TITLE:
Neonatal Mortality in Rural Area in Senegal
AUTHORS:
Aliou Mar Coundoul, Amadou Sow, Modou Gueye, Djibril Boiro, Fatou Ndiaye, Guilaye Diagne, Aminata Mbaye, Awa Kane, Mohameth Mbodj, Khadim Bop, Serigne Tawa Ndiaye, Papa Souleye Sow, Ndeye Fatou Sow, Mame Aita Seck, Mohamed Fattah, Papa Moctar Faye, Amadou Lamine Fall, Ousmane Ndiaye
KEYWORDS:
Mortality, Neonatal, Rural Area, Senegal
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.2,
May
9,
2022
ABSTRACT: Most
newborn deaths occur in two regions of the world, South Asia and sub-Saharan
Africa. In Senegal, much progress has been made over the past two decades with
a reduction in overall infant mortality by 38%. However, the decline in
neonatal mortality has been slower during the same period. The objective of
this study is to assess neonatal mortality, to determine the different causes
and to make recommendations for improving care in rural areas. This is a
retrospective study with a descriptive and analytical aim carried out in the
pediatrics department of the Diourbel regional hospital, 130 km from Dakar, the
Senegalese capital, over a 12-month period from January 1 to January 31, December 2018. All newborns
hospitalized in the pediatric ward during the study period were included.
Overall mortality was 30.6%, newborns between 0 and 7 days accounted for 90.6%
of deaths, INBORNs accounted for 62.3% of deaths. Newborns whose mother’s age was between 20 and 35
years of age accounted for 69.3% of deaths. Newborns of first-time mothers
accounted for 40.2% of deaths and those of multiparous mothers 31%. Newborns
who did not reach term accounted for 58.9% of deaths. Newborns admitted for
respiratory distress represented the majority of deaths 45.5% (n = 93) followed
by those with low birth weight 32.5 (n = 65) followed by those with
neurological manifestations 30.5 (n = 62). Conclusion: Neonatal mortality is
very high in the Diourbel region and the main cause is the lack of human
resources and a very insufficient technical platform. The fight against this
mortality involves improving the technical platform and recruiting sufficient
and well-trained staff.