Abstract
BackgroundEthiopia is among the countries with the highest neonatal mortality with the rate of 37 deaths per 1000 live births. In spite of many efforts by the government and other partners, non significant decline has been achieved over the last 15 years. Thus, identifying the prevalence and associated factors of neonatal mortality is very crucial for policy and program improvement. This study was designed to assess neonatal mortality rate in Felege Hiwot referral hospital, North West Ethiopia.MethodsA hospital based chart review was done in Felege Hiwot referral hospital based on patient charts from July 2015 to June 2016. The data were collected using structured checklists. The collected data was coded, filtered and entered in to Microsoft Excel 2007 and transferred to STATA version 12.0 for analysis. Binary logistic regression analysis was used to identify factors associated with neonatal mortality. A p - value of < 0.05 was considered as significant.ResultsThe prevalence of neonatal mortality in Felege Hiwot referral hospital was 13.29% (95% CI: 10.09–17.07). Early age of the newborn (< 7 days) [AOR = 0.39 (0.16–0.97)], gestational age at delivery [AOR = 2.14 (1.0–4.52)], late initiation of breastfeeding [AOR = 2.89 (0.99–8.38)], non exclusive breastfeeding [AOR = 6.77 (3.04–15.07)], inadequate ante natal visit [AOR = 5.02 (1.02–24.70)] were the determinant factors for neonatal death.ConclusionsThis study revealed that neonatal mortality is still high in the study area. Early age of the newborn, late initiation of breastfeeding, exclusive breastfeeding and ante natal vist were the determinant factors for neonatal mortality in the study area. Therefore, giving attention for newborns who are small for age, timely initiation of breastfeeding, exclusive breastfeeding and increasing ante natal visit were recommended to reduce neonatal mortality.
Highlights
Ethiopia is among the countries with the highest neonatal mortality with the rate of 37 deaths per 1000 live births
Study design and setting Institution based retrospective chart review was conducted in Felege Hiwot referral hospital based on patient charts from July 2015 to June 2016
The study was conducted in Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia
Summary
Ethiopia is among the countries with the highest neonatal mortality with the rate of 37 deaths per 1000 live births. About 5 million deaths occurred within the first 28 days of life. This showed nearly 44% of under five mortalities and 60% of infant mortalities are covered by neonatal deaths. 98% of neonatal mortalities occurred in developing countries. Sub Saharan Africa takes the highest rate of newborn death, these are regions having least improvement in decreasing neonatal death rates [1]. The trends of neonatal mortality in the country has slight decrease over past 20 years. Around 63% of infant mortalities in the country happened within the first 28 days of newborns life [2]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
