Factors associated with neonatal mortality at Kampala International University Teaching Hospital Bushenyi-Uganda
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Date
2017-10
Authors
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Journal ISSN
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Publisher
Kampala International University, School of Health Sciences
Abstract
According MDG 4: the mortality rate among children under five was to be reduced by two thirds by 2015.Unfortunately; it has remained a day dream up to today. A quantitative descriptive cross-sectional study employed convenient purposive sampling was carried in Kampala international university teaching hospital to assess factors associated to neonatal mortality among mothers that had lost a neonate during time of data collection. Young age mothers 19-24 and Prime-parity were associated to neonatal mortality by (26.6%) and (30%) respectively in addition to low level of education (60%), living in rural areas (83.5%) and poor economic status of mother (66.6%). Maternal factors associated with neonatal mortality included close intervals between pregnancies (53.3%), poor ANC visits where by ∑=66.5 had visited <4 times, a minimum required. Neonatal factors associated to neonatal mortality were; male sex (56.6%), prematurity (33.3%), low birth weight (40%) while infections, respiratory failure and hypothermia were 30%, 23.3% and 20% respectively. Whereas facility related factors associated to neonatal mortality were poor utilization of facility during labour where (56.5%) of neonates that died were home deliveries, through SVD (56.6%) under assistance of TBAs and relatives (56.6%). However, 100% of mothers reported that the facility lacked protocols on neonatal care in postnatal and neonatal care units to guide mothers on essential neonatal care. Obstetric complications related to young age mothers, low education, poor social economic status, Rapid intervals between pregnancies, and failure to utilize antenatal were associated to neonatal mortality. Neonatal factors were male sex, prematurity, low births weight, infections, respiratory failure and hypothermia. Neonates delivered from outside facility, under care of TBAs died more than those delivered within hospital by professionals. Generally the lack of essential new-born care protocols in facility created knowledge gaps that led to neonatal deaths
Description
A research report submitted to the school of Nursing in partial fulfillment for the award of a Diploma of Nursing Science by Uganda Nurses and Midwives Examination Board
Keywords
Neonatal mortality, Kampala International University Teaching Hospital, Bushenyi District