Mortalité néonatale dans le district sanitaire de Kolokani (Mali)

Abstract: According to WHO estimates, every year 4 millions of newborns die during the first four weeks of life. In Mali, neonatal mortality rate is 57.1‰ (DHS 2001). The aim of this work was to determine the importance as well as factors of neonatal mortality risk in rural area. The cross-sectional survey took place on September 1st to October 4th, 2004 in Kolokani located in the region of Koulikoro in Mali. The authors led an exhaustive investigation of women having delivered one year before the investigation. The rate of birth waited to Kolokani being 5%, they foresaw to interrogate 10,015 womens. The living births represented 97.1% (8242/8486) and stillborns 2.9% (244/8486). Neonatal mortality rate was 24‰ (199/8242) of which 17‰ (140/8486) for early neonatal death and 7‰ (59/8242) for late neonatal mortality. Perinatal mortality rate was 45‰ (384/8242). According to the logistic regression modal, twin pregnancy, mictional itching, low birth weight, feet edema and non cephalic presentation were the risks factors significantly associated with neonatal mortality. The neonatal mortality rate of 24‰ in Kolokani was lower than those reported by DHS 2001 (57.1‰). Factors identified for neonatal mortality were associated with the mother health, the conditions of pregnancy and the childbirth. The authors recommend setting up identification and monitoring system for pregnant women, to train the health staff and to organize the frame of reference between villages and health centers. [Copyright &y& Elsevier]