Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Aug 30;24(1):558.
doi: 10.1186/s12887-024-05027-z.

Early neonatal mortality and determinants in Ethiopia: multilevel analysis of Ethiopian demographic and health survey, 2019

Berhan Tekeba  1 , Tadesse Tarik Tamir  2 , Belayneh Shetie Workneh  3 , Alebachew Ferede Zegeye  4 , Almaz Tefera Gonete  2 , Tewodros Getaneh Alemu  2 , Mulugeta Wassie  5 , Alemneh Tadesse Kassie  6 , Mohammed Seid Ali  2 , Enyew Getaneh Mekonen  7
Affiliations

Early neonatal mortality and determinants in Ethiopia: multilevel analysis of Ethiopian demographic and health survey, 2019

Berhan Tekeba et al. BMC Pediatr. .

Abstract

Introduction: Despite remarkable achievements in improving maternal and child health, early neonatal deaths still persist, with a sluggish decline in Ethiopia. As a pressing public health issue, it requires frequent and current studies to make appropriate interventions. Therefore, by using the most recent Ethiopian Mini Demographic Health Survey Data of 2019, we aimed to assess the magnitude and factors associated with early neonatal mortality in Ethiopia.

Methods: Secondary data analysis was conducted based on the demographic and health survey data conducted in Ethiopia in 2019. A total weighted sample of 5,753 live births was included for this study. A multilevel logistic regression model was used to identify the determinants of early neonatal mortality. The adjusted odds ratio at 95% Cl was computed to assess the strength and significance of the association between explanatory and outcome variables. Factors with a p-value of < 0.05 are declared statistically significant.

Results: The prevalence of early neonatal mortality in Ethiopia was 26.5 (95% Cl; 22.5-31.08) per 1000 live births. Maternal age 20-35 (AOR, 0.38; 95% Cl, 0.38-0.69), richer wealth index (AOR, 0.47; 95% Cl, 0.23-0.96), having no antenatal care visit (AOR, 1.86; 95% Cl, 1.05-3.30), first birth order (AOR, 3.41; 95% Cl, 1.54-7.56), multiple pregnancy (AOR, 18.5; 95% Cl 8.8-38.9), presence of less than two number of under-five children (AOR, 5.83; 95% Cl, 1.71-19.79) and Somali region (AOR, 3.49; 95% Cl, 1.70-12.52) were significantly associated with early neonatal mortality.

Conclusion: This study showed that, in comparison to other developing nations, the nation had a higher rate of early newborn mortality. Thus, programmers and policymakers should adjust their designs and policies in accordance with the needs of newborns and children's health. The Somali region, extreme maternal age, and ANC utilization among expectant moms should all be given special consideration.

Keywords: EDHS; Early neonatal mortality; Early neonate; Multilevel.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Regional prevalence of early neonatal mortality in Ethiopia
See this image and copyright information in PMC

References

    1. Kumar C, Singh PK, Rai RK, Singh L. Early neonatal mortality in India, 1990–2006. J Community Health. 2013;38:120–30. 10.1007/s10900-012-9590-8 - DOI - PubMed
    1. https://www.who.int/news-room/fact-sheets/detail/newborn-mortality
    1. Sharrow D, Hug L, You D, Alkema L, Black R, Cousens S, et al. Global, regional, and national trends in under-5 mortality between 1990 and 2019 with scenario-based projections until 2030: a systematic analysis by the UN Inter-agency Group for Child Mortality Estimation. Lancet Global Health. 2022;10(2):e195–206. 10.1016/S2214-109X(21)00515-5 - DOI - PMC - PubMed
    1. Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016;388(10063):3027–35. 10.1016/S0140-6736(16)31593-8 - DOI - PMC - PubMed
    1. Målqvist M. Neonatal mortality: an invisible and marginalised trauma. Global Health Action. 2011;4(1):5724. 10.3402/gha.v4i0.5724 - DOI - PMC - PubMed

LinkOut - more resources