title: Neonatal mortality in Sudan: analysis of the Sudan household survey, 2010.
abstract: BACKGROUND
  Sudan is classified as having insufficient progress in achieving the Millennium Development Goal (MDG-4), where the levels of child and infant mortality are among the highest in the region and the world. This study investigated factors associated with neonatal mortality in Sudan. Neonatal death is defined as death within the first 28 days of life.
  
  
  METHODS
  This study analysed data from the Sudan Household Health Survey 2nd round, which was carried out in 2010. Total of 6,198 live-born infants delivered within the two years preceding the survey were included as the study population. Multivariate logistic regression was used to model neonatal mortality as a function of maternal health parameters, socioeconomic indicators and the sex of the child.
  
  
  RESULTS
  There were 189 neonatal deaths out of 6,198 live births (3.0%). In the multiple logistic regression, the factors associated with neonatal mortality were advanced maternal age (≥ 40 years; OR = 2.4; 95% CI: 1.21, 4.78, p = 0.012), poor household wealth index (OR = 1.6; 95% CI: 1.18, 2.47, p = 0.005), male child (OR = 1.8; 95% CI: 1.31, 2.42, p < 0.001), delivery of baby by Caesarean section (OR = 1.6; 95% CI: 1.78, 2.42, p = 0.013) and delivery complications (OR = 1.4; 95% CI: 1.18, 2.15, p = 0.002).
  
  
  CONCLUSIONS
  Public health interventions which target neonatal mortality reduction should adopt a risk-factor-based approach to detect pregnancy complications early and once identified, the health system should be strengthened so that these complications can be dealt with adequately.
authors.affiliation: Public Health Institute, Khartoum, Sudan.
authors.forename: Amal O
authors.initials: AO
authors.lastname: Bashir
authors.forename: Ghada H
authors.initials: GH
authors.lastname: Ibrahim
authors.forename: Igbal A
authors.initials: IA
authors.lastname: Bashier
authors.forename: Ishag
authors.initials: I
authors.lastname: Adam
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D011247:Pregnancy; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D017678:Sex Distribution; D012959:Socioeconomic Factors; D013397:Sudan / Q000453:epidemiology
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