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Review
. 2020 Jul 29:13:709-716.
doi: 10.2147/JMDH.S260058. eCollection 2020.

Neonatal Survival in Sub-Sahara: A Review of Kenya and South Africa

Brian Barasa Masaba  1 , Rose M Mmusi-Phetoe  2
Affiliations
Review

Neonatal Survival in Sub-Sahara: A Review of Kenya and South Africa

Brian Barasa Masaba et al. J Multidiscip Healthc. .

Abstract

Introduction: The majority (99%) of the children who die during the first 4 weeks of life do so in the poorer parts of the world, especially in sub-Saharan Africa and South Asia. In 2018, sub-Saharan Africa had a neonatal mortality rate of 28 deaths per 1000 live births. The purpose of the review was to explore and describe the trends of neonatal mortality within the two sub-Saharan countries.

Methods: We did a literature search in biomedical databases of data published, in English, between Jan 1, 1975, and November 30, 2019. The databases included Scopus, Web of Science, Science Direct, Cochrane Library, PUBMED, OVID and Google scholar. The keywords used in the search: "Neonatal Survival", "Sub-Sahara", "Kenya" and "South Africa".

Results: The search generated 2209 articles of which only 27 met the inclusion criteria. The present study qualitatively analysed data. Data were presented and organized under two thematic domains: 1) trends of national neonatal mortality rates in South Africa and Kenya and 2) causes of neonatal mortality.

Conclusion: The current review results noted that in 2018, the neonatal mortality rate for Kenya was 19.6 deaths per 1000 live births. The neonatal mortality rate has fallen gradually from 35.4 deaths per 1000 live births in 1975. On the other hand, South Africa has had its neonatal mortality rate fall from 27.9 deaths per 1000 live births in 1975 to 10.7 deaths per 1000 live births in 2018. Most neonatal deaths resulted in preterm birth complications followed by intrapartum-related events for the two countries. Within the sub-Saharan region, disparities exist as neonates born in South Africa are more likely to survive during the neonatal period compared to Kenya.

Keywords: Africa; Kenya; South Africa; infant; mortality; newborn.

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Conflict of interest statement

The authors have declared that no conflicts of interest exist.

Figures

Figure 1
Figure 1
PRISMA flow diagram. Note: Adapted from Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151(4):65–94.
Figure 2
Figure 2
Kenya and South Africa National Neonatal Mortality rate, (per 1000 live births).
See this image and copyright information in PMC

References

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