Evidence map›Paper›PMID 37208032›Full record

ArticleBMJ paediatrics open2023

Prevalence and determinants of early neonatal mortality in Ethiopia: findings from the Ethiopian Demographic and Health Survey 2016.

Tadesse Tarik Tamir, Desale Bihonegn Asmamaw, Wubshet Debebe Negash, Tadele Biresaw Belachew, Elsa Awoke Fentie, Atitegeb Abera Kidie, Tsegaw Amare, Samrawit Mihret Fetene, Banchlay Addis, Sisay Maru Wubante and 2 more

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tadesse Tarik TamirPediatric and Child Health Nursing, University of Gondar, Gondar, Ethiopia tadestar140@gmail.com.ORCID 0000-0003-0760-1100
Desale Bihonegn AsmamawUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Wubshet Debebe NegashUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Tadele Biresaw BelachewUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Elsa Awoke FentieUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Atitegeb Abera KidieWoldia University, Woldia, Amhara, Ethiopia.
Tsegaw AmareUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Samrawit Mihret FeteneUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Banchlay AddisUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Sisay Maru WubanteUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
Abel EndawkieWollo University, Dessie, Ethiopia.
Alebachew Ferede ZegeyeUniversity of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly neonatal death accounts for a significant number of under-5 mortality worldwide. However, the problem is under-researched and under-reported in low-income and middle-income countries, particularly in Ethiopia. The magnitude of mortality during the early neonatal period and associated factors should be studied for designing appropriate policies, and strategies that could help tackle the problem. Hence, this study aimed to determine the prevalence and identify factors associated with early neonatal mortality in Ethiopia.

methodsThis study was conducted by using data from Ethiopian Demographic and Health Survey 2016. A total of 10 525 live births were enrolled in the study. A multilevel logistic regression model was used to identify determinants of early neonatal mortality. Adjusted OR (AOR) at a 95% CI was computed to assess the strength and significance of the association between outcome and explanatory variables. Factors with a p<0.05 were declared statistically significant.

resultsThe national prevalence of early neonatal mortality in Ethiopia was 41.8 (95% CI 38.1 to 45.8) early neonatal deaths per 1000 live births. The extreme ages of pregnancy (under 20 years (AOR 2.7, 95% CI 1.3 to 5.5) and above 35 years (AOR 2.4, 95% CI 1.5 to 4)), home delivery (AOR 2.4, 95% CI 1.3 to 4.3), low birth weight (AOR 3.3, 95% CI 1.4 to 8.2) and multiple pregnancies (AOR 5.3, 95% CI 4.1 to 9.9) were significantly associated early neonatal mortality.

conclusionsThis study revealed a higher prevalence of early neonatal mortality as compared with prevalence in other low-income and middle-income countries. Thus, it is determined to be essential to design maternal and child health policies and initiatives with a priority on the prevention of early neonatal deaths. Emphasis should be given to babies born to mothers at extreme ages of pregnancy, to those born of multiple pregnancies delivered at home and to low birthweight babies.

Indexed as

Perinatal DeathChildEthiopiaFemaleHumansInfantInfant MortalityInfant, NewbornMothersPregnancyPrevalenceHealth services researchMortalityNeonatologyNursingNursing Care

Identifiers

PMID37208032
PMCPMC10201239

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.