DETERMINANTS OF NEONATAL NEAR MISS AMONG NEONATES ADMITTED TO THE AMBO UNIVERSITY REFERRAL HOSPITAL AND AMBO GENERAL HOSPITAL

Abstract

Background: Near-miss neonatal morbidity is defined as complications of neonates so severe as to be imminently life-threatening (i.e. the babies nearly died) but survived due to by chance or treatment. The number of neonates who survived morbidities were approximately 3 to 6 times greater than those died. There was little evidence about neonatal near miss in Ethiopia. Therefore, this study was attempted to identify the determinants of neonatal near miss among neonates admitted to Ambo University Referral Hospital and Ambo General Hospital. Objective: This study was intended to identify the determinants of neonatal near miss among neonates admitted to Ambo University Referral Hospital and Ambo General Hospital from March 1 to 28, 2019. Methods: Hospital-based quantitative unmatched case-control study was conducted at Ambo University Referral Hospital and Ambo General Hospital. This study was recruited 134 cases sequentially and 268 controls by simple random technique. Data were coded, entered and cleaned in EpiInfo version 7 and exported to SPSS for further analysis. Both Bivariable and multivariable logistic regression were computed at 95% CI and the final model was checked by Hosmer and Lemeshow goodness fit test. Multi collinearity and confounders were checked. Result: Multivariate analysis showed that distance more than 15km away from health facilities [AOR=2.11, 95% CI: (1.09, 4.095)], Unwanted and unplanned current pregnancy [AOR=3.71, 95% CI: (1.28, 10.79)], less than four Antenatal care visit [AOR=6.55, 95% CI: (3.07, 13.98)], Term Neonates [AOR= 0.13, 95% CI: (0.05, 0.32)], Instrumental delivery [AOR= 4.62, 95% CI: (1.78, 11.98)] and Normal birth weight [AOR=0.09, 95% CI: (0.03, 0.28)] were positively or negatively associated with Neonatal Near Miss. Conclusion and recommendations: Distance from health facilities, Antenatal care visit, current pregnancy type, birth weight, gestational age and mode of delivery were determinants of Neonatal Near Miss. Therefore, much work is needed to improve neonatal health by providing adequate Antenatal care services, health education, training and make collaboration with different stockholders