Neonatal Mortality and its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

• DOI: 10.21203/rs.2.11690/v1
• Publication Date: 2019-07-19T01:42:57Z
• Authors: Abera Mersha; Agegnehu Bante; Shitaye Shibiru
• Keywords: Neonatal Mortality; Neonatal death; Standardized mortality ratio

Abstract Background The neonatal period is the most vulnerable time for a child survival. declines in mortality rate have been slower than post-neonatal under-five majority of countries. This this trend also similar Ethiopia, that was high as compare to post rate. A large proportion deaths occur during 48 hours after delivery. Different studies conducted assessing determinates but there need assess immediate post-partum (within two days following delivery) cause occurred time. So, study fill those gaps aforementioned studies, determinate factors affecting public hospitals Gamo and Gofa Zones, Southern Ethiopia. Methods prospective follow up among 6,986 participants from April 5, 2018 March 2019. Data on causes death were collected by using structured verbal autopsy questionnaire. entered Epi data version 3.1 exported Stata 15 analysis. Crude adjusted estimate β with 95%CI calculated binary logistic regression model. goodness fit tested log likelihood ratio (LR). In P-value < 0.05 considered declare result statistically significant association. Results incidence 9.6 (95%CI: 7.5%, 12.2%) per 1000 live births. Age mother, number antenatal care, hemorrhage, sex neonate, presentation, gestational age birth weight identified cases. Prematurity, infection asphyxia common Conclusions indicated neonates died period. Both maternal identified. Therefore, early identification obstetric complications interventions, strengthening provision quality postnatal care services are recommended.