Research Article

Incidence Density Rate of Neonatal Mortality and Predictors in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

Table 2

Predictors of neonatal mortality in Sub-Saharan Africa.

Predictors of neonatal mortality among neonates treated in the neonatal intensive care units (NICUs) of SSA.
PredictorsIncluded studiesHR (95% CI)Pooled HR (95% CI)Heterogeneity

Low Apgar scoreDessu et al., 20194.8 (3.61, 9.87)3.47 (2.53, 4.41),
Asmare & Mekonnen, 20183.83 (2.70, 5.44)
Alebel et al., 20202.70 (1.50, 4.80)
Kahsay et al., 20203.13 (1.43, 6.86)
No BF in 1 hourDessu et al., 20191.79 (1.09, 2.96)3.77 (1.44, 6.10),
Mengesha et al., 201621.63 (12.82, 36.49)
Orsido et al., 20197.42 (4.73, 11.64)
Alebel et al., 20202.00 (1.30, 3.20
Multiple birthsDessu et al., 20192.40 (1.19, 4.933.92 (2.64, 5.37),
Orsido et al., 20194.43 (3.24, 6.07)
Mengistu et al., 20205.68 (2.95, 6.73)
Kahsay et al., 20202.73 (1.18, 6.32)
CS deliveryDessu et al., 20191.90 (1.08, 3.34)0.99 (0.04, 1.95),
Orsido et al., 20190.26 (0.15, 0.46)
Mengesha et al., 20161.17 (0.65, 2.10)
Home deliveryGudayu et al., 20202.26 (1.04, 4.90)2.19 (0.97, 3.410),
Yismaw et al., 20192.14 (1.08, 4.23)
Low birth weightMengesha et al., 201611.49 (4.49, 29.39)4.85 (0.68, 10.37),
Kahsay et al., 20207.30 (3.41, 15.63)
Yismaw et al., 20191.56 (1.10, 2.21)
PretermGudayu et al., 20202.55 (1.59, 4.08)3.78 (2.28, 5.27),
Orsido et al., 20193.41 (2.46, 4.73)
Asmare & Mekonnen, 20186.31 (3.89, 10.24)
Kahsay et al., 20205.83 (2.52, 13.49)
Coulibaly et al., 201617.60 (6.90, 44.8)
Female genderOrsido et al., 20190.59 (0.42, 0.84)0.87 (0.32, 1.41),
Mengistu et al., 20201.55 (0.96, 2.01)
Kahsay et al., 20200.56 (0.26, 1.19)
No ANC follow-upOrsido et al., 201912.96 (7.86, 21.39)7.24 (-2.86, 17.33),
Alebel et al., 20202.60 (1.50, 4.60)
Rural residenceMengistu et al., 20201.98 (1.27, 2.66)1.91 (1.30, 2.52),
Kahsay et al., 20201.68 (0.84, 3.36)
SepsisGudayu et al., 20201.95 (1.06, 3.59)1.94 (1.53, 2.34),
Asmare & Mekonnen, 20182.21 (1.57, 3.12)
Yismaw et al., 20191.68 (1.04, 2.72)
Mengistu et al., 20202.50 (1.81, 5.27)
Wosenu et al., 20171.80 (1.20, 2.60)
AsphyxiaGudayu et al., 20201.23 (0.79, 1.92)2.03 (1.32, 2.75),
Orsido et al., 20191.73 (1.25, 2.39)
Yismaw et al., 20192.18 (1.58, 3.03)
Wosenu et al., 20171.60 (1.05, 2.56)
Mengistu et al., 20204.84 (2.64, 5.90)
Respiratory distress syndromeOrsido et al., 20194.60 (3.10, 6.82)2.49 (1.98, 3.00),
Asmare & Mekonnen, 20182.27 (1.56, 3.28)
Alebel et al., 20202.50 (1.70, 3.70)
Wosenu et al., 20172.22 (1.50, 3.30)
HypothermiaOrsido et al., 20194.75 (3.33, 6.78)3.12 (0.12, 6.13),
Yismaw et al., 20191.68 (1.00, 2.82)
Maternal illnessAsmare & Mekonnen, 20182.38 (1.63, 3.46)1.91 (1.41, 2.41),
Yismaw et al., 20191.71 (1.21, 2.40)
Predictors of neonatal mortality in SSA using community-based studies
Male genderLimaso et al., 20202.61 (1.08, 6.29)1.31 (1.22, 1.41),
Wakgari & Wencheko, 20131.26 (1.06, 1.50)
Ezeh et al., 20141.29 (1.11, 1.51)
Dahiru, 20171.25 (1.10, 1.43)
Mekonen et al., 20131.42 (1.26, 1.59)
Perceived small sizeDesta et al., 20165.89 (2.44, 14.22)1.85 (1.05, 2.65),
Wakgari & Wencheko, 20131.38 (1.05, 1.82)
Ezeh et al., 20142.17 (1.82, 2.58)
Multiple birthsLimaso et al., 20203.48 (1.04, 11.68)3.71 (1.72, 5.69),
Desta et al., 20166.76 (4.64, 9.81)
Wakgari & Wencheko, 20133.73 (2.81, 4.94)
Dahiru, 20171.82 (1.43, 2.31)
Rural residenceEzeh et al., 20141.36 (1.11, 1.66)1.30 (1.27, 1.32),
Dahiru, 20151.30 (1.28, 1.33)
Mekonen et al., 20131.22 (1.03, 1.46)
Home deliveryLimaso et al., 20202.55 (1.01, 6.42)1.01 (0.84, 1.17),
Ezeh et al., 20141.00 (0.84, 1.17)
CS deliveryEzeh et al., 20142.33 (1.54, 3.51)1.58 (0.91, 2.20),
Dahiru, 20172.09 (1.59, 2.74)
Dahiru, 20150.93 (0.81, 1.07)
Mekonen et al., 20131.26 (0.86, 1.85)
Pregnancy complicationWakgari & Wencheko, 2013
Dahiru, 2015
1.73 (1.27, 2.24)1.35 (0.71, 1.99),
1.07 (1.01, 1.13)
ANC follow-upWakgari & Wencheko, 20130.72 (0.59, 0.89)0.82 (0.66, 0.97),
Dahiru, 20150.88 (0.85, 0.92)
No PNCLimaso et al., 20202.799 (1.16, 6.75)

BF: breastfeeding; CS: cesarean section; ANC: antenatal care; PNC: postnatal care.