Observational studyThe Pan African medical journal2020
Neonatal morbidity and mortality in Hargeisa, Somaliland: an observational, hospital based study.
Observational study in The Pan African medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Global prevalence of neonatal mortality in preterm infants: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Estimating the number of hospital beds for the care of sick and small newborns: an evidence-based systematic approach.Journal of global health · 2025Pooled it
- Spatial distribution and determinants of missing essential newborn care items after birth in Somaliland: a spatial and multilevel analysis of SDHS.Frontiers in pediatrics · 2026Article
- Individual and community-level determinants of skin-to-skin contact in Somaliland: a multilevel analysis of the 2020 demographic and health survey data.Frontiers in global women's health · 2026Article
- Factors associated with neonatal jaundice among neonates admitted to three hospitals in Burao, Somaliland: a facility-based unmatched case-control study.BMC pediatrics · 2025Article
- Optimising neonatal bubble continuous positive airway pressure: A Somaliland quality initiative.African journal of primary health care & family medicine · 2025Article
- Neonatal Mortality and Associated Factors at a Tertiary-Level Neonatal Intensive Care Unit in Mogadishu, Somalia: A Retrospective Study.Pediatric health, medicine and therapeutics · 2025Article
- Individual and community-level determinants of neonatal mortality in Somalia: a multilevel analysis of the 2018-2019 demographic and health survey.Frontiers in pediatrics · 2025Article
- Association between delayed cesarean section and severe maternal and adverse newborn outcomes in the Somaliland context: a cohort study in a national referral hospital.Global health action · 2023Article
- The prevalence and associated factors of success of labor induction in Hargeisa maternity hospitals, Hargeisa Somaliland 2022: a hospital-based cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Do we need a new global policy for ending preventable perinatal deaths in fragile low-income countries?Journal of global health · 2023Article
- Do we need a new global policy for ending preventable perinatal deaths in fragile low-income countries?Journal of global health · 2022Article
- Estimates of fluid intake, urine output and hydration-levels in women from Somaliland: a cross-sectional study.Journal of nutritional science · 2021Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHargeisa Group Hospital, Somaliland, opened a neonatal unit in 2013. We aimed to study causes of admission, risk factors for neonatal death and post-discharge care to address modifiable factors.
methodswe analysed hospital records from June-October 2013 (n=164). In addition, we reached primary caregivers of 94 patients for further information after discharge.
resultsof the 164 patients, 65% were male, 31% weighed <2500 grams, 16% were premature, 43% were exposed to meconium and 29% had premature rupture of membranes (PROM). Twenty-seven percent were admitted after caesarean section and 36% had been bag-mask ventilated. The most common diagnoses for admission were asphyxia (34%), respiratory distress (27%), sepsis (16%) and prematurity (15%). The mortality before discharge was 15%, 23/1430 (1.6%) of live-born at the hospital. Half of the admitted preterm babies died (RR for death for preterm vs term born 4.6, 95% CI 2.3-9.0) as well as 28% of the patients with birth weight <2500 grams (RR 2.1, 95% CI 1.0-4.2). The mortality rate with or without PROM was 29% vs 15% (RR 2.0, 95% CI 1.0-3.9). At 28 days of age, 34% of the patients were exclusively breastfed and 44% had not yet been vaccinated. Diarrhoea, vomiting and/or respiratory distress after discharge were reported for 44%.
conclusionprematurity and low birth weight were important risk factors for neonatal death in this cohort, contributing to the high mortality rate. Low numbers of exclusively breastfed and vaccinated infants are also issues of concern to be targeted in the peri- and postnatal care.
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