Research Article

Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study

Table 4

Relationship between health systems related factors and baby survival.

VariableBaby survived (%)Baby did not survive (%)Total (%) valueOR (95% CI)AOR (95% CI)

ANC visits
None2 (1.9)8 (7.0)10 (4.5)0.6141.001.00
1–4 times15 (14.0)54 (47.0)69 (31.1)1.37 (1.01, 1.66)1.24 (0.81, 1.12)
5–8 times68 (63.6)45 (39.1)113 (50.9)1.45 (0.75, 3.77)1.33 (0.63, 2.52)
Above 8 times22 (20.6)8 (7.0)30 (13.5)1.84 (0.48, 2.99)1.41 (0.12, 2.99)
Place of delivery
Home4 (3.7)2 (1.7)6 (2.7)0.0381.001.00
KATH71 (66.4)44 (38.3)115 (51.8)1.51 (1.21, 2.56)1.26 (0.86, 1.99)
Health facility (public/private)25 (23.4)57 (49.6)82 (36.9)1.27 (0.79, 2.14)0.98 (0.32, 1.07)
Maternity home7 (6.5)12 (10.4)19 (7.9)1.39 (0.83, 2.38)1.18 (0.57, 1.62)
Health staff attended to respondent when they visited ANC
Nurse2 (1.9)2 (1.7)4 (1.8)0.0381.001.00
Doctor38 (35.5)6 (5.2)44 (19.8)1.51 (1.21, 2.56)1.69 (1.36, 5.31)
Midwife65 (60.7)101 (87.8)166 (74.8)1.27 (0.79, 2.14)1.92 (1.33, 3.08)
Others2 (1.9)6 (5.2)8 (3.6)1.39 (0.83, 2.38)1.92 (0.99, 3.18)
Service providers’ attitude towards respondent
Excellent5 (4.7)0 (0.0)5 (2.3)0.027--
Very good75 (70.1)8 (7.0)83 (37.4)1.27 (1.04, 1.87)1.38 (1.11, 2.93)
Good26 (24.3)94 (81.7)120 (54.1)1.13 (1.08, 2.33)1.24 (0.85, 3.41)
Average/poor1 (0.9)13 (11.3)14 (6.4)1.001.00
Hours spent by health staff till attending to a respondent
1 hr52 (48.6)41 (35.7)93 (41.9)0.0211.001.00
2 hrs18 (16.8)24 (20.9)42 (18.9)1.12 (1.01, 1.36)0.82 (0.73, 1.06)
3 hrs19 (17.8)22 (19.1)41 (18.5)1.31 (1.21, 1.25)1.17 (1.00, 1.31)
Above 3 hrs18 (16.8)28 (24.3)46 (20.7)1.44 (1.31, 1.61)1.21 (0.97, 1.55)
Delivery supervision
TBA4 (3.7)4 (3.5)8 (3.6)0.0311.001.00
Midwife65 (60.7)102 (88.7)167 (75.2)1.87 (1.31, 2.69)1.25 (1.09, 2.43)
Doctor38 (35.5)9 (7.8)47 (21.2)3.47 (2.53, 5.47)2.98 (2.14, 4.57)
Hours spent at the labour ward
Less than 5 hrs62 (57.9)13 (11.3)75 (33.8)0.0481.001.00
5 hrs–8 hrs29 (27.1)49 (42.6)78 (35.1)1.38 (1.07, 1.41)1.12 (0.86, 1.31)
8 hrs–12 hrs9 (8.4)27 (23.5)36 (16.2)1.41 (1.18, 1.67)1.21 (0.97, 1.38)
Above 12 hrs7 (6.5)26 (22.6)33 (14.9)1.29 (1.14, 1.49)1.13 (0.92, 1.38)
Drugs or injection given in labour
Yes62 (57.9)70 (60.9)132 (59.5)0.0681.001.00
No45 (42.1)45 (39.1)90 (40.5)1.54 (1.31, 1.75)1.60 (1.19, 1.72)

OR: odds ratio for baby survival; AOR: adjusted odds ratio; values based on Pearson chi-square or Fischer’s exact test; TBA: traditional birth attendant; KATH: Komfo Anokye Teaching Hospital; ANC: antenatal care.