• Login
    • Login
    Advanced Search
    View Item 
    •   AMREF IR Home
    • Research Papers
    • School of Public Health - SPH
    • Department of Community Health
    • Masters in Public Health
    • View Item
    •   AMREF IR Home
    • Research Papers
    • School of Public Health - SPH
    • Department of Community Health
    • Masters in Public Health
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Determinants Of Length Of Stay And Mortality Among Neonates Admitted To The Newborn Unit, Wajir County Referral Hospital, Kenya

    Thumbnail
    View/Open
    336-Article Text-1042-1-10-20221018.pdf (978.9Kb)
    Publication Date
    2022-10
    Authors
    Sheikh, Daud Abdi
    Lakati, Dr. Alice PhD
    Ongeso, Dr. Abednego PhD
    Type
    Article, Journal
    Item Usage Stats
    9
    views
    1
    downloads
    Metadata
    Show full item record
    Abstract/Overview

    Background: Prolonged hospital length of stay for neonates admitted to the newborn unit is a public health concern. Prolonged stay within the hospital exposes neonates to infection and increased healthcare costs. Objective:To assess the determinants of length of length of stay and neonatal mortality among neonates admitted to the Newborn Unit of Wajir County Referral Hospital. Methodology:A facility-based cross-sectional study design were employed to collect quantitative data from 122 mothers and their neonates admitted to newborn unit. The consecutive sampling technique was used to recruit participants who met the inclusion criteria and consented to the study. Data was collected using a structured questionnaire tools and analyzed using StatisticalPackageforSocialSciences(SPSS) version 26 software. Descriptive and inferential statistical techniques was applied for all variables. Bivariate and multivariable logistic regression analysis with odds ratio and 95% Confidence interval were calculated to assess the determinants of length of stay and neonatal mortality and associated factors. Results:Majority (77.9%) of the mothers whose neonates were admitted to the NBU came from different parts of the vast Wajir County. Majority (59%) of the respondents reside in urban areas and had no formal education 92 (75.4%) and largely unemployed 107 (87.7%). Half (52.5%) of PUBLIC HEALTH public Health the respondents were aged between 21 to 26 years (±0.5). The study revealed a neonatal mortality rate of 12.3%. The bivariate analysis of length of stay show that the obstetrics complications, mode of delivery, sex of neonate, prematurity, low birth weight, complication during and post-delivery, hospital quality of service, staff attitude, as the contributory factors associated with prolonged length of stay. While neonatal mortality is associated with lack of ANC attendance, obstetrics complications, sex of neonate, prematurity, low birth weight, and complication during delivery. A multivariable logistic regression showed that the gestation age (AOR = 7.133; 95% CI(0.000, 0.000): P<0.000) birth weight (AOR = 2417; 95% CI(58, 99.95): P<0.000), Complications during delivery (AOR = 11.469 (1.489, 88.33),95%CI: P<0.019), Lack of ANC attendance (AOR = 0.028; 95% CI (0.003, 0.227): P<0.001) were significantly associated with length of stay and neonatal mortality. The three leading causes of admission and neonatal mortality were found to be Perinatal Asphyxia 40 (32.8%), respiratory distress syndrome (RDS) 18 (14.8%) and Neonatal Sepsis 15 (12.3%). Conclusions: The study has shown that premature and low birth weight as the leading cause of neonatal mortality and that the higher the number of ANC visits the lower the length of hospital stay. The deaths among the preterm and low birth weights occur early in life due to preventable causes, which can be averted through implementation of enhanced intrapartum and immediate postpartum care interventions targeting the leading causes of neonatal mortality of perinatal asphyxia, respiratory distress syndrome and neonatal sepsis.

    Subject/Keywords
    Neonates, Newborn unit, Length of Stay, neonatal mortality, riskfactors; Newborn unit; Length of Stay; Neonatal mortality; Neonates
    Publisher
    African Journal of Emerging Issues
    Permalink
    https://repository.amref.ac.ke/handle/20.500.14173/956
    Collections
    • Masters in Public Health [8]

    Related items

    Showing items related by title, author, creator and subject.

    • Thumbnail

      Prevalence of Asphyxia and Readiness for Neonatal Resuscitation in Kenya 

      Gichogo, Daniel Muturi; Murila, Florence; Matiang'i, Micah; Ndege, Wycliff; Bosire, Kefa (African Journal of Midwifery and Women's Health, 1/19/2018)
      Background: Birth asphyxia accounts for one-third of neonatal mortality worldwide. Aims: To determine the prevalence of birth asphyxia and associated risk factors at one Kenyan hospital; and to describe caregivers' readiness ...
    • Thumbnail

      Prevalence and Predictors of Neonatal Sepsis among Neonates Admitted at the Newborn Unit of Kenyatta National Hospital, Nairobi, Kenya 

      Okube, Okubatsion Tekeste; Komen, Mercy (Open Journal of Obstetrics and Gynecology, 2020)
      bidity and mortality especially in developing countries. Despite the availabili ty of different preventive interventions, in Kenya, the burden of neonatal sep sis remains critically high. Aim: To determine the prevalence ...
    • Thumbnail

      Is Sexual Autonomy a Protective Factor for Neonatal, Child, and Infant Mortality? A Multi-country Analysis 

      Memiah, Peter; Opanga, Yvonne; Bond, Tristi; Cook, Courtney; Mwangi, Michelle; Fried, Jenna; Joseph, Marie A.; Owuor, Kevin; Mochache, Vernon; Machira, Yvonne Wangui (Plos One, 2/22/2019)
      Background Sexual autonomy empowers women to set boundaries, take control of their bodies, prevent sexually transmitted diseases and avoid unplanned pregnancy. A woman’s ability to negotiate safer sex is crucial for her ...

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback

     

     

    Quick Links
    Amref International UniversityAmref Health AfricaKLISC

    Browse

    All of AMREF IRCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsTypeThis CollectionBy Issue DateAuthorsTitlesSubjectsType

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback