scholarly journals Neonatal mortality clustering in the central districts of Ghana

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253573
Author(s):  
George Adjei ◽  
Eugene K. M. Darteh ◽  
David Teye Doku
Keyword(s):  
High Risk ◽  
Neonatal Mortality ◽  
Secondary Data ◽  
Demographic Surveillance System ◽  
High Concentration ◽  
Unit Of Analysis ◽  
Neonatal Deaths ◽  
Targeted Interventions ◽  
Bernoulli Models ◽  
Significant Mortality

Introduction Identifying high risk geographical clusters for neonatal mortality is important for guiding policy and targeted interventions. However, limited studies have been conducted in Ghana to identify such clusters. Objective This study aimed to identify high-risk clusters for all-cause and cause-specific neonatal mortality in the Kintampo Districts. Materials and methods Secondary data, comprising of 30,132 singleton neonates between January 2005 and December 2014, from the Kintampo Health and Demographic Surveillance System (KHDSS) database were used. Verbal autopsies were used to determine probable causes of neonatal deaths. Purely spatial analysis was ran to scan for high-risk clusters using Poisson and Bernoulli models for all-cause and cause-specific neonatal mortality in the Kintampo Districts respectively with village as the unit of analysis. Results The study revealed significantly high risk of village-clusters for neonatal deaths due to asphyxia (RR = 1.98, p = 0.012) and prematurity (RR = 5.47, p = 0.025) in the southern part of Kintampo Districts. Clusters (emerging clusters) which have the potential to be significant in future, for all-cause neonatal mortality was also identified in the south-western part of the Kintampo Districts. Conclusions Study findings showed cause-specific neonatal mortality clustering in the southern part of the Kintampo Districts. Emerging cluster was also identified for all-cause neonatal mortality. More attention is needed on prematurity and asphyxia in the identified cause-specific neonatal mortality clusters. The emerging cluster for all-cause neonatal mortality also needs more attention to forestall any formation of significant mortality cluster in the future. Further research is also required to understand the high concentration of prematurity and asphyxiated deaths in the identified clusters.

scholarly journals A Neonatal Resuscitation Curriculum in Malawi, Africa: Did It Change In-Hospital Mortality?

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Michael K. Hole ◽  
Keely Olmsted ◽  
Athanase Kiromera ◽  
Lisa Chamberlain
Keyword(s):  
Hospital Mortality ◽  
Neonatal Mortality ◽  
Neonatal Resuscitation ◽  
Secondary Data ◽  
Hospital Staff ◽  
Short Term ◽  
Neonatal Deaths ◽  
Evaluation Strategies ◽  
Resuscitation Training ◽  
Longitudinal Relationships

Objective. The WHO estimates that 99% of the 3.8 million neonatal deaths occur in developing countries. Neonatal resuscitation training was implemented in Namitete, Malawi. The study's objective was to evaluate the training's impact on hospital staff and neonatal mortality rates.Study Design. Pre-/postcurricular surveys of trainee attitude, knowledge, and skills were analyzed. An observational, longitudinal study of secondary data assessed neonatal mortality.Result. All trainees' (n=18) outcomes improved, (P=0.02). Neonatal mortality did not change. There were 3449 births preintervention, 3515 postintervention. Neonatal mortality was 20.9 deaths per 1000 live births preintervention and 21.9/1000 postintervention, (P=0.86).Conclusion. Short-term pre-/postintervention evaluations frequently reveal positive results, as ours did. Short-term pre- and postintervention evaluations should be interpreted cautiously. Whenever possible, clinical outcomes such as in-hospital mortality should be additionally assessed. More rigorous evaluation strategies should be applied to training programs requiring longitudinal relationships with international community partners.

scholarly journals Association of maternal history of neonatal death with subsequent neonatal death across 56 low- and middle-income countries

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhihui Li ◽  
Mudit Kapoor ◽  
Rockli Kim ◽  
S. V. Subramanian
Keyword(s):  
High Risk ◽  
Dominican Republic ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Maternal History ◽  
Middle Income ◽  
Neonatal Deaths ◽  
Middle Income Countries ◽  
History Of ◽  
Country Specific

