The determinants of neonatal mortality in selected hospitals in Ethiopia: a qualitative study

The purpose of the study was to investigate the determinants of neonatal mortality in Ethiopia. Four (4) major themes which point to the determinants of neonatal mortality in Ethiopia, emerged from the study are presented hereunder. The participants highlighted underutilisation of health services as affecting the mother-baby pair. Barriers to utilisation of health services during pregnancy and delivery of babies were cited as inaccessibility and unaffordability of services due to economic position of the mother. Shortage of skilled health care providers compromised the quality of services and contributed to neonatal mortality. Similarly, essential equipment that enables provision of quality care was constrained. Absence of guides to inform implementation of the current strategies to provide quality services affected delivery of maternal and neonatal health services. Lack of disaggregated data on the existing strategy added to the problem. Poor socioeconomic conditions limited access to essential resources, including healthcare services, adequate nutrition, clean water, and a sanitary environment. Inadequate maternal education, poor attendance at antenatal and postnatal care services, and sub-optimal breastfeeding practices further increased the risk of neonatal mortality.