Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data
Background: Although global neonatal mortality declined by about 40 percent from 1990 to 2013, it still accounted for about 2.6 million deaths globally and constituted 42 percent of global under-five deaths. Most of these deaths occur in developing countries. Antenatal care (ANC) is a globally recom...
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doaj-e8b6594e1b624c6698d5df7a9521defb2020-11-24T22:58:48ZengTaylor & Francis GroupGlobal Health Action1654-97161654-98802017-01-0110110.1080/16549716.2017.13287961328796Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey dataMalachi Arunda0Anders Emmelin1Benedict Oppong Asamoah2Lund University, CRCLund UniversityLund UniversityBackground: Although global neonatal mortality declined by about 40 percent from 1990 to 2013, it still accounted for about 2.6 million deaths globally and constituted 42 percent of global under-five deaths. Most of these deaths occur in developing countries. Antenatal care (ANC) is a globally recommended strategy used to prevent neonatal deaths. In Kenya, over 90 percent of pregnant women attend at least one ANC visit during pregnancy. However, Kenya is currently among the 10 countries that contribute the most neonatal deaths globally. Objective: The aim of this study is to examine the effectiveness of ANC services in reducing neonatal mortality in Kenya. Methods: We used binary logistic regression to analyse cross-sectional data from the 2014 Kenya Demographic and Health Survey to investigate the effectiveness of ANC services in reducing neonatal mortality in Kenya. We determined the population attributable neonatal mortality fraction for the lack of selected antenatal interventions. Results: The highest odds of neonatal mortality were among neonates whose mothers did not attend any ANC visit (adjusted odds ratio [aOR] 4.0, 95% confidence interval [CI] 1.7–9.1) and whose mothers lacked skilled ANC attendance during pregnancy (aOR 3.0, 95% CI 1.4–6.1). Lack of tetanus injection relative to one tetanus injection was significantly associated with neonatal mortality (aOR 2.5, 95% CI 1.0–6.0). About 38 percent of all neonatal deaths in Kenya were attributable to lack of check-ups for pregnancy complications. Conclusions: Lack of check-ups for pregnancy complications, unskilled ANC provision and lack of tetanus injection were associated with neonatal mortality in Kenya. Integrating community ANC outreach programmes in the national policy strategy and training geared towards early detection of complications can have positive implications for neonatal survival.http://dx.doi.org/10.1080/16549716.2017.1328796Antenatal careneonatal mortalitytetanus toxoidpopulation attributable fraction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Malachi Arunda Anders Emmelin Benedict Oppong Asamoah |
spellingShingle |
Malachi Arunda Anders Emmelin Benedict Oppong Asamoah Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data Global Health Action Antenatal care neonatal mortality tetanus toxoid population attributable fraction |
author_facet |
Malachi Arunda Anders Emmelin Benedict Oppong Asamoah |
author_sort |
Malachi Arunda |
title |
Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data |
title_short |
Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data |
title_full |
Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data |
title_fullStr |
Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data |
title_full_unstemmed |
Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data |
title_sort |
effectiveness of antenatal care services in reducing neonatal mortality in kenya: analysis of national survey data |
publisher |
Taylor & Francis Group |
series |
Global Health Action |
issn |
1654-9716 1654-9880 |
publishDate |
2017-01-01 |
description |
Background: Although global neonatal mortality declined by about 40 percent from 1990 to 2013, it still accounted for about 2.6 million deaths globally and constituted 42 percent of global under-five deaths. Most of these deaths occur in developing countries. Antenatal care (ANC) is a globally recommended strategy used to prevent neonatal deaths. In Kenya, over 90 percent of pregnant women attend at least one ANC visit during pregnancy. However, Kenya is currently among the 10 countries that contribute the most neonatal deaths globally. Objective: The aim of this study is to examine the effectiveness of ANC services in reducing neonatal mortality in Kenya. Methods: We used binary logistic regression to analyse cross-sectional data from the 2014 Kenya Demographic and Health Survey to investigate the effectiveness of ANC services in reducing neonatal mortality in Kenya. We determined the population attributable neonatal mortality fraction for the lack of selected antenatal interventions. Results: The highest odds of neonatal mortality were among neonates whose mothers did not attend any ANC visit (adjusted odds ratio [aOR] 4.0, 95% confidence interval [CI] 1.7–9.1) and whose mothers lacked skilled ANC attendance during pregnancy (aOR 3.0, 95% CI 1.4–6.1). Lack of tetanus injection relative to one tetanus injection was significantly associated with neonatal mortality (aOR 2.5, 95% CI 1.0–6.0). About 38 percent of all neonatal deaths in Kenya were attributable to lack of check-ups for pregnancy complications. Conclusions: Lack of check-ups for pregnancy complications, unskilled ANC provision and lack of tetanus injection were associated with neonatal mortality in Kenya. Integrating community ANC outreach programmes in the national policy strategy and training geared towards early detection of complications can have positive implications for neonatal survival. |
topic |
Antenatal care neonatal mortality tetanus toxoid population attributable fraction |
url |
http://dx.doi.org/10.1080/16549716.2017.1328796 |
work_keys_str_mv |
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