Factors responsible for neonatal deaths in a resource limited hospital

Opolot Francis, IAA Healthcare
Yaser Abdalla, International Hospital Kampala

Abstract Background: An estimated 98% of global neonatal deaths occur in developing countries, 3.9% occur in Sub-Saharan Africa. Objectives: To identify factors for neonatal admissions and mortality in hospitals. Justification: In Uganda, neonatal mortality contributes 26% of under-five mortality and reduction in rates has not been significant, there is thus need for further downscaling. Method: A retrospective review and analysis of data for neonates admitted to Mulago National referral hospital Special Care baby Unit from 1st November 2013 to 31st January 2014. Factors associated with mortality were established. Results: There were 1192 admitted neonates, major contributors to mortality were prematurity with hypothermia and respiratory distress (OR-16.9), birth asphyxia with HIE grade III (OR-33.3), presumed sepsis (OR-2.1), and prematurity with respiratory distress (OR-3.4). Conclusions and recommendations: A structured neonatal care with trained personnel and guidelines are urgently needed. Prevention of hypothermia and management of respiratory distress need to be urgently addressed.