ArticleBMC pediatrics2023
Epidemiology of neonatal mortality: a spatial and multilevel analysis of the 2019 mini-Ethiopian demographic and health survey data.
Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- A machine learning approach to identify key socio-economic and demographic factors associated with neonatal mortality in Ethiopia.BMC public health · 2026Article
- Time to death and its predictors of mortality among neonates admitted to neonatal intensive care unit in public general hospitals of central zone of Tigray, Ethiopia 2024: a retrospective cohort study.Maternal health, neonatology and perinatology · 2026Article
- Time to First Antenatal Care Booking and Its Predictors Among Pregnant Women Attending Antenatal Care Follow-up at Pawe General Hospital, Pawe District, Northwest Ethiopia, 2024: A Retrospective Study.Health science reports · 2026Article
- Advancing gender equity in primary health care: Lessons from integrating gender-responsive strategies into service delivery in Ethiopia.PLOS global public health · 2026Article
- Trends and determinants of early neonatal mortality in Ethiopia: evidence from the Ethiopian demographic and health survey data.BMC pediatrics · 2025Article
- Time to death and its predictors among neonates admitted to the neonatal intensive care unit at Boru Meda General Hospital, Northeast Ethiopia.Scientific reports · 2025Article
- Maternal and perinatal mortality: geospatial analysis of inequality in pregnancy related and perinatal mortality in Ethiopia.Health policy and planning · 2025Article
- Community-based newborn care utilization and associated factors in Nekemte City, Oromia, Ethiopia, 2023.BMC pediatrics · 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
- Survival status and predictors of mortality among neonates admitted to neonatal intensive care unit at Bichena Primary Hospital, Northwest Ethiopia. A retrospective cohort study.Frontiers in pediatrics · 2025Article
- Article
- Prediction of delayed breastfeeding initiation among mothers having children less than 2 months of age in East Africa: application of machine learning algorithms.Frontiers in public health · 2024Article
- Determinants of infant mortality in Oromia region, Ethiopia.Annals of medicine and surgery (2012) · 2023Article
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Abstract
backgroundSub-Saharan African countries are a high-burden region of neonatal mortality and showed slow progress in its reduction. In developing countries, as long as the current trend of mortality persists, achieving a sustainable development target for neonatal mortality would be challenging. The aim of this study was to detect significant geographic areas and identify community and individual-level predictors of neonatal mortality in Ethiopia to draw attention to a policy.
methodsA weighted total sample of 24,136 mothers from the 2019 mini-Ethiopian demographic and health survey data were included in the analysis. Global Moran's I statistics was run to check the clustering of neonatal mortality and then kriging interpolation was done to predict the magnitude of neonatal mortality in Ethiopia. In addition, SaTScan analysis was also executed to identify hot spot clusters of neonatal mortality. Finally, a multilevel mixed-effect logistic regression model was used to identify community and individual-level predictors of early neonatal and neonatal mortality.
resultsThe lifetime early neonatal and neonatal mortality among mothers in Ethiopia was 5.08 (95% CI: 4.13-6.03) and 6.54 (5.55, 7.52) per 1000 births respectively. Neonatal mortality was spatially clustered in the country and the SaTScan analysis identified significant hotspot areas of neonatal mortality in the Amhara and Afar regions and some areas of the Somali and Oromia regions. Its predicted magnitude was > 8 per 1000 births in wide areas of the Amhara and Benishangul regions. A multilevel mixed-effect logistics regression analysis identified that a lower level of maternal education, being a twin neonate, and being a male neonate were predictors of both early neonatal and neonatal mortality. Whereas, the younger age of mothers predicted neonatal mortality.
conclusionsNeonatal mortality in Ethiopia is geographically clustered and sociodemographic and obstetric factors played a significant role. Policy direction should focus on evidence-based practices like midwives-led community and facility-based continuum of care from preconception to postnatal periods to possibly reduce neonatal mortality.
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