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Mrisho M, Schellenberg D, Manzi F, et al. Neonatal deaths in rural southern Tanzania: care-seeking and causes of death. ISRN Pediatr. 2012;2012:953401doi: 10.5402/2012/953401.
Mrisho, M., Schellenberg, D., Manzi, F., Tanner, M., Mshinda, H., Shirima, K., Msambichaka, B., Abdulla, S., & Schellenberg, J. A. (2012). Neonatal deaths in rural southern Tanzania: care-seeking and causes of death. ISRN pediatrics, 2012953401. https://doi.org/10.5402/2012/953401
Mrisho, Mwifadhi, et al. "Neonatal deaths in rural southern Tanzania: care-seeking and causes of death." ISRN pediatrics vol. 2012 (2012): 953401. doi: https://doi.org/10.5402/2012/953401
Mrisho M, Schellenberg D, Manzi F, Tanner M, Mshinda H, Shirima K, Msambichaka B, Abdulla S, Schellenberg JA. Neonatal deaths in rural southern Tanzania: care-seeking and causes of death. ISRN Pediatr. 2012;2012:953401. doi: 10.5402/2012/953401. Epub 2012 Jan 24. PMID: 22518328; PMCID: PMC3302108.
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ISRN Pediatr. 2012;2012:953401. doi: 10.5402/2012/953401. Epub 2012 Jan 24.

Neonatal deaths in rural southern Tanzania: care-seeking and causes of death.

ISRN pediatrics

Mwifadhi Mrisho, David Schellenberg, Fatuma Manzi, Marcel Tanner, Hassan Mshinda, Kizito Shirima, Beverly Msambichaka, Salim Abdulla, Joanna Armstrong Schellenberg

Affiliations

  1. Ifakara Health Institute, Plot 463 Kiko Ave., Mikocheni Dar es Salaam, Tanzania.

PMID: 22518328 PMCID: PMC3302108 DOI: 10.5402/2012/953401

Abstract

Introduction. We report cause of death and care-seeking prior to death in neonates based on interviews with relatives using a Verbal Autopsy questionnaire. Materials and Methods. We identified neonatal deaths between 2004 and 2007 through a large household survey in 2007 in five rural districts of southern Tanzania. Results. Of the 300 reported deaths that were sampled, the Verbal Autopsy (VA) interview suggested that 11 were 28 days or older at death and 65 were stillbirths. Data was missing for 5 of the reported deaths. Of the remaining 219 confirmed neonatal deaths, the most common causes were prematurity (33%), birth asphyxia (22%) and infections (10%). Amongst the deaths, 41% (90/219) were on the first day and a further 20% (43/219) on day 2 and 3. The quantitative results matched the qualitative findings. The majority of births were at home and attended by unskilled assistants. Conclusion. Caregivers of neonates born in health facility were more likely to seek care for problems than caregivers of neonates born at home. Efforts to increase awareness of the importance of early care-seeking for a premature or sick neonate are likely to be important for improving neonatal health.

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