Factors associated with the neonatal death in Mogadishu city, Somalia

Name: Ikran Abdulkadir Ali

keyword: Factors Associated

MeSH: Newborn infants

Classification :.DDC: e-Theses

; Neonatal Death

MeSH: Newborn infants -- Mortality -- 306033

MeSH: Somalia

MeSH: Developing countries

LCSH: Newborn infants

LCSH: Newborn infants -- Mortality -- 306033

LCSH: Somalia

LCSH: Developing countries

Abstract: Introduction: Neonatal death is a significant problem for public health in underdeveloped nations, particularly in Sub-Saharan Africa, with the highest percentages of neonatal death. Therefore, the main objective of this study was to assess factors associated with neonatal death in Mogadishu, Somalia. Method: A hospital-based cross-sectional study was conducted to collect information from participants at 5 purposively selected hospitals in Mogadishu, Somalia. As a research tool, a well-structured, developed, and validated questionnaire were used for data collection consisting of socio-demographic, maternal, neonatal, and KAP factors. Descriptive statistics were used for categorical and continuous variables presented. Chi-square and logistic regression were used for the association between variables and neonatal death at a significant level α=0.05. Results: A total of 513 participants were recruited for the study. Out of these, 136 (26.5%) have died; 51.7% were male newborns, and 66.7% were mothers aged between 19 to 35 years. In a multivariate model, 10 variables were found; female newborns (AOR=2.27, 95%CI=1.38-3.75), those their mothers who did not take tetanus toxoid vaccination (AOR=2.45, 95%CI= 1.35-4.45), those mothers who delivered in instrumental assistant mode (AOR=2.66, 95%CI=1.21-5.82), those who had neonatal sepsis (AOR=2.37, (95%CI=1.30-4.32), neonatal tetanus (AOR= 18.30, 95%CI=4.24-78.99), & pneumonia (AOR=5.27, 95%CI=2.04-13.61) diseases during hospitalization premature (AOR=2.30, 95%CI=1.13-4.70) and postmature (AOR=4.09, 95%CI=1.40-11.94) neonates, those with a birth weight of less than 2500gr (AOR=4.42, 95%CI=2.09-9.36), those who needed resuscitation (AOR= 2.72, 95%CI=1.45-5.13), those who did not initiate early breastfeeding (AOR=2.32, 95%CI=1.12-4.78), those with mothers with moderate (AOR=2.85, 95%CI=1.52-5.37) and poor (AOR=2.21, 95%CI=1.11-4.39) knowledge, and those with mothers who had moderate (AOR= 3.47, 95%CI=1.35-8.92), & poor (AOR=2.95, 95%CI=1.34-6.52) practice were significantly associated with neonatal death compared to their counterparts. Conclusion: Mogadishu, Somalia, faces a high burden of neonatal death. The interventions should focus on female newborns, those mothers’ who did not take the tetanus toxoid vaccine, those who delivered instrument assistant, newborns with birth weight <2500gr, newborns with sepsis, tetanus, and pneumonia, those who needed resuscitation after delivery, premature and postmature newborns, those who did not initiate early breastfeeding, and mothers with moderate and poor knowledge and practice. Healthcare workers and institutions should improve antenatal, postnatal, and newborn care, offer emergency services, and implement evidence-based practices to reduce newborn adverse outcomes.

Mae Fah Luang University. Learning Resources and Educational Media Center

Address: CHIANG RAI

Email: library@mfu.ac.th

Name: Pamornsri Inchon

Role: Advisor

Created: 2023

Modified: 2566-08-25

Issued: 2023-08-25

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: e-Theses

eng

DegreeName: Master of Public Health

Level: Master's Degree

Descipline: Border Health Management

Grantor: Mae Fah Luang University

©copyrights Mae Fah Luang University

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