The neonatal mortality and its determinants in rural communities of Eastern Uganda

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dc.contributor.authorKananura, Rornald M.
dc.contributor.authorTetui, Moses
dc.contributor.authorMutebi, Aloysius
dc.contributor.authorBua, John N.
dc.contributor.authorWaiswa, Peter
dc.contributor.authorKiwanuka, Suzanne N.
dc.contributor.authorEkirapa-Kiracho, Elizabeth
dc.contributor.authorMakumbi, Fredrick
dc.date.accessioned2022-03-07T10:25:46Z
dc.date.available2022-03-07T10:25:46Z
dc.date.issued2016
dc.description.abstractIn Uganda, neonatal mortality rate (NMR) remains high at 27 deaths per 1000 live births. There is paucity of data on factors associated with NMR in rural communities in Uganda. The objective of this study was to determine NMR as well as factors associated with neonatal mortality in the rural communities of three districts from eastern Uganda. Methods: Data from a baseline survey of a maternal and newborn intervention in the districts of Pallisa, Kibuku and Kamuli, Eastern Uganda was analyzed. A total of 2237 women who had delivered in the last 12 months irrespective of birth outcome were interviewed in the survey. The primary outcome for this paper was neonatal mortality. The risk ratio (RR) was used to determine the factors associated with neonatal mortality using log - binomial model. Results: The neonatal mortality was found to be 34 per 1000 live births (95 % CI = 27.1–42.8); Kamuli 31.9, Pallisa 36.5 and Kibuku 30.8. Factors associated with increased neonatal deaths were parity of 5+ (adj. RR =2.53, 95 % CI =1.14–5.65) relative to parity of 4 and below, newborn low birth weight (adj. RR = 3.10, 95 % CI = 1.47–6.56) and presence of newborn danger signs (adj. RR = 2.42, 95 % CI = 1.04–5.62). Factors associated with lower risk of neonatal death were, home visits by community health workers’ (CHW) (adj. RR =0.13, 95 % CI = 0.02–0.91), and attendance of at least 4 antenatal visits (adj. RR = 0.65, 95 % CI = 0.43–0.98). Conclusions: Neonatal mortality in rural communities is higher than the national average. The use of CHW’s to mobilize and sensitize households on appropriate maternal and newborn care practices could play a key role in reducing neonatal mortality.en_US
dc.identifier.citationKananura, R. M., Tetui, M., Mutebi, A., Bua, J. N., Waiswa, P., Kiwanuka, S. N., ... & Makumbi, F. (2016). The neonatal mortality and its determinants in rural communities of Eastern Uganda. Reproductive health, 13(1), 1-9. DOI 10.1186/s12978-016-0119-yen_US
dc.identifier.other10.1186/s12978-016-0119-y
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2445
dc.language.isoenen_US
dc.publisherReproductive healthen_US
dc.subjectNeonatal mortalityen_US
dc.subjectLog-binomial modelen_US
dc.subjectCommunity health workersen_US
dc.subjectUgandaen_US
dc.titleThe neonatal mortality and its determinants in rural communities of Eastern Ugandaen_US
dc.typeArticleen_US
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