Neonatal mortality in Sudan: analysis of the Sudan household survey, 2010

BMC Public Health

Ishag Adam²  Igbal A Bashier³  Ghada H Ibrahim¹  Amal O Bashir³ 

[1] School of Health Sciences, City University, London, United Kingdom;Faculty of Medicine, University of Khartoum, Khartoum, Sudan;Public Health Institute, Khartoum, Sudan

关键词: Sudan;    Delivery complications;    Maternal factors;    Neonatal mortality;   

Others  :  1162393
DOI  :  10.1186/1471-2458-13-287

 received in 2012-09-23, accepted in 2013-03-26,  发布年份 2013

【 摘 要 】

Background

Sudan is classified as having insufficient progress in achieving the Millennium Development Goal (MDG-4), where the levels of child and infant mortality are among the highest in the region and the world. This study investigated factors associated with neonatal mortality in Sudan. Neonatal death is defined as death within the first 28 days of life.

Methods

This study analysed data from the Sudan Household Health Survey 2nd round, which was carried out in 2010. Total of 6,198 live-born infants delivered within the two years preceding the survey were included as the study population. Multivariate logistic regression was used to model neonatal mortality as a function of maternal health parameters, socioeconomic indicators and the sex of the child.

Results

There were 189 neonatal deaths out of 6,198 live births (3.0%). In the multiple logistic regression, the factors associated with neonatal mortality were advanced maternal age (≥ 40 years; OR = 2.4; 95% CI: 1.21, 4.78, p = 0.012), poor household wealth index (OR = 1.6; 95% CI: 1.18, 2.47, p = 0.005), male child (OR = 1.8; 95% CI: 1.31, 2.42, p < 0.001), delivery of baby by Caesarean section (OR = 1.6; 95% CI: 1.78, 2.42, p = 0.013) and delivery complications (OR = 1.4; 95% CI: 1.18, 2.15, p = 0.002).

Conclusion

Public health interventions which target neonatal mortality reduction should adopt a risk-factor-based approach to detect pregnancy complications early and once identified, the health system should be strengthened so that these complications can be dealt with adequately.

【 授权许可】

   
2013 Bashir et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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