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Analysis of Infant Mortality in Three Hospitals in the Eastern Democratic Republic of the Congo

Saasita AK, Kombi BK, Mbahweka FK, Mitamo AA, André KM and Bunduki GK

Background: Infant mortality refers to deaths that affect children during their first year of life per 1,000 live births. It is composed of early neonatal mortality (0-7 days of birth), late neonatal mortality (8-27 days) and post-neonatal mortality (28-365 days). The objective of this study was to determine the prevalence and associated risk factors of infant mortality in Butembo, Democratic Republic of the Congo.
Methods: This was a retrospective study carried out from January 2015 to December 2016 in 3 Congolese hospitals (Cliniques Universitaires du Graben (CUG), Matanda Hospital and Kitatumba General Referral Hospital) on 8033 children.
Results: The prevalence of infant mortality was 14.31‰. A child under one year hospitalized at CUG has 6.66 times the risk of death than those hospitalized at other hospitals. Age <7 days, male sex, weight <2499 grams, history of hospitalization during pregnancy, less than 4 sessions of antenatal care, APGAR score <7, dystocic delivery, irregularities in immunization schedule, pathologies such as HIV/AIDS, acute respiratory infection, prematurity, and neonatal infections were the risk factors contributing to infant mortality.
Conclusion: Actions aiming to reduce the occurrence of risk factors should be done in order to get the possible lowest prevalence of infant mortality.