Author(s):
Girish Degavi, Pandiarajan Kasimayan, Hazaratali Panari
Email(s):
girishdegavi1984@gmail.com
DOI:
10.52711/2349-2996.2024.00030 
Address:
Girish Degavi1, Pandiarajan Kasimayan2, Hazaratali Panari3
1Vice-Principal, Shri Guru College of Nursing, Belagavi, Karnataka.
2Professor, Indian College of Nursing, Bellary, Karnataka.
3Principal, Siddhivinayaka Institute of Nursing Science, Harugiri, Karnataka.
*Corresponding Author
Published In:
Volume - 14,
Issue - 2,
Year - 2024
ABSTRACT:
Introduction: Neonatal mortality remains a serious public health concern in low-income countries. In Ethiopia, the neonatal mortality rate has dropped only by 9% in the last 15 years. The most recent national-level report shows a rise in neonatal mortality rates from 29 in 2016 to 30 in 2019. There is no obvious explanation for the increase, and studies have found inconsistent findings. There-fore, this study aimed to determine the magnitude of neonatal mortality and its associated factors among neonates admitted to the Neonatal Intensive Care Unit of BuleHora University teaching hospital, Southern Ethiopia. Method: A facility-based cross-sectional study was conducted at BuleHora University teaching hospital. Data were extracted from 440 charts of neonates admitted to the Neonatal Intensive Care Unit of the hospital from July 1, 2017, to June 30, 2020. A pretested data extraction checklist was used to get the intended variable. Data was entered into Epi-data version 4.4.2 and exported to SPSS version 25.0 for analysis. A logistic regression model was used to determine factors and to control for confounders. Multicollinearity was checked between independent variables before multivariate analysis. A p-value of =0.05 was declared as statistically significant. Result: The proportion of neonatal mortality was 18.9%, among which 50% of the death occurred in the first 24hours of life. Age less than 14days (AOR 4.3(1.6, 11.2)), Neonates born at home (AOR, 4.6(2.3, 9.0)), APGAR score at the first 5 minutes of birth (AOR, 2.6(1.2, 5.6)), neonates born with congenital anomalies (AOR, 9.3(3.2, 26.7)), and Neonates born from mothers having no ANC visit (AOR, 2.7(1.5, 5.0)), were factors significantly associated with Neonatal Mortality. Conclusion: The findings show that nearly one in five (19%) of neonates admitted to the neonatal intensive care unitdied. In the study area, neonates 14 days old, born at home, APGAR score less than 5, congenital anomalies, and mothers who had no antenatal care visit were factors that were significantly associated with neonatal mortality. Thus, efforts should be made to increase antenatal care coverage and institutional delivery.
Cite this article:
Girish Degavi, Pandiarajan Kasimayan, Hazaratali Panari. Neonatal Mortality and Associated Factors among Neonates Admitted in Neonatal Intensive Care Unit of Bule Hora University Teaching Hospital, Oromia, Southern Ethiopia, Cross Sectional Study. Asian Journal of Nursing Education and Research. 2024; 14(2):149-6. doi: 10.52711/2349-2996.2024.00030
Cite(Electronic):
Girish Degavi, Pandiarajan Kasimayan, Hazaratali Panari. Neonatal Mortality and Associated Factors among Neonates Admitted in Neonatal Intensive Care Unit of Bule Hora University Teaching Hospital, Oromia, Southern Ethiopia, Cross Sectional Study. Asian Journal of Nursing Education and Research. 2024; 14(2):149-6. doi: 10.52711/2349-2996.2024.00030 Available on: https://ajner.com/AbstractView.aspx?PID=2024-14-2-11
REFERENCE:
1. Hadgu FB, Gebretsadik LG, Mihretu HG, Berhe AH. Prevalence and Factors Associated with Neonatal Mortality at Ayder Comprehensive Specialized Hospital, Northern Ethiopia. A Cross-Sectional Study. Pediatric Health Med Ther. 2020; 11:29-37.
2. Lawn JE BH, Oza S, You D, Lee AC, Waiswa P, Lalli M, Bhutta Z, Barros AJ, Chiristian P, Mathers C. Every Newborn: Progress, Priorities, and Potential beyond survival. The Lancet. 2014 Jul; 12; 384(9938):189-205.
3. Garces AL, M. E, McClure, Perez W, Hambidge KM, Krebs NF, et al. The Global Network Neonatal Cause of Death algorithm for low-resource settings. Foundation Acta Pædiatrica. 2017; 106: 904–11.
4. Adetola AO TO, Orimadegun AE, Osinusi K. Neonatal mortality in an urban population in lbadan, Nigeria. Pediatrics & Neonatology. 2011 1; 52(5): 243-50.
5. Mengesha HG, Sahle BW. Cause of neonatal deaths in Northern Ethiopia: a prospective cohort study. BMC Public Health. 2017; 17(1): 62.
