Trend and causes of neonatal mortality in the Kassena-Nankana district of northern Ghana, 1995-2002
Trend and causes of neonatal mortality in the Kassena-Nankana district of northern Ghana, 1995-2002
复制标题
DOI：
10.1111/j.1365-3156.2006.01582.x
复制
发表时间：
2006-04-01
影响因子：
3.3
通讯作者：
Binka, F
中科院分区：
文献类型：
--
作者：
Baiden, F;Hodgson, A;Binka, F
目的描述加纳北部农村地区新生儿死亡的趋势和原因。方法对1995-2002年全国人口监测系统收集的新生儿死亡资料进行描述性分析，并对所有新生儿死亡病例进行口头尸检。只有13.2%的死亡发生在卫生机构；62.7%发生在新生儿早期，早产(38%)和产伤(19%)是主要原因。感染性原因(66%)是晚产儿死亡的主要原因。杀婴占新生儿死亡总数的4.9%。在整个8年期间，新生儿破伤风的特定原因死亡率保持在2.5%以下。新生儿死亡率从1995年的40.9(95%C.I.34.1-46.8)下降到2002年的20.5(95%C.I.17.3-22.7)，下降了近50%。通过预防和治疗新生儿感染、熟练接生和消除杀婴，可以进一步降低新生儿死亡率。人口监测点的数据可能有助于监测儿童死亡率的趋势。
OBJECTIVES To describe the trend and causes of neonatal deaths in a rural district in northern Ghana.METHODS Descriptive analysis of data collected from the Navrongo Demographic Surveillance System and verbal autopsies conducted on all neonatal deaths from 1995-2002.RESULTS Of 1118 recorded neonatal deaths 1068 (95.5%) could be analysed. Only 13.2% of deaths occurred at the health facility; 62.7% occurred in the early neonatal period, with prematurity (38%) and birth injuries (19%) as leading causes. Infectious causes (66%) were the major contributors to late neonatal deaths. Infanticide accounted for 4.9% of all neonatal deaths. The cause-specific mortality rate for neonatal tetanus remained under 2.5% throughout the 8-year period. Overall, the neonatal mortality rate declined at an average of 2.5 per 1000 live births per year: Down by nearly 50% from 40.9 (95%C.I. 34.1-46.8) in 1995 to 20.5 (95%C.I.17.3-22.7) in 2002.CONCLUSION The various health interventions undertaken in this district have had the collateral effect of causing decline in neonatal mortality. Neonatal mortality could be further reduced by preventing and treating neonatal infections, having skilled attendance at delivery and the elimination of infanticide. Data from demographic surveillance sites may be useful in monitoring trends in child mortality.