Preventable causes and associated factors of neonatal death in Kota Bharu district

Muhamad, Norazlifah (2016) Preventable causes and associated factors of neonatal death in Kota Bharu district. Masters thesis, Universiti Sains Malaysia.

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Background of study: The Millennium Developmental Goal (MDG) target to reduce the under-five death rate by two-thirds from 1990 to 2015 was not achieved. Malaysia is expected to reduce the under-five death rate by year 2020. Neonatal death was an important contributor to the delay in reduction of overall under-five death rate. Objective: The aim of the study was to study preventable causes and associated factors of neonatal death in Kota Bharu district from January 2013 to September 2015. Methodology: A case control study was conducted between January 2016 till May 2016 involving health clinics in Kota Bharu district. Cases were babies who died during neonatal period and controls were babies who survived beyond the neonatal period. The study used secondary data derived from ‘stillbirth and under five mortality form’ and KIB 101 registration book as the source of data. The descriptive, simple logistic regression and multiple logistic regression analysis were applied to answer the objective of the study. Results: A total of 503 subjects who fulfill the inclusion and exclusion criteria were studied, in which 361 subjects were control and 142 were cases. This study showed that 14.8% of the neonatal death was preventable, out of which 38.1% were contributed by patient causes, 33.3% due to hospital causes and 28.6% were due to health site causes. Further analysis showed that neonatal death was significantly associated with maternal co-morbidities (Adj. OR 4.96, 95% CI: 2.09,11.75; p < 0.001), low birth weight (Adj. OR 11.04, 95% CI: 6.15, 19.81; p < 0.001) and prematurity (Adj. OR 3.17, 95% CI: 1.62, 6.23; p = 0.001). Conclusion: The number of preventable neonatal deaths is substantiated and it was caused evenly by hospital, health site and patient’s causes. Factors such as maternal co-morbidities, low birth weight and prematurity were significantly associated with neonatal death. Despite the smaller percentage in preventable neonatal death, the shortfalls in the management of mothers and newborn specifically in the antenatal, intrapartum period and postnatal care were identified and hence may guide the health practitioners for future intervention and improve the overall performance as part of safe motherhood practice and newborn care.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Perinatal death
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis
Depositing User: Mr Abdul Hadi Mohammad
Date Deposited: 24 Mar 2019 07:25
Last Modified: 12 Apr 2019 05:25

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