Determinants of High Neonatal Mortality Rates in Migori County Referral Hospital in Kenya

Masaba, Brian Barasa; Mmusi-Phetoe, Rose

doi:10.5958/0974-9357.2019.00115.6

Cited by 3 publications

(2 citation statements)

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“…[ 35 36 ] This information is mostly gathered through nursing assessment which includes information concerning the patient's individual physiological, psychological, sociological, and spiritual needs. [ 37 ] Appreciation of some of the social factors (non-clinical)[ 38 ] that influence health-related behaviors and health status itself can help nurses develop more effective treatment plans when caring for these vulnerable groups. [ 39 ] The child developmental problems combined with the socioeconomic disadvantage are most responsible for the health inequalities faced by ASD children's families hence the need for nurses advocacy.…”

Section: Discussionmentioning

confidence: 99%

Challenges of Caregivers Having Children with Autism in Kenya

Masaba

Taiswa

Mmusi-Phetoe

2021

Iranian Journal of Nursing and Midwifery Research

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Background: Caring for children with Autism Spectrum Disorder (ASD) is demanding, especially where access to services and support are inadequate. The present study aimed to systematically review the challenges associated with the caregivers whose children have autism. Materials and Methods: A systematic review design was utilized. The searches were conducted from February 2019 to January 2020. A qualitative analysis that was based on meta-aggregation approach and thematic analysis was used. Thereafter, data was presented into themes. The quality of all included studies was assessed using the Critical Appraisal Skills Program (CASP). Results: The search generated 909 articles of which only 9 met the inclusion criteria. The main findings were discussed under the following three thematic domains: 1) Stigma, 2) Financial burden, and 3) Caregiving burden. Conclusions: Evidence from the data reviewed showed financial burden faced by the caregivers whose children are diagnosed with ASD. This was manifested through both direct and indirect cost of treatment. Another key finding was that majority of the caregivers faced stigma from the community. This implies the low level of awareness of the ASD within the community. The present study calls for more programs on the present research problem within the community so as to increase awareness. Furthermore, the current advocacy of Universal Health Coverage programs in the country should incorporate ASD children.

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Section: Discussionmentioning

confidence: 99%

Challenges of Caregivers Having Children with Autism in Kenya

Masaba

Taiswa

Mmusi-Phetoe

2021

Iranian Journal of Nursing and Midwifery Research

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“…The findings of the latest study have shown that the neonatal mortality rate for Kenya in 2018 was 19.6 deaths per 1000 live births. The rate of neonatal mortality steadily fell from 35.4 deaths per 1000 live births in 1975 14 . A report published by Africa Institute of Development Policy (AFIDEP) in 2020, shows that neonatal mortality in Wajir was indicated as 24 per 1000 live births in 2017 15 .…”

Section: Problem Statementmentioning

confidence: 99%

Morbidity, Mortality Patterns and Factors Associated With Mortality among Neonates Admitted in Wajir County Referral Hospital

