背景:新生儿死亡率是撒哈拉以南非洲的一个重大公共卫生问题,特别是在索马里,这方面的数据有限。摩加迪沙,人口稠密的首都,面临着很高的新生儿死亡率,但这在国家层面上还没有得到广泛的研究。医疗保健提供者和政策制定者正在努力减少新生儿死亡,但是全面了解影响因素对于有效策略至关重要。因此,这项研究旨在确定摩加迪沙新生儿死亡的程度,并确定与之相关的因素,索马里。
方法:进行了一项基于多中心医院的横断面研究,以收集摩加迪沙5家有目的地选择的医院的参与者的数据,索马里。一个结构良好的,可靠,自行开发,包含社会人口统计学的有效问卷,母性,新生儿特征被用作研究工具。描述性统计用于提供的分类和连续变量。卡方和逻辑回归用于确定与新生儿死亡率相关的因素,其显著水平为α=0.05。
结果:共招募了513名参与者。新生儿死亡率为26.5%[95CI=22.6-30.2]。在多变量模型中,发现了9个变量:女性新生儿(AOR=1.98,95CI=1.22-3.19),那些没有参加ANC访问的母亲(AOR=2.59,95CI=1.05-6.45),那些没有接种破伤风类毒素疫苗的母亲(AOR=1.82,95CI=1.01-3.28),那些以工具辅助模式分娩的母亲(AOR=3.01,95CI=1.38-6.56),新生儿败血症患者(AOR=2.24,(95CI=1.26-3.98),新生儿破伤风(AOR=16.03,95CI=3.69-69.49),住院期间的肺炎(AOR=4.06,95CI=1.60-10.31)疾病,早产(AOR=1.99,95CI=1.00-3.94)和成熟后(AOR=4.82,95CI=1.64-14.16)新生儿,出生体重小于2500gr的人(AOR=4.82,95CI=2.34-9.95),分娩后需要复苏的患者(AOR=2.78,95CI=1.51-5.13),和那些没有开始早期母乳喂养(AOR=2.28,95CI=1.12-4.66),与新生儿死亡率相比,它们与新生儿死亡率显著相关。
结论:在这项研究中,新生儿死亡率高。因此,干预工作应侧重于减少与新生儿死亡率相关的孕产妇和新生儿因素的策略。医护人员和卫生机构应提供适当的产前,产后,新生儿护理。
BACKGROUND: Neonatal mortality is a significant public health problem in Sub-Saharan Africa, particularly in Somalia, where limited data exists about this. Mogadishu, the densely populated capital, faces a high rate of neonatal mortality, but this has not been widely studied on a national level. Healthcare providers and policymakers are working to reduce newborn deaths, but a comprehensive understanding of the contributing factors is crucial for effective strategies. Therefore, this
study aims to determine the magnitude of neonatal death and identify factors associated with it in Mogadishu, Somalia.
METHODS: A multicenter hospital-based cross-sectional
study was conducted to collect data from participants at 5 purposively selected hospitals in Mogadishu, Somalia. A well-structured, reliable, self-developed, validated questionnaire containing socio-demographic, maternal, and neonatal characteristics was used as a research tool. Descriptive statistics were used for categorical and continuous variables presented. Chi-square and logistic regression were used to identify factors associated with neonatal mortality at a significant level of α = 0.05.
RESULTS: A total of 513 participants were recruited for the
study. The prevalence of neonatal mortality was 26.5% [95%CI = 22.6-30.2]. In a multivariable model, 9 variables were found: female newborns (AOR = 1.98, 95%CI = 1.22-3.19), those their mothers who did not attend ANC visits (AOR = 2.59, 95%CI = 1.05-6.45), those their mothers who did not take tetanus toxoid vaccination (AOR = 1.82, 95%CI = 1.01-3.28), those their mothers who delivered in instrumental assistant mode (AOR = 3.01, 95%CI = 1.38-6.56), those who had neonatal sepsis (AOR = 2.24, (95%CI = 1.26-3.98), neonatal tetanus (AOR = 16.03, 95%CI = 3.69-69.49), and pneumonia (AOR = 4.06, 95%CI = 1.60-10.31) diseases during hospitalization, premature (AOR = 1.99, 95%CI = 1.00-3.94) and postmature (AOR = 4.82, 95%CI = 1.64-14.16) neonates, those with a birth weight of less than 2500 gr (AOR = 4.82, 95%CI = 2.34-9.95), those who needed resuscitation after delivery (AOR = 2.78, 95%CI = 1.51-5.13), and those who did not initiate early breastfeeding (AOR = 2.28, 95%CI = 1.12-4.66), were significantly associated with neonatal mortality compared to their counterparts.
CONCLUSIONS: In this
study, neonatal mortality was high prevalence. Therefore, the intervention efforts should focus on strategies to reduce maternal and neonatal factors related to neonatal mortality. Healthcare workers and health institutions should provide appropriate antenatal, postnatal, and newborn care.