TY - JOUR
T1 - Why are babies dying in the first month after birth? A 7-year study of neonatal mortality in northern Ghana
AU - Welaga, Paul
AU - Moyer, Cheryl A
AU - Aborigo, Raymond Akawire
AU - Adongo, Philip Baba
AU - Williams, John E O
AU - Hodgson, Abraham V O
AU - Oduro, Abraham
AU - Engmann, Cyril M
PY - 2013
Y1 - 2013
N2 - Objectives: To determine the neonatal mortality rate in the Kassena-Nankana District (KND) of northern Ghana, and to identify the leading causes and timing of neonatal deaths. Methods: The KND falls within the Navrongo Health Research Centre s Health and Demographic Surveillance System (HDSS), which uses trained field workers to gather and update health and demographic information from community members every four months. We utilized HDSS data from 2003-2009 to examine patterns of neonatal mortality. Results: A total of 17,751 live births between January 2003 and December 2009 were recorded, including 424 neonatal deaths 64.8 (275) of neonatal deaths occurred in the first week of life. The overall neonatal mortality rate was 24 per 1000 live births (95 CI 22 to 26) and early neonatal mortality rate was 16 per 1000 live births (95 CI 14 to 17). Neonatal mortality rates decreased over the period from 26 per 1000 live births in 2003 to 19 per 1000 live births in 2009. In all, 32 (137) of the neonatal deaths were from infections, 21 (88) from birth injury and asphyxia and 18 (76) from prematurity, making these three the leading causes of neonatal deaths in the area. Birth injury and asphyxia (31 ) and prematurity (26 ) were the leading causes of early neonatal deaths, while infection accounted for 59 of late neonatal deaths. Nearly 46 of all neonatal deaths occurred during the first three postnatal days. In multivariate analysis, multiple births, gestational age
AB - Objectives: To determine the neonatal mortality rate in the Kassena-Nankana District (KND) of northern Ghana, and to identify the leading causes and timing of neonatal deaths. Methods: The KND falls within the Navrongo Health Research Centre s Health and Demographic Surveillance System (HDSS), which uses trained field workers to gather and update health and demographic information from community members every four months. We utilized HDSS data from 2003-2009 to examine patterns of neonatal mortality. Results: A total of 17,751 live births between January 2003 and December 2009 were recorded, including 424 neonatal deaths 64.8 (275) of neonatal deaths occurred in the first week of life. The overall neonatal mortality rate was 24 per 1000 live births (95 CI 22 to 26) and early neonatal mortality rate was 16 per 1000 live births (95 CI 14 to 17). Neonatal mortality rates decreased over the period from 26 per 1000 live births in 2003 to 19 per 1000 live births in 2009. In all, 32 (137) of the neonatal deaths were from infections, 21 (88) from birth injury and asphyxia and 18 (76) from prematurity, making these three the leading causes of neonatal deaths in the area. Birth injury and asphyxia (31 ) and prematurity (26 ) were the leading causes of early neonatal deaths, while infection accounted for 59 of late neonatal deaths. Nearly 46 of all neonatal deaths occurred during the first three postnatal days. In multivariate analysis, multiple births, gestational age
UR - http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0058924
U2 - 10.1371/journal.pone.0058924
DO - 10.1371/journal.pone.0058924
M3 - Article
SN - 1932-6203
VL - 8
JO - PLoS ONE
JF - PLoS ONE
IS - 3
M1 - e58924
ER -
