal mortality with hypothermia and sepsis which are both potentially preventable. The
concerned bodies are then recommended to focus on general respective preventive mechanisms.
Key words: Neonatal Mortality, Perinatal Mortality, Causes of Death in NICUs.
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Keywords
Neonatal Mortality, Perinatal Mortality, Causes of Death in NICUs