Neonatal mortality clustering in the central districts of Ghana

被引:4
作者
Adjei, George [1 ]
Darteh, Eugene K. M. [2 ]
Doku, David Teye [2 ]
机构
[1] Univ Cape Coast, Dept Community Med, Cape Coast, Ghana
[2] Univ Cape Coast, Dept Populat & Hlth, Cape Coast, Ghana
来源
PLOS ONE | 2021年 / 16卷 / 06期
关键词
DEMOGRAPHIC SURVEILLANCE; CHILDHOOD MORTALITY; STILLBIRTHS; SURVIVAL; DEATHS; HEALTH; TRENDS;
D O I
10.1371/journal.pone.0253573
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Introduction Identifying high risk geographical clusters for neonatal mortality is important for guiding policy and targeted interventions. However, limited studies have been conducted in Ghana to identify such clusters. Objective This study aimed to identify high-risk clusters for all-cause and cause-specific neonatal mortality in the Kintampo Districts. Materials and methods Secondary data, comprising of 30,132 singleton neonates between January 2005 and December 2014, from the Kintampo Health and Demographic Surveillance System (KHDSS) database were used. Verbal autopsies were used to determine probable causes of neonatal deaths. Purely spatial analysis was ran to scan for high-risk clusters using Poisson and Bernoulli models for all-cause and cause-specific neonatal mortality in the Kintampo Districts respectively with village as the unit of analysis. Results The study revealed significantly high risk of village-clusters for neonatal deaths due to asphyxia (RR = 1.98, p = 0.012) and prematurity (RR = 5.47, p = 0.025) in the southern part of Kintampo Districts. Clusters (emerging clusters) which have the potential to be significant in future, for all-cause neonatal mortality was also identified in the south-western part of the Kintampo Districts. Conclusions Study findings showed cause-specific neonatal mortality clustering in the southern part of the Kintampo Districts. Emerging cluster was also identified for all-cause neonatal mortality. More attention is needed on prematurity and asphyxia in the identified cause-specific neonatal mortality clusters. The emerging cluster for all-cause neonatal mortality also needs more attention to forestall any formation of significant mortality cluster in the future. Further research is also required to understand the high concentration of prematurity and asphyxiated deaths in the identified clusters.
引用
收藏
页数:16
相关论文
共 34 条
  • [1] Predictors of abortions in Rural Ghana: a cross-sectional study
    Adjei, George
    Enuameh, Yeetey
    Asante, Kwaku Poku
    Baiden, Frank
    Nettey, Obed Ernest A.
    Abubakari, Sulemana
    Mahama, Emmanuel
    Gyaase, Stephaney
    Owusu-Agyei, Seth
    [J]. BMC PUBLIC HEALTH, 2015, 15
  • [2] Clustering of under-five mortality in the Navrongo HDSS in the Kassena-Nankana District of northern Ghana
    Adjuik, Martin
    Kanyomse, Ernest
    Kondayire, Felix
    Wak, George
    Hodgson, Abraham
    [J]. GLOBAL HEALTH ACTION, 2010, 3 : 15 - 25
  • [3] Afolabi B.M., 2017, Journal of Neonatal Biology, V6, P1, DOI [10.4172/2167-0897.1000246, DOI 10.4172/2167-0897.1000246]
  • [4] [Anonymous], Ghana Demographic and Health Survey 2008
  • [5] [Anonymous], 2018, UN INT GROUP CHILD M, P1
  • [6] Born Too Soon: The global epidemiology of 15 million preterm births
    Blencowe, Hannah
    Cousens, Simon
    Chou, Doris
    Oestergaard, Mikkel
    Say, Lale
    Moller, Ann-Beth
    Kinney, Mary
    Lawn, Joy
    [J]. REPRODUCTIVE HEALTH, 2013, 10
  • [7] Boco AG., 2010, AFRICA LOND, P80
  • [8] Mothers' education and childhood mortality in Ghana
    Buor, D
    [J]. HEALTH POLICY, 2003, 64 (03) : 297 - 309
  • [9] Diagnostic accuracy of verbal autopsies in ascertaining the causes of stillbirths and neonatal deaths in rural Ghana
    Edmond, Karen M.
    Quigley, Maria A.
    Zandoh, Charles
    Danso, Samuel
    Hurt, Chris
    Agyei, Seth Owusu
    Kirkwood, Betty R.
    [J]. PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2008, 22 (05) : 417 - 429
  • [10] Aetiology of stillbirths and neonatal deaths in rural Ghana: implications for health programming in developing countries
    Edmond, Karen M.
    Quigley, Maria A.
    Zandoh, Charles
    Danso, Samuel
    Hurt, Chris
    Agyei, Seth Owusu
    Kirkwood, Betty R.
    [J]. PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2008, 22 (05) : 430 - 437