A systematic review on the determinants of neonatal mortality in Ethiopia.
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Date
2020-01
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Addis Abeba University
Abstract
Background:Neonatal period is the age of child’s first 28 days from birth to 27compeleted days of
life. The neonatal period represents the most vulnerable time for a child’s survival. Nearly halfof
under-five death globally was occurred during neonatal period.Neonatal mortality rate in Ethiopia is
29 deaths per 1000 live births in 2016.
Objective: Theobjective of this study is to identifyand summarize the common determinants of
neonatal mortality in Ethiopia, in the periods of from 1 January, 2014 until 30 April, 2019.
Methods: Atotal of six studies were included in this study, and these studies were selected based on
a predefined protocol that contains clear criteria for eligibility. Major bibliographic database Pub
Med-Medline, Google scholar, Cochrane, EMBASE, was used to collect study articles. Data were
analyzed by narrative synthesis.
Results: The most common important determinants of neonatal death identified in this review were
early age of neonatal period especially in the first 24 hours, prematurity, asphyxia, and sepsis. And
home delivery, lack of antenatal and postnatal care, delayed initiation of breast feeding and delay in
seeking of treatment or health service (delay one)were also among the leading socio
economicdeterminants of neonatal deaths.
Conclusion;This study revealed thatthe determinants of neonatal mortality are largely preventable
by addressing essentialneonatal careand case management service around labor, delivery and the
immediate postpartum periodalong with health education and community awareness creation.
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Keywords
Neonatal mortality ,Ethiopia