Ndèye Marème Sougou1,2,3, Jean Baptiste Diouf4. 1. Department of Preventive Medicine and Public Health, University Cheikh Anta Diop, Dakar, Senegal. 2. Institute of Health and Development, University Cheikh Anta Diop, Dakar, Senegal. 3. Unité Mixte International 3189, UCAD, CNRS, Dakar, Senegal. 4. Hospital Roi Baudoin, Ministry of Health, Dakar, Senegal.
Abstract
INTRODUCTION: in Senegal, the fight for newborn and child survival is a public health priority. The aim of this study is to analyze the factors associated with neonatal deaths in Senegal in 2017. METHODS: this article used data from the Senegal Demographic and Health Survey 2017. It covered 6073 children under the age of 5. The sample from the 2017 Continuous DHS is nationally representative. A bivariate analysis was conducted. The multivariate analysis was performed using STATA 15 software. Adjusted odds ratios had been calculated for variables with significant p values. The dependent variable was neonatal death. RESULTS: a total of 6,073 children had been investigated. The neonatal death rate is 2.12%. Neonatal deaths account for 50.97% of all infant and child deaths. Newborns with a low birth weight < 2500 g are 2.3 times more likely to die with an ORaj of 2.3 [1.01-5.28]. Newborns who are considered "very small" by their mother at birth are 2.5 times more likely to die in the neonatal period ORaj=2.5 [1.04-6.04]. The last risk factor identified is birth by caesarean section (ORaj=3.97 [1.68-9.39]). CONCLUSION: this study concludes that low birth weight is an important risk factor for neonatal deaths in Senegal. These results suggest better management of antenatal care. However, this study showed that there was a deficit in the provision of perinatal services in Senegal. A qualitative analysis of caesarean section in the context of universal coverage could be a perspective for further reflection on improving newborn survival in Senegal. Copyright: Ndèye Marème Sougou et al.
INTRODUCTION: in Senegal, the fight for newborn and child survival is a public health priority. The aim of this study is to analyze the factors associated with neonatal deaths in Senegal in 2017. METHODS: this article used data from the Senegal Demographic and Health Survey 2017. It covered 6073 children under the age of 5. The sample from the 2017 Continuous DHS is nationally representative. A bivariate analysis was conducted. The multivariate analysis was performed using STATA 15 software. Adjusted odds ratios had been calculated for variables with significant p values. The dependent variable was neonatal death. RESULTS: a total of 6,073 children had been investigated. The neonatal death rate is 2.12%. Neonatal deaths account for 50.97% of all infant and child deaths. Newborns with a low birth weight < 2500 g are 2.3 times more likely to die with an ORaj of 2.3 [1.01-5.28]. Newborns who are considered "very small" by their mother at birth are 2.5 times more likely to die in the neonatal period ORaj=2.5 [1.04-6.04]. The last risk factor identified is birth by caesarean section (ORaj=3.97 [1.68-9.39]). CONCLUSION: this study concludes that low birth weight is an important risk factor for neonatal deaths in Senegal. These results suggest better management of antenatal care. However, this study showed that there was a deficit in the provision of perinatal services in Senegal. A qualitative analysis of caesarean section in the context of universal coverage could be a perspective for further reflection on improving newborn survival in Senegal. Copyright: Ndèye Marème Sougou et al.
Authors: George Molina; Thomas G Weiser; Stuart R Lipsitz; Micaela M Esquivel; Tarsicio Uribe-Leitz; Tej Azad; Neel Shah; Katherine Semrau; William R Berry; Atul A Gawande; Alex B Haynes Journal: JAMA Date: 2015-12-01 Impact factor: 56.272
Authors: E Abalos; V Addo; P Brocklehurst; M El Sheikh; B Farrell; S Gray; P Hardy; E Juszczak; J E Mathews; S Naz Masood; E Oyarzun; J Oyieke; J B Sharma; P Spark Journal: Lancet Date: 2013-05-28 Impact factor: 79.321
Authors: Danielle Christiane Kedy Koum; Noel Emmanuel Essomba; Guy Pascal Ngaba; Sintat Sintat; Paul Koki Ndombo; Yves Coppieters Journal: Pan Afr Med J Date: 2015-03-17
Authors: Karen T Chang; Luke C Mullany; Subarna K Khatry; Steven C LeClerq; Melinda K Munos; Joanne Katz Journal: J Glob Health Date: 2018-12 Impact factor: 4.413