AbstractEarly identification of high-risk pregnancies can reduce global neonatal mortality rate. Using the most recent Demographic and Health Surveys from 56 low- and middle-income countries, we examined the proportion of mothers with history of neonatal deaths. Logistic regression models were used to assess the association between maternal history of neonatal death and subsequent neonatal mortality. The adjusted models controlled for socioeconomic, child, and pregnancy-related factors. Country-specific analyses were performed to assess heterogeneity in this association across countries. Among the 437,049 live births included in the study, 6910 resulted in neonatal deaths. In general, 22.4% (1549) occurred to mothers with previous history of neonatal death; at the country-level, this proportion ranged from 1.2% (95% confidence interval [CI] 0.0, 2.6) in Dominican Republic to 38.1% (95% CI 26.0, 50.1) in Niger. Maternal history of neonatal death was significantly associated with subsequent neonatal death in both the pooled and the subgroup analyses. In the fully adjusted model, history of neonatal death was associated with 2.1 (95% CI 1.9, 2.4) times higher odds of subsequent neonatal mortality in the pooled analysis. We observed large variation in the associations across countries ranging from fully adjusted odds ratio (FAOR) of 0.4 (95% CI 0.0, 4.0) in Dominican Republic to 16.1 (95% CI 3.6, 42.0) in South Africa. Our study suggests that maternal history of neonatal death could be an effective early identifier of high-risk pregnancies in resource-poor countries. However, country-specific contexts must be considered in national policy discussions.

scholarly journals Gambaran Kematian Neonatal Berdasarkan Karakteristik Ibu di Kota Semarang

2020 ◽  
Vol 5 (2) ◽  
pp. 82-87
Author(s):  
Sinta Wati ◽  
Mateus Sakundarno Adi
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Data Sampling ◽  
Neonatal Mortality Rate ◽  
Maternal Characteristics ◽  
Neonatal Deaths ◽  
Live Births ◽  
Central Java

Background: The Neonatal Mortality Rate of Central Java in 2018 was 7.3 per 1000 live births and the neonatal mortality rate in Semarang City in 2018 was 4.57 per 1000 live births. The purpose of this study was to analyze neoanatal mortality based on maternal characteristics in Semarang City.Methods: This research used descriptive analysis, derived from secondary data in the Semarang City Health Office. The data was taken from Verbal Perinatal Autopsy data sampling from neonatal cases aged 0-28 days who died in Semarang City. In 2019 there were 50 cases out of 101 neonatal death cases.Results: From the analysis showed that neonatal mortality in Semarang City based on the place of delivery were 90% in hospitals with 86% birth attendants assisted by obstetrics and gynecology specialists. Mothers were aged 20-35 years (74%) and 80% have maternal parity less than 3 children, with pregnancy spacing less than 2 years (56%). Beside that, more than 74% mothers have gestational age less than 37 weeks or during the preterm period and 68% of mothers also do Antenatal Care more than 4 times during pregnancy. Most of mothers have hypertension and anemia (20%). Looking at the risk factors, there are 26% of mothers who have a history of abortion, the mother’s age is too old (16%) and childbirth by cesarian section (10%).Conclusion: Neonatal deaths in Semarang City are already numerous in hospitals and delivery assistants by obstetricians. The biggest possibility is that the quality of ANC services is inadequate and not according to ANC-10-T standards.

Prevention of Preterm Birth

2018 ◽  
Vol 11 (2) ◽  
pp. 95-104
Author(s):  
Ivan D. Ivanov ◽  
Stefan A. Buzalov ◽  
Nadezhda H. Hinkova
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
High Risk ◽  
Medical Science ◽  
Secondary Prophylaxis ◽  
High Risk Group ◽  
Screening Methods ◽  
Perinatal Complications ◽  
Social Significance ◽  
Neonatal Deaths

Summary Preterm birth (PTB) is a worldwide problem with great social significance because it is a leading cause of perinatal complications and perinatal mortality. PTB is responsible for more than a half of neonatal deaths. The rate of preterm delivery varies between 5-18% worldwide and has not decreased in recent years, regardless of the development of medical science. One of the leading causes for that is the failure to identify the high-risk group in prenatal care. PTB is a heterogeneous syndrome in which many different factors interfere at different levels of the pathogenesis of the initiation of delivery, finally resulting in delivery before 37 weeks of gestation (wg). The various specificities of risk factors and the unclear mechanism of initiation of labour make it difficult to elaborate standard, unified and effective screening to diagnose pregnant women at high-risk for PTB correctly. Furthermore, they make primary and secondary prophylaxis less effective and render diagnostic and therapeutic measures ineffective and inappropriate. Reliable and accessible screening methods are necessary for antenatal care, and risk factors for PTB should be studied and clarified in search of useful tools to solve issues of risk pregnancies to decrease PTB rates and associated complications.

