Predictive Factors Affecting Newborn Survival Admitted in Special Newborn Care Units of Tertiary Care Hospitals

Context: Government efforts are being made for the reduction of child mortality through the facility and community-based strategies. Studies have indicated that several other factors also have an impact on child survival. This calls for researches to be directed efforts and understanding of the local causes and factors associated with it. Aim: To analyze the sociodemographic, programmatic and clinical profile of neonates’ admitted in SNCUs. Settings and Design: A cross sectional study amon 43 SNCUs during year 2017-18. Methods and Materials: The data was recorded from the pre-defined case record registers and analyzed using simple proportions. Statistical Analysis used: Chi-square test and multivariable logistic regression analysis were carried out for finding the association between survival rate of neonates and other variables. Results: Out of 48,775 neonates admitted at selected SNCUs across the State, 68.5% were successfully discharged, 6.7% referred to higher centers, 10% left against medical advice and 15.2% died during the study period. Survival Rate was observed to be significantly associated with the Place of Delivery, Mode of Transport, Type of Admission, Maturity of child admitted, weight of a child during admission and Indications of admission.