Regional variation in neonatal and post-neonatal mortality in Kenya

Ikamari, Lawrence

doi:10.11564/27-1-4

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Contrary to the findings of other studies (Zahid, 1996;Mahmood, 2002;Ikamari, 2013) this study found that antenatal care provider, tetanus injection during pregnancy, place of delivery and birth delivery assistants have no effect on under-five mortality in Zimbabwe in the multivariate level analysis. However, the direction of the relationship between antenatal care, birth delivery assistants and under-five mortality shows that use of an unskilled antenatal provider and the presence of an unskilled birth attendant during delivery increase the risk of a childhood death occurring.…”

Section: Discussioncontrasting

confidence: 99%

Maternal Health-Seeking Behaviour and Under-Five Mortality in Zimbabwe

Mutanda

Odimegwu

2016

J. Biosoc. Sci.

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Under-five mortality remains a major public health challenge in sub-Saharan Africa. Zimbabwe is one of the countries in the region that failed to achieve Millennium Developmental Goal 4 in 2015. The objective of this study was to examine the extent to which maternal health-seeking behaviour prior to and during pregnancy and post-delivery influences the likelihood of under-five mortality among Zimbabwean children. The study was cross-sectional and data were extracted from the 2010/11 Zimbabwe Demographic and Health Survey (ZDHS). The study sample comprised 5155 children who were born five years preceding the 2010/11 ZDHS to a sample of 4128 women of reproductive age (15-49 years). Cox Proportional Hazard regression modelling was used to examine the relationship between maternal health-seeking behaviour and under-five mortality. The results showed that maternal health-seeking behaviour factors are associated with the risk of dying during childhood. Children born to mothers who had ever used contraceptives (HR: 0.38, CI 0.28-0.51) had a lower risk of dying during childhood compared with children born to mothers who had never used any contraceptive method. The risk of under-five mortality among children who had a postnatal check-up within two months after birth (HR: 0.36, CI 0.23-0.56) was lower than that of children who did not receive postnatal care. Small birth size (HR: 1.70, CI 1.20-2.41) and higher birth order (2+) increased the risk of under-five mortality. Good maternal health-seeking behaviour practices at the three critical stages around childbirth have the potential to reduce under-five mortality. Therefore, public health programmes should focus on influencing health-seeking behaviour among women and removing obstacles to effective maternal health-seeking behaviour in Zimbabwe.

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Section: Discussioncontrasting

confidence: 99%

Maternal Health-Seeking Behaviour and Under-Five Mortality in Zimbabwe

Mutanda

Odimegwu

2016

J. Biosoc. Sci.

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“…Similarly, the risk of neonatal death was more likely to occur among neonates from the poorest family as compared to the richest family. This result is consistent with previous studies conducted in Nigeria [18], Kenya [19], and Sudan [20]. This occurs may be due to families with high-income levels might get necessary health services during pregnancy, delivery and after delivery, and the neonates might be provided better care than a family with low income [21].…”

Section: Plos Onesupporting

confidence: 91%

Determining factors of neonatal mortality in Ethiopia: An investigation from the 2019 Ethiopia Mini Demographic and Health Survey

2022

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Background Neonatal mortality is the probability of dying during the first 28 days of life. Of approximately 5 million children who die in the first year of life in the world, about 3 million are within their first 28 days of birth. In Ethiopia, the neonatal mortality rate is high about 37 per 1000 live births, and the factors are not well documented. Then, this study aimed to determine the key factors that have a significant influence on neonatal mortality. Methods A total of 5753 neonatal mortality-related data were obtained from Ethiopia Mini Demographic and Health Survey (2019) data. A frequency distribution to summarize the overall data and Binary Logistic Regression to identify the subset of significant risk factors for neonatal mortality were applied to analyze the data. Results An estimated 36 per 1000 live children had died before the first 28 days, with the highest in the Benishangul Gumuz region (15.9%) and the lowest in Addis Ababa (2.4%). From the Binary logistic regression analysis, the odds ratio and 95% CI of age 25–34 (OR = 0.263, 95% CI: 0.106–0.653), Afar (OR = 0.384, 95% CI: 0.167–0.884), SNNPR (OR = 0.265, 95% CI: 0.098–0.720), Addis Ababa (OR = 5.741, 95% CI: 1.115–29.566), Urban (OR = 0.253, 95% CI: 0.090, 0.709), toilet facility (OR = 0.603, 95% CI: 0.404–0.900), single birth (OR = 0.261, 95% CI: 0.138–0.495), poorest (OR = 10.573, 95% CI: 2.166–51.615), poorer (OR = 19.573, 95% CI: 4.171–91.848), never breastfed (OR = 35.939, 95% CI: 25.193–51.268), public health delivery (OR = 0.302, 95% CI: 0.106–0.859), private health facility (OR = 0.269, 95% CI: 0.095–0.760). Conclusion All regional states of Ethiopia, specially Benishangul Gumuz, and the Somali region must take remedial actions on public health policy, design strategies to improve facilities, and improve the capacities of stakeholders living in their region toward those major factors affecting neonatal mortality in the country.

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“…Another environment-related factor that has been found to exhibit pronounced variations in child survival is region (geographical location of residence) and ethnicity. Regional differentials have been documented in many African countries including Nigeria (Adetunji, 2002;Ikamari, 1995;Kuate-Defo, 1996;Manda, 1999). Some of the regional differences found in previous studies were claimed to be due to http://aps.journals.ac.za/ differences in climate/weather, household environmental factors, socio-economic and cultural factors (Adebayo and Fahrmeir, 2005;Kandala et al 2007).…”

Section: Environmental Factorsmentioning

confidence: 97%