Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys

Background: Sub-Saharan Africa (SSA) has one of the highest levels of perinatal mortality globally. However, there are sub-regional and country-specific disparities in its distribution. Objective: The aim of this study was to undertake a meta-analysis of demographic and health surveys to quantify pe...

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Autores principales:	Blessing Jaka Akombi, Andre Masumbuko Renzaho
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/739ed9438946481aa796a0eeaccc72da
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spelling	oai:doaj.org-article:739ed9438946481aa796a0eeaccc72da2021-12-02T00:05:08ZPerinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys2214-999610.5334/aogh.2348https://doaj.org/article/739ed9438946481aa796a0eeaccc72da2019-07-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2348https://doaj.org/toc/2214-9996Background: Sub-Saharan Africa (SSA) has one of the highest levels of perinatal mortality globally. However, there are sub-regional and country-specific disparities in its distribution. Objective: The aim of this study was to undertake a meta-analysis of demographic and health surveys to quantify perinatal mortality rate within sub-Saharan Africa and to depict sub-regional and country-specific differences. Methods: This study used cross-sectional data from the most recent demographic and health surveys (2010–2016) conducted in 21 sub-Saharan African countries. The countries were grouped into four sub-regions (Eastern Africa, Western Africa, Southern Africa and Central Africa), and a meta-analysis was conducted to estimate perinatal mortality rate within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 > 50%), hence a random effect model was used. Sensitivity analysis was also performed to examine the effects of outliers. Perinatal mortality was defined as pregnancy losses occurring after seven completed months of gestation (stillbirths) and deaths to live births within the first seven days of life (early neonatal deaths). Findings: The pooled estimate for perinatal mortality rate per 1000 births across 21 countries in the four sub-regions of SSA was 34.7 (95% CI: 32.6, 36.8). Eastern Africa reported 34.5 (95% CI: 32.2, 36.8), with the highest rate observed in Tanzania [39.5 (95% CI: 35.8, 43.4)]. Western Africa reported 35.7 (95% CI: 32.2, 39.3), with the highest rate observed in Nigeria [40.9 (95% CI: 38.3, 43.2)]. Southern Africa reported 30.3 (95% CI: 26.5, 34.0), with the highest rate observed in Lesotho [49.6 (95% CI: 42.3, 57.8)]. Central Africa reported 30.7 (95% CI: 28.0, 33.3), with the highest rate observed in Equatorial Guinea [37.3 (95% CI: 30.5, 45.1)]. Conclusions: To reduce mortality in the perinatal period, interventions should focus on improving access to high quality antenatal and postnatal care, as well as strengthening health care systems within countries in sub-Saharan Africa.Blessing Jaka AkombiAndre Masumbuko RenzahoUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Blessing Jaka Akombi Andre Masumbuko Renzaho Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
description	Background: Sub-Saharan Africa (SSA) has one of the highest levels of perinatal mortality globally. However, there are sub-regional and country-specific disparities in its distribution. Objective: The aim of this study was to undertake a meta-analysis of demographic and health surveys to quantify perinatal mortality rate within sub-Saharan Africa and to depict sub-regional and country-specific differences. Methods: This study used cross-sectional data from the most recent demographic and health surveys (2010–2016) conducted in 21 sub-Saharan African countries. The countries were grouped into four sub-regions (Eastern Africa, Western Africa, Southern Africa and Central Africa), and a meta-analysis was conducted to estimate perinatal mortality rate within each of the sub-regions. Significant heterogeneity was detected among the various surveys (I2 > 50%), hence a random effect model was used. Sensitivity analysis was also performed to examine the effects of outliers. Perinatal mortality was defined as pregnancy losses occurring after seven completed months of gestation (stillbirths) and deaths to live births within the first seven days of life (early neonatal deaths). Findings: The pooled estimate for perinatal mortality rate per 1000 births across 21 countries in the four sub-regions of SSA was 34.7 (95% CI: 32.6, 36.8). Eastern Africa reported 34.5 (95% CI: 32.2, 36.8), with the highest rate observed in Tanzania [39.5 (95% CI: 35.8, 43.4)]. Western Africa reported 35.7 (95% CI: 32.2, 39.3), with the highest rate observed in Nigeria [40.9 (95% CI: 38.3, 43.2)]. Southern Africa reported 30.3 (95% CI: 26.5, 34.0), with the highest rate observed in Lesotho [49.6 (95% CI: 42.3, 57.8)]. Central Africa reported 30.7 (95% CI: 28.0, 33.3), with the highest rate observed in Equatorial Guinea [37.3 (95% CI: 30.5, 45.1)]. Conclusions: To reduce mortality in the perinatal period, interventions should focus on improving access to high quality antenatal and postnatal care, as well as strengthening health care systems within countries in sub-Saharan Africa.
format	article
author	Blessing Jaka Akombi Andre Masumbuko Renzaho
author_facet	Blessing Jaka Akombi Andre Masumbuko Renzaho
author_sort	Blessing Jaka Akombi
title	Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
title_short	Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
title_full	Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
title_fullStr	Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
title_full_unstemmed	Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys
title_sort	perinatal mortality in sub-saharan africa: a meta-analysis of demographic and health surveys
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/739ed9438946481aa796a0eeaccc72da
work_keys_str_mv	AT blessingjakaakombi perinatalmortalityinsubsaharanafricaametaanalysisofdemographicandhealthsurveys AT andremasumbukorenzaho perinatalmortalityinsubsaharanafricaametaanalysisofdemographicandhealthsurveys
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Perinatal Mortality in Sub-Saharan Africa: A Meta-Analysis of Demographic and Health Surveys

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