Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia
Background Half of global under-five mortalities is neonatal. The highest rates are found in low-income countries such as Ethiopia. Ethiopia has made progress in reducing under-five mortality, but neonatal mortality remains high. Evidence collected continuously at the community level is crucial for...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2023.2289710 |
| _version_ | 1797351921669898240 |
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| author | Mengistu Welday Gebremichael Mache Tsadik Haftom Temesgen Abebe Abraha Gebreegzabiher Selam Beyene Abera Berhe Aregawi Solomon Weldemariam |
| author_facet | Mengistu Welday Gebremichael Mache Tsadik Haftom Temesgen Abebe Abraha Gebreegzabiher Selam Beyene Abera Berhe Aregawi Solomon Weldemariam |
| author_sort | Mengistu Welday Gebremichael |
| collection | DOAJ |
| description | Background Half of global under-five mortalities is neonatal. The highest rates are found in low-income countries such as Ethiopia. Ethiopia has made progress in reducing under-five mortality, but neonatal mortality remains high. Evidence collected continuously at the community level is crucial for understanding the trends and causes of neonatal mortality. Objectives To analyse the trends and causes of neonatal mortality at the Kilte-Awlelo Health and Demographic Surveillance System (KAHDSS) site in Ethiopia from 2010 to 2017. Methods A descriptive study was conducted using data from neonates born between 2010 and 2017 at the KAHDSS site. Data were collected using interviewer-administered questionnaires. Causes of death were examined, and neonatal mortality trends were described using simple linear regression. Results The overall average neonatal mortality rate was 17/1000 live births (LBs). The rate increased from 12 per 1000 LBs in 2010 to 15 per 1000 LBs in 2017. The majority of neonatal deaths occurred during the first week of life, and more than one-half died at home. The leading causes were sepsis, pre-term birth (including respiratory distress), disease related to the perinatal period, birth asphyxia, and neonatal pneumonia. Conclusions The high neonatal mortality in Ethiopia requires urgent attention and action. Sepsis, preterm birth, perinatal diseases, asphyxia, and neonatal pneumonia are the leading causes of death in neonates. Facility- and community-based health services should target the leading causes of neonatal deaths. |
| first_indexed | 2024-03-08T13:07:38Z |
| format | Article |
| id | doaj.art-c900824067e44e22b14bc2341876ba16 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-03-08T13:07:38Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-c900824067e44e22b14bc2341876ba162024-01-18T15:58:24ZengTaylor & Francis GroupGlobal Health Action1654-98802023-12-0116110.1080/16549716.2023.22897102289710Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern EthiopiaMengistu Welday Gebremichael0Mache Tsadik1Haftom Temesgen Abebe2Abraha Gebreegzabiher3Selam Beyene4Abera Berhe Aregawi5Solomon Weldemariam6Mekelle UniversityMekelle UniversityMekelle UniversityMekelle UniversityMekelle UniversityMekelle UniversityMekelle UniversityBackground Half of global under-five mortalities is neonatal. The highest rates are found in low-income countries such as Ethiopia. Ethiopia has made progress in reducing under-five mortality, but neonatal mortality remains high. Evidence collected continuously at the community level is crucial for understanding the trends and causes of neonatal mortality. Objectives To analyse the trends and causes of neonatal mortality at the Kilte-Awlelo Health and Demographic Surveillance System (KAHDSS) site in Ethiopia from 2010 to 2017. Methods A descriptive study was conducted using data from neonates born between 2010 and 2017 at the KAHDSS site. Data were collected using interviewer-administered questionnaires. Causes of death were examined, and neonatal mortality trends were described using simple linear regression. Results The overall average neonatal mortality rate was 17/1000 live births (LBs). The rate increased from 12 per 1000 LBs in 2010 to 15 per 1000 LBs in 2017. The majority of neonatal deaths occurred during the first week of life, and more than one-half died at home. The leading causes were sepsis, pre-term birth (including respiratory distress), disease related to the perinatal period, birth asphyxia, and neonatal pneumonia. Conclusions The high neonatal mortality in Ethiopia requires urgent attention and action. Sepsis, preterm birth, perinatal diseases, asphyxia, and neonatal pneumonia are the leading causes of death in neonates. Facility- and community-based health services should target the leading causes of neonatal deaths.http://dx.doi.org/10.1080/16549716.2023.2289710trendscauses of deathneonatal mortalitytigrayfirst week of life |
| spellingShingle | Mengistu Welday Gebremichael Mache Tsadik Haftom Temesgen Abebe Abraha Gebreegzabiher Selam Beyene Abera Berhe Aregawi Solomon Weldemariam Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia Global Health Action trends causes of death neonatal mortality tigray first week of life |
| title | Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia |
| title_full | Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia |
| title_fullStr | Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia |
| title_full_unstemmed | Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia |
| title_short | Trends and causes of neonatal mortality from 2010 to 2017 at a Health and Demographic Surveillance site in Northern Ethiopia |
| title_sort | trends and causes of neonatal mortality from 2010 to 2017 at a health and demographic surveillance site in northern ethiopia |
| topic | trends causes of death neonatal mortality tigray first week of life |
| url | http://dx.doi.org/10.1080/16549716.2023.2289710 |
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