Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania
DOI:
https://doi.org/10.21106/ijma.10Keywords:
- Neonatal mortality,
- Place of delivery,
- Tanzania,
- Socioeconomic status,
- Maternal age
Abstract
Objectives: Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.
Methods: We analyzed data from the Rufiji Health and Demographic Surveillance System (RHDSS) in Tanzania. A total of 5,124 live births and 166 neonatal deaths were recorded from January 2005 to December 2006. The place of delivery was categorized as either in a health facility or outside, and the neonatal mortality rate (NMR) was calculated as the number of neonatal deaths per 1,000 live births. Univariate and multivariate logistic regression models were used to assess the association between neonatal mortality and place of delivery and other maternal risk factors while adjusting for potential confounders.
Results: Approximately 67% (111) of neonatal deaths occurred during the first week of life. There were more neonatal deaths among deliveries outside health facilities (NMR = 43.4 per 1,000 live births) than among deliveries within health facilities (NMR = 27.0 per 1,000 live births). The overall NMR was 32.4 per 1,000 live births. Mothers who delivered outside a health facility experienced 1.85 times higher odds of experiencing neonatal deaths (adjusted odds ratio = 1.85; 95% confidence interval = 1.33−2.58) than those who delivered in a health facility.
Conclusions and Public Health Implications: Place of delivery is a significant predictor of neonatal mortality. Pregnant women need to be encouraged to deliver at health facilities and this should be done by intensifying education on where to deliver. Infrastructure, such as emergency transport, to facilitate health facility deliveries also requires urgent attention.
Downloads
Similar Articles
- Katherine Magerko, John Humphrey, Julia Songok, Beverly Musick, Joy Marsha Alera, Bett Kipchumba, Wycliffe Kosgei, Winfred Mwangi, Ziyi Yang, Kara Wools-Kaloustian, Megan McHenry, Impact of Maternal Viral Suppression on Growth Patterns for HIV-Exposed Uninfected Infants in Kenya , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Johnbull Egharevba, Jennifer Pharr, Brian van Wyk, Echezona Ezeanolue, Factors Influencing the Choice of Child Delivery Location among Women Attending Antenatal Care Services and Immunization Clinic in Southeastern Nigeria , Vol. 6 No. 1 (2017): International Journal of Maternal and Child Health and AIDS
- Kalaivani Mani, Sada Nand Dwivedi, Ravindra Mohan Pandey, Determinants of Under-Five Mortality in Rural Empowered Action Group States in India: An Application of Cox Frailty Model , Vol. 1 No. 1 (2012): International Journal of Maternal and Child Health and AIDS
- Wah Wah Myint, Human Immunodeficiency Virus (HIV) Knowledge and Stigma: Findings from a Cross-sectional Survey , Vol. 15 (2026): International Journal of Maternal and Child Health and AIDS
- Mary Stokes, Amber Olson, Clare Algeo, Bakari Rajab, Carolyn Mwalwanda, Deepa Dongarwar, Rachel Pope, Clinical and Sociodemographic Characteristics Associated with Emergency Peripartum Hysterectomy due to Puerperal Sepsis in Malawi , Vol. 11 No. 1 (2022): International Journal of Maternal and Child Health and AIDS
- Jaleah D. Rutledge, Alexis Kiyanda, Christina Jean-Louis, Elizabeth Raskin, Joanne Gaillard, Morgan Maxwell, Tynetta Smith, Trace Kershaw, Jasmine Abrams, Recommendations for Integrating Traditional Birth Attendants to Improve Maternal Health Outcomes in Low- and Middle-Income Countries , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Faith Iretioluwa Olaniyi, Ayodele Ebenezer Owolabi, Gideon Temitope Olowe, Ololade Daniella Olunloyo, Eric Anuoluwapo Ogunleye, Ifeoluwapo Oluwafunke Kolawole, Perception, Pattern of Use, and Determinants of Family Planning Uptake Among Women of Childbearing Age in Ibadan, South West Nigeria , Vol. 15 (2026): International Journal of Maternal and Child Health and AIDS
- Srijana Pandey, Supendra Karki, Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal , Vol. 2 No. 2 (2014): International Journal of Maternal and Child Health and AIDS
- Anastasia Y. Bongajum, Pascal Foumane, Charlotte O. Moussi, Noel Vogue, Hycinth S. Banseka, Jujlius M. Nwobegahay, Martina L. Baye, Strengthening Maternal Death Surveillance Systems for Evidence-Based Decision Making in Sub-Saharan Africa: The Case of the Center Region in Cameroon , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Hyunjung Lee, Gopal K. Singh, Monthly Trends in Drug Overdose Mortality among Youth Aged 15-34 Years in the United States, 2018-2021: Measuring the Impact of the COVID-19 Pandemic , Vol. 11 No. 2 (2022): International Journal of Maternal and Child Health and AIDS
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
Published
How to Cite
Issue
Section
License
Copyright © 2016 Justice Ajaari, Honorati Masanja, Renay Weiner, Shalom Akonvi Abokyi, Seth Owusu-Agyei. Published by Global Health and Education Projects, Inc., USA.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , which permits others to remix, transform, and build upon the work non-commercially, provided the original author is credited and the new creations are licensed under the same terms.