scholarly journals Geospatial analysis of determinants of neonatal mortality in Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Duah Dwomoh
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Reproductive Age ◽  
Multiple Births ◽  
Demographic And Health Surveys ◽  
Neonatal Deaths ◽  
The Impact

Abstract Background Ghana did not meet the Millennium Development Goal 4 of reducing child mortality by two-thirds and may not meet SDG (2030). There is a need to direct scarce resources to mitigate the impact of the most important risk factors influencing high neonatal deaths. This study applied both spatial and non-spatial regression models to explore the differential impact of environmental, maternal, and child associated risk factors on neonatal deaths in Ghana. Methods The study relied on data from the Ghana Demographic and Health Surveys (GDHS) and the Ghana Maternal Health Survey (GMHS) conducted between 1998 and 2017 among 49,908 women of reproductive age and 31,367 children under five (GDHS-1998 = 3298, GDHS-2003 = 3844, GDHS-2008 = 2992, GDHS-2014 = 5884, GMHS-2017 = 15,349). Spatial Autoregressive Models that account for spatial autocorrelation in the data at the cluster-level and non-spatial statistical models with appropriate sampling weight adjustment were used to study factors associated with neonatal deaths, and a p-value less than 0.05 was considered statistically significant. Results Population density, multiple births, smaller household sizes, high parity, and low birth weight significantly increased the risk of neonatal deaths over the years. Among mothers who had multiple births, the risk of having neonatal deaths was approximately four times as high as the risk of neonatal deaths among mothers who had only single birth [aRR = 3.42, 95% CI: 1.63–7.17, p < 0.05]. Neonates who were perceived by their mothers to be small were at a higher risk of neonatal death compared to very large neonates [aRR = 2.08, 95% CI: 1.19–3.63, p < 0.05]. A unit increase in the number of children born to a woman of reproductive age was associated with a 49% increased risk in neonatal deaths [aRR = 1.49, 95% CI: 1.30–1.69, p < 0.05]. Conclusion Neonatal mortality in Ghana remains relatively high, and the factors that predisposed children to neonatal death were birth size that were perceived to be small, low birth weight, higher parity, and multiple births. Improving pregnant women’s nutritional patterns and providing special support to women who have multiple deliveries will reduce neonatal mortality in Ghana.

scholarly journals Early neonatal mortality and risk factors: a case-control study in Paraná State

2018 ◽  
Vol 71 (5) ◽  
pp. 2527-2534 ◽  
Author(s):  
Michelle Thais Migoto ◽  
Rafael Pallisser de Oliveira ◽  
Ana Maria Rigo Silva ◽  
Márcia Helena de Souza Freire
Keyword(s):  
Risk Factors ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Secondary Data ◽  
Case Control ◽  
Management Tool ◽  
Early Neonatal Death ◽  
Maternal Risk ◽  
Early Neonatal Mortality ◽  
Technological Management

ABSTRACT Objective: to analyze the Early Neonatal Mortality risk factors according to the risk stratification criteria of the Guideline of the Rede Mãe Paranaense Program. Method: a case-control epidemiological study with secondary data from the Mortality and Live Birth Information System in 2014. The crude analysis was performed by the Odds Ratio association measure, followed by the adjusted analysis, considering risk factors as independent variables, and early neonatal death as dependent variable. Results: were considered as maternal risk factors: absence of partner and miscarriages; neonatal: male, low birth weight, prematurity, Apgar less than seven in the fifth minute, presence of congenital anomaly; and care: up to six prenatal appointments. Conclusion: an innovative study of risk factors for early neonatal death from the Guideline's perspective, a technological management tool for maternal and child health, in search of its qualification and greater sensitivity.

scholarly journals RISK ASSESSMENT PADA PEKERJAAN MENEBANG KAYU DI HUTAN PRODUKSI (STUDI KASUS PADA PENGOPERASIAN CHAINSAW PERUM PERHUTANI KPH MADIUN)

2017 ◽  
Vol 5 (2) ◽  
pp. 153
Author(s):  
Raditya Angga Pradipta
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Analysis Data ◽  
Observational Research ◽  
Primary Data ◽  
Cross Sectional ◽  
Forest Production ◽  
Cross Sectional Design

