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Background: An understanding of risk factors related to neonatal mortality is important to guide the
development of focused and evidence-based health interventions to reduce neonatal deaths.
Objective: This study aim to identify risk factors of neonatal mortality in Ethiopia based on in-depth
analysis of the 2011 Ethiopian Demographic and Health Survey
Methods: The data source for the study is the 2011 Ethiopian Demographic and Health Survey. The
survival information of a total of 11872 number of women live-born neonates born five years
before the survey will be is examined. logistic regression model was identify risk factors
associated with neonatal deaths. the outcome variables are socioeconomic (region, place of
residence, wealth index, mother's level of education, marital status). logistic regression model
was used to calculate the adjusted odds ratios (AOR) with 95% confidence intervals (CIs) for
any association with neonatal death.
Results: About 71% of the neonatal deaths occurred within the first week after birth and, the cumulative
death rate reached 79% in the second week. The adjusted odds ratio were for 4th birth order
have less likely risk for NNM compared with l " and 2nd (AOR=0.8, 95% CI: 0.7-0.9), male sex
(AOR=1.5, 95% CI: 1.2-1.9), birth interval shorter than 24 months (HR=2.1, 95% CI:1.4-3.0),
birth size at birth average size have less likely risk compared with large birth size (AOR=0.5,
95% CI:004-0.7) respectively, and neonates whose mothers had a history of pregnancy
complications have less likely risk for NNM (AOR=0.5, 95% CI: 0.3-0.8) compared to their
respective counterparts. The risk of dying was higher mothers delivery assistance by unskilled
persons (AOR=6.3,95% CI: 2.2-18.3) and neonates were delivered in home delivery high risk
than institution delivery (AOR=6.3, 95% CI: 2.2-1804) respectively marital status living alone
were significant (AOR 1.7,CI;1.1-2.5)
Conclusion: The study demonstrated that, child's sex, birth interval, Birth order, delivery Assistance,
pregnancy complication, physical size at birth, place of delivery, and current marital status had
statistically significant impacts on the survival of neonates.
Recommendation: Emphasize the importance of providing antenatal care, the necessity of skilled delivery must be emphasized Focused on family planning and nutritional programmers for those factors related to
NNM.
........................................ Thesis available at ACIPH Library |
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