Sheikh¹

2022

JMNPH

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Background: Neonatal morbidity and mortality is a global burden despite management measures that has been developed. Approximately 75% of all newborn deaths occur in the first week of life. In 2018 alone, around 2.5 million neonates died globally as a result of preventable causes such as prematurity, complications at birth, infections, and congenital abnormalities. Objective: The objective of the study was to determine neonatal morbidity and mortality patterns, and factors associated with mortality among neonates admitted in Wajir County Referral Hospital. Methodology: A hospital-based retrospective cross-sectional study was conducted among all neonates admitted to the New Born Unit of the WCRH from 01 January 2019 to 31 December 2020. A consecutive sampling technique based on the inclusion criteria was used. A data abstraction tool was used to extract data from the medical records of neonates admitted to the New Born Unit of the hospital. Results: A total of 615 neonates were included in the study. There were 336 (54.6%) male and 279 (45.4%) female neonates. Almost all the deliveries 566 (92.0%) were performed at the health facility with a minority of about 49 (8%) delivered at home. The home deliveries and referrals admissions from tertiary hospitals together were 66 (10.7%). Neonatal morbidity included birth asphyxia 335 (54.5%), neonatal sepsis 144 (23.4%), 57 (9.3%) meconium aspiration syndrome and 52 (8.5%) low birth weight/preterm. Overall mortality in 2019 at the health facility was 45 (12.97%) and in 2020, 35 (13.06%) presenting no significant difference. The deaths that occurred in the first 24 hours of life was 36 (45%). Bivariate and multivariate analysis produced a significant association between the factors associated with neonatal mortality. The multivariate analysis with day of admission (OR 2.872, 95% CI 1.293, 6.375), Sex, (OR 1.02, 95% CI 1.0.627, 1.66) and Birth weight, (OR 0.936, 95% CI 0.423, 2.068) at p<0.05. The logistic regression model was statistically significant, χ2(7) = 20.770, p <0.001. The model explained 27% (Nagelkerke R2) of the variance in discharge outcome and correctly classified 87% of cases. The male gender were 1.02 times more likely to die than females while the place of delivery was 0.572 times likely to result in death. Conclusions: Birth asphyxia was found to be the leading cause of admission, followed by neonatal sepsis and meconium aspiration syndrome respectively. The leading cause of death was birth asphyxia and neonatal sepsis. The mortality rate at the facility was 13%. Neonatal fatality of the newborns admitted to NBU is high in Wajir County. Since majority of the deaths are from preventable causes, this offers chances to improve newborn survival. Key Words: Morbidity, Mortality, Neonates, Asphyxia

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<p>Neonatal Survival in Sub-Sahara: A Review of Kenya and South Africa</p>

Masaba¹,

Mmusi-Phetoe²

2020

JMDH

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Introduction The majority (99%) of the children who die during the first 4 weeks of life do so in the poorer parts of the world, especially in sub-Saharan Africa and South Asia. In 2018, sub-Saharan Africa had a neonatal mortality rate of 28 deaths per 1000 live births. The purpose of the review was to explore and describe the trends of neonatal mortality within the two sub-Saharan countries. Methods We did a literature search in biomedical databases of data published, in English, between Jan 1, 1975, and November 30, 2019. The databases included Scopus, Web of Science, Science Direct, Cochrane Library, PUBMED, OVID and Google scholar. The keywords used in the search: “Neonatal Survival”, “Sub-Sahara”, “Kenya” and “South Africa”. Results The search generated 2209 articles of which only 27 met the inclusion criteria. The present study qualitatively analysed data. Data were presented and organized under two thematic domains: 1) trends of national neonatal mortality rates in South Africa and Kenya and 2) causes of neonatal mortality. Conclusion The current review results noted that in 2018, the neonatal mortality rate for Kenya was 19.6 deaths per 1000 live births. The neonatal mortality rate has fallen gradually from 35.4 deaths per 1000 live births in 1975. On the other hand, South Africa has had its neonatal mortality rate fall from 27.9 deaths per 1000 live births in 1975 to 10.7 deaths per 1000 live births in 2018. Most neonatal deaths resulted in preterm birth complications followed by intrapartum-related events for the two countries. Within the sub-Saharan region, disparities exist as neonates born in South Africa are more likely to survive during the neonatal period compared to Kenya.

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Determinants of High Neonatal Mortality Rates in Migori County Referral Hospital in Kenya

Abstract: I declare that DETERMINANTS OF HIGH NEONATAL MORTALITY RATES IN MIGORI COUNTY REFERRAL HOSPITAL IN KENYA is my own work and that all the sources that I have used or quoted have been indicated and acknowledged by means of complete references.

Cited by 3 publications

References 172 publications

Challenges of Caregivers Having Children with Autism in Kenya

Challenges of Caregivers Having Children with Autism in Kenya

Morbidity, Mortality Patterns and Factors Associated With Mortality among Neonates Admitted in Wajir County Referral Hospital

<p>Neonatal Survival in Sub-Sahara: A Review of Kenya and South Africa</p>

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