6. Roro EM, Tumtu MI, Gebre DS. Predictors, causes, and trends of neonatal mortality at Nekemte Referral Hospital, east Wollega Zone, western Ethiopia (2010-2014). Retrospective Cohort Study. PloS One. 2019; 14(10): e0221513.
7. United Nations Intra-agency Group for Child Mortality Estimation (UNIGME). Level & Trend in Child Mortality: Report 2020, Estimates developid by the United Nations Inter-agency Group for Child Mortality Estimation. United Nations Children's Fund, Newyork, 2020. 2020.
8. Andrea Nove IKF, Luc de Bernis, Fran McConville, Allisyn C Moran, Maria Najjemba, Petra ten Hoope-Bender, Sally Tracy, Homer CSE. Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a Lives Saved Tool modelling study. Lancet Glob Health. January 2021; 9
9. ICF. EPHIEEa. Ethiopia Mini Demographic and Health Survey 2019: Key Indicators. Rockville, Maryland, USA: EPHI and ICF. 2019.
10. Basha GW, Woya AA, Tekile AK. Determinants of neonatal mortality in Ethiopia: an analysis of the 2016 Ethiopia Demographic and Health Survey. African Health Sciences. 2020; 20(2): 715-23.
11. Cavallin F, Bonasia T, Yimer DA, Manenti F, Putoto G, Trevisanuto D. Risk factors for mortality among neonates admitted to a special care unit in a low-resource setting. BMC Pregnancy and Childbirth. 2020; 20(1): 722.
12. Christiana R Titaley, MJD, Kingsley Agho, Christine L Roberts1 aJH. Determinants of neonatal mortality in Indonesia. BMC Public Health 2008, 2008; 8:232:15.35. Worku B, Kassie A, Mekasha A, Tilahun B, Worku A. Predictors of early neonatal mortality at a neonatal intensive care unit of a specialized referral teaching hospital in Ethiopia. Department of Pediatrics, Addis Ababa University. Ethiopia J Health Dev. 2012; 26(3): 200-7.
13. Addis Eyeberu HS, Tamirat Getachew, Genanaw Atnafe and Merga Dheresa. Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia. Department of Midwifery, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya Universty, Dire Dawa, Harar, Ethiopia. BMC Pediatrics. 2020; 21(125).
14. Hosmer HD. Applied logistic regression. 3rded. New York: Springer Science Publisher. 2013.
15. Kambarami RA, Matibe P, Pirie D. Risk factors for neonatal mortality: Harare Central Hospital Neonatal Unit--Zimbabwe. Cent Afr J Med. 1999; 45(7):169-73.
16. Seid SS, Ibro SA, Ahmed AA, Olani Akuma A, Reta EY, Haso TK, et al. Causes and factors associated with neonatal mortality in Neonatal Intensive Care Unit (NICU) of Jimma University Medical Center, Jimma, South West Ethiopia. Pediatric Health Med Ther. 2019; 10:39-48.
17. Adjei G, Darteh EKM, Nettey OEA, Doku DT. Neonatal mortality in the central districts of Ghana: analysis of community and composition factors. BMC Public Health. 2021; 21(1):173.
18. Hussain R. Risk factors for neonatal mortality in low-income population subgroups in Karachi, Pakistan. Community Genet. 2002; 5(4): 249-56.
19. Leak P, Yamamoto E, Noy P, Keo D, Krang S, Kariya T, et al. Factors associated with neonatal mortality in a tertiary hospital in Phnom Penh, Cambodia. Nagoya J Med Sci. 2021; 83(1): 113-24.
20. Weddih A, Ahmed M, Sidatt M, Abdelghader N, Abdelghader F, Ahmed A, et al. Prevalence and factors associated with neonatal mortality among neonates hospitalized at the National Hospital Nouakchott, Mauritania. Pan Afr Med J. 2019; 34: 152.
21. Andegiorgish AK, Andemariam M, Temesghen S, Ogbai L, Ogbe Z, Zeng L. Neonatal mortality and associated factors in the specialized neonatal care unit Asmara, Eritrea. BMC Public Health. 2020; 20(1): 10.
22. Garcia LP, Fernandes CM, Traebert J. Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil. J Pediatr (Rio J). 2019; 95(2):194-200.
23. Wolde HF, Gonete KA, Akalu TY, Baraki AG, Lakew AM. Factors affecting neonatal mortality in the general population: evidence from the 2016 Ethiopian Demographic and Health Survey (EDHS)-multilevel analysis. BMC Res Notes. 2019; 12(1): 610.
24. Woday Tadesse A, Mekuria Negussie Y, Aychiluhm SB. Neonatal mortality and its associated factors among neonates admitted at public hospitals, pastoral region, Ethiopia: A health facility based study. PloS one. 2021; 16(3): e0242481.
25. Hassan MH, Ahmed MR, Shehata SF, Sadek SS. Risk factors of perinatal and neonatal mortality in Alexandria, Egypt. J Egypt Public Health Assoc. 2012; 87(3-4): 51-6.