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Predictors of neonatal mortality among neonates in Tigray regional state, Ethiopia: A cross-sectional study

Gebru Gebremeskel Gebrerufael1, Brhane Gebrehiwot Welegebrial2, Mehari Gebre Teklezgi1

  • 1Department of Statistics, College of Natural Science, Adigrat University, Adigrat, Ethiopia.

Plos One
|December 17, 2024
PubMed

Insights

Neonatal mortality in Ethiopia's Tigray region is 4.3%, with higher risks for male infants, multiple births, and home deliveries. Interventions should target these high-risk groups to reduce infant mortality.

Area of Science:

  • Public Health
  • Demography
  • Neonatal Health

Background:

  • Ethiopia has made progress in reducing under-five mortality, meeting the fourth Millennium Development Goal.
  • Neonatal mortality remains a significant public health issue in Ethiopia, particularly in the Tigray region.
  • Predictors of neonatal death in Tigray require further investigation.

Purpose of the Study:

  • To determine the prevalence of neonatal death in Ethiopia's Tigray regional state.
  • To identify significant risk factors associated with neonatal mortality in the study area.

Main Methods:

  • Secondary data analysis of the 2016 Ethiopia Demographic and Health Survey (EDHS).
  • Included 716 neonates born within five years preceding the survey.
  • Utilized descriptive statistics and multivariable logistic regression to analyze risk factors.

Main Results:

  • The prevalence of neonatal mortality in Tigray was 4.3% (95% CI: 3.06, 6.10).
  • Significant risk factors for neonatal mortality included multiple births (AOR=15.3), higher birth order (AOR=4.88), male sex (AOR=3.75), and home delivery (AOR=7.4).
  • Neonates born to mothers aged 20-34 years had a lower risk (AOR=0.23).

Conclusions:

  • Neonatal mortality in Tigray is higher than the national average.
  • Identified risk factors include neonate's sex, birth order, mother's age, place of delivery, and birth type.
  • Targeted interventions for high-risk mothers (e.g., home delivery, multiple births) are recommended to reduce neonatal mortality.
Abstract

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