Magnitude of Neonatal Mortality and Its Associated Factors among Neonates Admitted to Neonatal Intensive Care Unit at Menelik II Comprehensive Specialized Hospital, Addis Ababa, Ethiopia, 2022
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Date
2022-11
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Addis Ababa University
Abstract
Background: Since 2000, Ethiopia has seen an exceptional decrease in infant and child deaths. However, the main cause of death in children under the age of five is still neonatal mortality. Hospital service quality can vary and affect how much newborn death occurs.
Objective: To determine the frequency and contributing variables of neonatal mortality among newborns admitted to Minelik II Comprehensive Specialized Hospital in Addis Ababa, Ethiopia, in 2022. Method: retrospective document review was carried out from March 2017 to March 2022. The study used a sample of one out of every two admitted patients. Neonatal patients without neonatal medical records or discharge status charts met our exclusion criteria. To choose the study participants, the systematic random selection technique was employed. The variables that had a P-value of 0.05 in the multivariable model were deemed statistically significant in the binary logistic regression model.
Result: The study included 316 neonates in total andneonatal mortality was 18% (95% CI: 14.2, 22.2). Low birth weight [AOR=4.40(1.73-11.21)], small for gestational age [AOR=3.27(1.50- 7.14)], Neonates with age less than 24 hours [AOR = 6.328 (1.83-21.88)] and Apgar score [AOR=3.46(1.14-10.50)] were factors significantly associated with neonatal mortality.
Conclusion: Neonatal death was a common occurrence (higher prevalence) at Minelik II Comprehensive Specialized Hospital. Newborns that were low birth weight and those who are under 24 hours old have a higher risk of neonatal mortality. Therefore, neonates with low birth weight, small for gestational age, poor APGAR scores, should receive special attention from physicians, legislators, and program administrators.
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infant and child deaths