Neonatal Death in Sub-Saharan Africa and Associated Maternal Interpersonal Socio-cultural Factors

Adenike E. Akosile, Emmanuel O. Amoo, Idowu I. Chiazor, Tomike Olawande


Several factors have been attributed to high neonatal death from studies. However, few studies that have examined mothers’ social factors have limits those factors on education, type of place of residence and income. This study extends on findings from previous studies, using DHS survey data conducted in 2013 in Nigeria, Liberia and Sierra Leone to examine the association between maternal socio-cultural factors and neonatal death. The result of weighted multilevel logistic regression analysis, show that the residing in rural area (OR=0.110, 95% CI=1.116-1.11, Islamic religion (OR=0.091, 95% CI=1.096-1.096), having co-wives (OR=0.105, 95% CI=1.110-1.111), justifying beating for going out without telling husband (OR=0.034, 95% CI=1.035-1.035) and justifying beating for refusing sex (OR=0.122, 95% CI=1.129-1.130)  were significantly more likely to report neonatal death. After adjusting for age, education and wealth, all these factors continued to be significant predictors of neonatal death. Though, the odd of neonatal death is less with age and education. The present study shows relative influence of multiple, interrelated maternal socio-cultural factors on neonatal death and confirm our hypothesis that women context indirectly influences neonatal outcome.

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