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Maternal health care in Rwanda and its associations to early neonatal mortality.: A secondary analysis of the cross-sectional Rwanda Demographic Health Survey 2014-2015
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: Neonate’s health is intimately linked to maternal health. Yearly approximately 2.8 million neonatal deaths occur worldwide, counting for more than 40 % of all deaths of children less than five years. Over 70 % of these deaths happen during the first week of life (early neonatal mortality), often the first day, and 99% of these deaths occur in low- and middle-income countries with an often low quality of maternal health care services.

Aim: To assess societal and household factors, and maternal health care factors delivered in Rwanda, and how these were associated with early neonatal mortality

Methods: Cross-sectional data of interviewed mothers to 7726 children between 2010 to 2014, obtained from the 2014–15 Rwanda Demographic and Health Survey, were analyzed in relation to early neonatal mortality using multiple logistic regression.

Results: The factors found to be associated with reduced risk of early neonatal mortality were: delivery at a health facility, delivery assisted by a skilled birth attendant, and no low birth weight neonates. After adjustment with socioeconomic and proximate determinants, the same associations were found with delivery at a health facility and no low birth weight neonates.

Conclusions: Delivery at a health facility and not to be born of low birth weight were associated with risk reduction of early neonatal mortality. These findings indicate that interventions to strengthen the antenatal health care system and to increase the utilization of already existing health care services are needed, and to educate practicing professional health care workers about early neonatal mortality.

Place, publisher, year, edition, pages
2017. , p. 61
Keywords [en]
maternal health care, early neonatal mortality, Rwanda, antenatal care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-324174OAI: oai:DiVA.org:uu-324174DiVA, id: diva2:1108912
Educational program
Master Programme in International Health
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Available from: 2018-01-26 Created: 2017-06-13 Last updated: 2018-01-26Bibliographically approved

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CiteExportLink to record
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