Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania
Objectives:Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.Methods:We analyzed data from the Rufiji Health and De...
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Global Health and Education Projects, Inc.
2012-11-01
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doaj-401f775b0d9c4ae98978720f214706312021-09-02T02:55:18ZengGlobal Health and Education Projects, Inc.International Journal of Maternal and Child Health and AIDS2161-86742161-864X2012-11-01114959Impact of Place of Delivery on Neonatal Mortality in Rural TanzaniaJustice Ajaari, MScHonrati Masanja, PhDRenay Weiner, MScShalom Akonyi Abokyi, MPHSeth Owusu-Agyei, PhDObjectives:Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.Methods:We analyzed data from the Rufiji Health and Demographic Surveillance System (RHDSS) in Tanzania. A total of 5,124 live births and 166 neonatal deaths were recorded from January 2005 to December 2006. The place of delivery was categorized as either in a health facility or outside, and the neonatal mortality rate (NMR) was calculated as the number of neonatal deaths per 1,000 live births. Univariate and multivariate logistic regression models were used to assess the association between neonatal mortality and place of delivery and other maternal risk factors while adjusting for potential confounders.Results:Approximately 67% (111) of neonatal deaths occurred during the first week of life. There were more neonatal deaths among deliveries outside health facilities (NMR = 43.4 per 1,000 live births) than among deliveries within health facilities (NMR = 27.0 per 1,000 live births). The overall NMR was 32.4 per 1,000 live births. Mothers who delivered outside a health facility experienced 1.85 times higher odds of experiencing neonatal deaths (adjusted odds ratio = 1.85; 95% confidence interval = 1.33–2.58) than those who delivered in a health facility.Conclusions and Public Health Implications:Place of delivery is a significant predictor of neonatal mortality. Pregnant women need to be encouraged to deliver at health facilities and this should be done by intensifying education on where to deliver. Infrastructure, such as emergency transport, to facilitate health facility deliveries also requires urgent attention.http://mchandaids.org/?p=1109Neonatal mortalityPlace of deliveryTanzaniaSocioeconomic statusMaternal age |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Justice Ajaari, MSc Honrati Masanja, PhD Renay Weiner, MSc Shalom Akonyi Abokyi, MPH Seth Owusu-Agyei, PhD |
spellingShingle |
Justice Ajaari, MSc Honrati Masanja, PhD Renay Weiner, MSc Shalom Akonyi Abokyi, MPH Seth Owusu-Agyei, PhD Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania International Journal of Maternal and Child Health and AIDS Neonatal mortality Place of delivery Tanzania Socioeconomic status Maternal age |
author_facet |
Justice Ajaari, MSc Honrati Masanja, PhD Renay Weiner, MSc Shalom Akonyi Abokyi, MPH Seth Owusu-Agyei, PhD |
author_sort |
Justice Ajaari, MSc |
title |
Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania |
title_short |
Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania |
title_full |
Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania |
title_fullStr |
Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania |
title_full_unstemmed |
Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania |
title_sort |
impact of place of delivery on neonatal mortality in rural tanzania |
publisher |
Global Health and Education Projects, Inc. |
series |
International Journal of Maternal and Child Health and AIDS |
issn |
2161-8674 2161-864X |
publishDate |
2012-11-01 |
description |
Objectives:Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.Methods:We analyzed data from the Rufiji Health and Demographic Surveillance System (RHDSS) in Tanzania. A total of 5,124 live births and 166 neonatal deaths were recorded from January 2005 to December 2006. The place of delivery was categorized as either in a health facility or outside, and the neonatal mortality rate (NMR) was calculated as the number of neonatal deaths per 1,000 live births. Univariate and multivariate logistic regression models were used to assess the association between neonatal mortality and place of delivery and other maternal risk factors while adjusting for potential confounders.Results:Approximately 67% (111) of neonatal deaths occurred during the first week of life. There were more neonatal deaths among deliveries outside health facilities (NMR = 43.4 per 1,000 live births) than among deliveries within health facilities (NMR = 27.0 per 1,000 live births). The overall NMR was 32.4 per 1,000 live births. Mothers who delivered outside a health facility experienced 1.85 times higher odds of experiencing neonatal deaths (adjusted odds ratio = 1.85; 95% confidence interval = 1.33–2.58) than those who delivered in a health facility.Conclusions and Public Health Implications:Place of delivery is a significant predictor of neonatal mortality. Pregnant women need to be encouraged to deliver at health facilities and this should be done by intensifying education on where to deliver. Infrastructure, such as emergency transport, to facilitate health facility deliveries also requires urgent attention. |
topic |
Neonatal mortality Place of delivery Tanzania Socioeconomic status Maternal age |
url |
http://mchandaids.org/?p=1109 |
work_keys_str_mv |
AT justiceajaarimsc impactofplaceofdeliveryonneonatalmortalityinruraltanzania AT honratimasanjaphd impactofplaceofdeliveryonneonatalmortalityinruraltanzania AT renayweinermsc impactofplaceofdeliveryonneonatalmortalityinruraltanzania AT shalomakonyiabokyimph impactofplaceofdeliveryonneonatalmortalityinruraltanzania AT sethowusuagyeiphd impactofplaceofdeliveryonneonatalmortalityinruraltanzania |
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