Gizaw, Muluken (2012) Trends in Neonatal Mortality and Assessment of Associated Risk Factors in Butajira District, South Central Ethiopia, (1987-2008). Masters thesis, Addis Ababa University.
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Abstract
Introduction: Child mortality is an important indicator of a country’s developmental status. Neonatal mortality and stillbirth shared a higher percentage of child mortality. However, in developing countries where most deliveries occur at home and there is no civil registration, it is difficult to measure the magnitude of neonatal mortality. In such set-ups, the use of data from continous demographic survillance systems provided a valid result. Therefore, this study was conducted in rural Butajira using a 22 years dataset with the aim of assessing trends of neonatal mortality and assessment of associated risk factors. Methods: The Butajira Rural Health Programme was launched in 1987 with an objective of developing and evaluating a system for a continuous registration of vital events. The surveillance system operates an open cohort system. An event history analysis was carried out to calculate the yearly neonatal mortality and magnitude of death along different covariates. Poisson regression model was used to elicit neonatal mortality risk factors. Results: The trends of neonatal mortality did not show a change over the study period (Pvalue=0.099). There was a high burden of early neonatal mortality with the highest risk of death on the first day of life (incidence rate ratios 4.84 [4.5 5.2] and 18 [16.6 19.4] respectively). Significant risk factors for all-cause neonatal mortality were being male 1.65(1.4-1.9), distance to hospital 1.5(1.11- 2.0), born to follower of Islam 1.2[1.01 1.50], born to mothers with no oxen 1.16(1.01- 1.34) and neonates were born to mothers living in thatched house 2.9(2.4-3.5). Conculussion:- Despite there is an urgent need of reducing neonatal mortality at national level , no significant change observed in neonatal mortality in Butajira. The death was significantly associated with sex of the child, socio economic variables, and physical access to hospital. Therefore, comprehensive prevention strategies directed at reducing neonatal death should address community, household and individual level factors, which significantly influence neonatal mortality in Butajira.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 26 Nov 2018 13:00 |
| Last Modified: | 26 Nov 2018 13:00 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7660 |
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