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. 2022 Nov 7:10:979636.
doi: 10.3389/fpubh.2022.979636. eCollection 2022.

Magnitude of NNM and associated factors among Newborns delivered at the North Shewa zone Public Health Hospital, Central Ethiopia: A multi-level analysis

Girma Garedew Goyomsa  1 , Birhanu Senbeta Deriba  1 , Meseret Moroda Wadejo  1 , Sisay Abebe Debela  1 , Abebe Feyissa Amhare  1
Affiliations

Magnitude of NNM and associated factors among Newborns delivered at the North Shewa zone Public Health Hospital, Central Ethiopia: A multi-level analysis

Girma Garedew Goyomsa et al. Front Public Health. .

Abstract

Background: Neonatal near miss refers to a condition where a newborn is close to death within the first 28 days of life but ultimately survives either by chance or because of the quality of care they received. It is considered a major public health problem that contributes to the global burden of disease in less developing countries. For every death due to NMM, many others develop a severe complication. Despite this grim reality, there seems to be a gap in terms of the magnitude of and predictors of NNM in Ethiopia, where the previous study focused on neonatal death investigation. This study aimed to determine the magnitude of NNM and its determinants among the neonates delivered in the North Shewa zone, Central Ethiopia.

Methods: A facility-based cross-sectional study was conducted using a systematic random sampling technique among 747 newly delivered babies in the North Shewa zone public hospital from January 30 to June 30, 2021. Neonatal near misses were identified with the help of the World Health Organization labeling criteria. Collected data were coded, entered, and cleaned by using Epi data 4.4.6 and analyzed using SPSS software (version 26) for analysis. Descriptive statistics were used to compute summary statistics and proportions. Variables at a cutoff value of 0.25 on bivariate and 0.05 on multivariate logistic regression were used to identify predictors.

Result: The prevalence of NNM was 35.3% (95% CI = 31.9-38.6) per 1,000 live births. Participant occupation [AOR: 0.55, CI: 0.33-0.90], marital status [AOR: 2.19; CI: 1.06-4.51], instrumental delivery [AOR: 1.98; CI: 1.10-3.55], intrapartum hemorrhage [AOR: 2.27; CI: 1.03-5.01], abortion history [AOR: 1.59; CI: 1.03-2.44], mal-presentation [AOR: 1.77; CI: 1.14-2.77], premature rupture of membrane [AOR: 2.36; CI: 1.59-3.51], and pregnancy-related infection [AOR: 1.99; CI: 1.14-3.46] were found to have statistically significant association.

Conclusion and recommendation: One-third of neonates face serious neonatal health conditions. Given this, addressing modifiable obstetric risk factors through providing skilled and quality care to mothers during pregnancy and during and after childbirth was important for improving neonatal health. Additionally, strengthening antenatal care services to minimize the infection occurring during pregnancy through the provision of appropriate services and counseling about the consequences of abortion was essential in reversing the problem.

Keywords: Ethiopia; North Shewa zone; associated factor; magnitude; neonatal near miss.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Map of the study area, North Shewa zone, Central Ethiopia, 2021.
Figure 2
Figure 2
Schematic presentation of sampling technique North Shewa zone public health facilities, Central Ethiopia, 2021.
Figure 3
Figure 3
Percentage distribution of near-miss cases among newborns delivered in each public health hospital of North Shewa zone, Central Ethiopia, 2021.
See this image and copyright information in PMC

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References

    1. UNICEF . Monitoring the Situation of Childen and Women. USAID, Ethiopian Maternal and Child Health; (2020).
    1. Omar Osman M, Yousuf Nour T, Mohammed Ibrahim A, Akil Aden M, Mawlid Nur A, Kedir Roble A, et al. . Epidemiology of NNM in Ethiopia: a systematic review and meta-analysis. Int J Africa Nurs Sci. (2022) 17:100422. 10.1016/j.ijans.2022.100422 - DOI
    1. Pileggi-Castro C, Camelo JS, Perdoná GC, Mussi-Pinhata MM, Cecatti JG, Mori R, et al. . Development of criteria for identifying neonatal near-miss cases: analysis of two WHO multicountry cross-sectional studies. BJOG. (2014) 121:110–8. 10.1111/1471-0528.12637 - DOI - PubMed
    1. Cecatti G, Serruya SJ, Almeida IIP V, Duran P, III, Santos JP. Jose I. Neonatal Near Miss : the need for a standard definition and appropriate criteria and the rationale for a prospective surveillance system. Clinics. (2015) 2015:820–6. 10.6061/clinics/2015(12)10 - DOI - PMC - PubMed
    1. Pileggi C, Souza JP, Cecatti JG, Faúndes A, NNM. approach in the 2005 WHO Global Survey Brazil. J Pediatr (Rio J). (2010) 86:21–6. 10.1590/S0021-75572010000100005 - DOI - PubMed

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