Logging the forest production is a high risk work. The condition of the forest acreage is difficult, the imbalance between the tools used by condition of the field and the skills of workers can lead to accidents. One of supporting job in the process of logging the forest production is the operation of the chainsaw that has hazards and risks which must be controlled. The main objective of this research was to risk assessment in the operational of the chainsaw in the work to cutting down trees in Perhutani KPH Madiun. This research was an observational research that conducted using cross sectional design and descriptive analysis. Data were used primary data based on interviews, observations and secondary data collected from the company. This research performed based on work activities of operating chainsaw. The result showed that based on idetification of hazards in activities of operating chainsaw in cutting trees, there were18 hazards Risk assessment showed that from 18 pure risks, there were 4 low risks,7 medium risks and 7 high risks. The conclusion from this research is the risk most dominant obtained from the risk assessment is high risk and risks while each one had the amount of 7 danger or 39 % of all the potential here hazards, to at a job should not be continued, work that needs to be set repeated or attempts to control at work to reduce the risk. Control must be reviewed for conformity before work began.Keywords: cut timber, identification hazards, risk assessment

scholarly journals Analysis of neonatal mortality in Tomsk

2003 ◽  
Vol 2 (3) ◽  
pp. 99-102
Author(s):  
T. Ye. Tropova ◽  
T. S. Krivonogova ◽  
L. A. Matveyeva ◽  
R. A. Zlobina
Keyword(s):  
Medical Care ◽  
Neonatal Mortality ◽  
Congenital Malformations ◽  
Neonatal Deaths ◽  
New Born ◽  
Article Analysis

Dynamics of neonatal mortality in Tomsk within the period of 1999—2001 has been analyzed in the article. Analysis has been made according to the T. Kern’s method by G.S. Muchiyev’s and O.G. Frolova’s modification. This method permits to evaluate the dynamics of neonatal mortality from the viewpoint of its averting and gives opportunities to reveal the errors at all stages of medical care of women and new-born children. 170 cases of neonatal deaths have been analyzed. There has been marked the decrease of both early and common neonatal mortality due to avertable reasons. Unavertable death reasons tend to increase due to congenital malformations. Ways of the further decrease of neonatal mortality have been defined.

scholarly journals Healthcare worker’s emotions, perceived stressors and coping mechanisms during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254252
Author(s):  
Suzanne Rose ◽  
Josette Hartnett ◽  
Seema Pillai
Keyword(s):  
High Risk ◽  
Coping Strategies ◽  
Disease Outbreaks ◽  
Coping Mechanisms ◽  
Emotional Reactions ◽  
Willingness To Participate ◽  
Psychological Burden ◽  
Targeted Interventions ◽  
Risk Of Exposure ◽  
And Coping

Increasing cases, insufficient amount of personal protection equipment, extremely demanding workloads, and lack of adequate therapies to save lives can contribute to a psychological burden directly related to working during disease outbreaks. Healthcare workers (HCWs) are at a high risk of contracting COVID-19 due to its ability to spread efficiently through asymptomatic and symptomatic individuals. There are limited studies assessing the pandemic’s psychological impact on HCWs, specifically those in close proximity to hospitalized patients with COVID-19. Our study explored the emotions, perceived stressors, and coping strategies of front-line HCWs at high risk of exposure to COVID-19 during the first surge at our community-based teaching hospital, the epicenter of COVID-19 in Connecticut. A validated comprehensive questionnaire derived and modified from previous epidemics was used to inquire about staff feelings, factors that caused stress and factors that mitigated stress. Personal coping strategies and factors that can increase staff’s motivation to work during future events of similar nature were also asked. Emotional reactions, coping mechanisms, and stressors varied by healthcare role, while some experiences and reactions were similar among groups. Willingness to participate in a second wave of the pandemic or future outbreaks is strongly driven by adequate personal protective equipment, financial recognition, and recognition from management, similarly reported in previous disease outbreaks. All groups felt a reduction in stress due to a sense of camaraderie and teamwork, as well as when sharing jokes or humor with colleagues. Our HCWs at high risk of exposure experienced significant emotional distress during the first wave of the COVID-19 pandemic. By understanding the needs and experiences of our HCWs at highest risk, we can improve our psychological support using targeted interventions during future waves of this pandemic or similar devastating events.

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