Background: Birth asphyxia among newborns accounted for nearly fifty percent of neonatal mortality in sub-Saharan African countries. This scenario has been worst in Ethiopia where every two out of three deaths attributed to birth asphyxia among these babies. Moreover, studies conducted in Ethiopia are highly variable and inconclusive to estimate the pooled prevalence and risk factors of birth asphyxia.
Objective: This study aims to analyses collectively and systematically the prevalence of birth asphyxia and associated factors among newborns in Ethiopia.
Methods: The protocol for this review is registered at PROSPERO with registration number CRD42020158224. A comprehensive online databases (PubMed, HINARI, Scopus, EMBASE, Science direct, and Cochrane library database), Google Scholar, African Journals online, other gray and online repository accessed studies will be searched using different search engines. In addition, maternity & infant care databases uploaded at Ethiopian Health Development Journal and Ethiopian Journal of Health Sciences will be searched until June 30, 2020. Newcastle-Ottawa Quality Assessment Scale (NOS) will be used for critical appraisal of studies.. Three reviewers will screen all retrieved articles, conduct data extraction, and then critically appraise all identified studies. All identified observational studies reporting the prevalence of birth asphyxia and associated factors among neonates in Ethiopia will be considered. The analysis of data will be done using STATA 11.0 statistical software. We will demonstrate pooled estimates and determinants of birth asphyxia with effect size and 95% confidence interval. Heterogeneity among the included studies will be assessed through the Cochrane Q-test statistics and I2 test. Publication bias will be checked using funnel plot and egger’s test. Finally, statistical significance level will be declared at a p-value of less than 0.05.
Discussion: the result from this systematic review will inform and guide health policy planners to invest limited resources on maternal and neonatal health. Furthermore, it will be a stimulus for future cumulative meta-analysis researchers in developing nations.
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1: PRISMA-P 2015 checklist. Additional file 2: PubMed search string. Additional file 3: Articles screening checklist. Additional 4: Adapted Newcastle-Ottawa Quality Assessment Scale (NOS)
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Posted 30 Dec, 2020
Received 12 Jun, 2021
Received 10 Jun, 2021
On 10 Jun, 2021
Received 03 Apr, 2021
On 06 Mar, 2021
Invitations sent on 30 Jan, 2021
On 12 Dec, 2020
On 12 Dec, 2020
On 12 Dec, 2020
On 10 Dec, 2020
On 09 Nov, 2020
On 08 Nov, 2020
Received 27 Sep, 2020
Received 23 Sep, 2020
On 10 Sep, 2020
On 31 Aug, 2020
Invitations sent on 06 Aug, 2020
On 25 Jun, 2020
On 24 Jun, 2020
On 20 May, 2020
On 20 May, 2020
Posted 30 Dec, 2020
Received 12 Jun, 2021
Received 10 Jun, 2021
On 10 Jun, 2021
Received 03 Apr, 2021
On 06 Mar, 2021
Invitations sent on 30 Jan, 2021
On 12 Dec, 2020
On 12 Dec, 2020
On 12 Dec, 2020
On 10 Dec, 2020
On 09 Nov, 2020
On 08 Nov, 2020
Received 27 Sep, 2020
Received 23 Sep, 2020
On 10 Sep, 2020
On 31 Aug, 2020
Invitations sent on 06 Aug, 2020
On 25 Jun, 2020
On 24 Jun, 2020
On 20 May, 2020
On 20 May, 2020
Background: Birth asphyxia among newborns accounted for nearly fifty percent of neonatal mortality in sub-Saharan African countries. This scenario has been worst in Ethiopia where every two out of three deaths attributed to birth asphyxia among these babies. Moreover, studies conducted in Ethiopia are highly variable and inconclusive to estimate the pooled prevalence and risk factors of birth asphyxia.
Objective: This study aims to analyses collectively and systematically the prevalence of birth asphyxia and associated factors among newborns in Ethiopia.
Methods: The protocol for this review is registered at PROSPERO with registration number CRD42020158224. A comprehensive online databases (PubMed, HINARI, Scopus, EMBASE, Science direct, and Cochrane library database), Google Scholar, African Journals online, other gray and online repository accessed studies will be searched using different search engines. In addition, maternity & infant care databases uploaded at Ethiopian Health Development Journal and Ethiopian Journal of Health Sciences will be searched until June 30, 2020. Newcastle-Ottawa Quality Assessment Scale (NOS) will be used for critical appraisal of studies.. Three reviewers will screen all retrieved articles, conduct data extraction, and then critically appraise all identified studies. All identified observational studies reporting the prevalence of birth asphyxia and associated factors among neonates in Ethiopia will be considered. The analysis of data will be done using STATA 11.0 statistical software. We will demonstrate pooled estimates and determinants of birth asphyxia with effect size and 95% confidence interval. Heterogeneity among the included studies will be assessed through the Cochrane Q-test statistics and I2 test. Publication bias will be checked using funnel plot and egger’s test. Finally, statistical significance level will be declared at a p-value of less than 0.05.
Discussion: the result from this systematic review will inform and guide health policy planners to invest limited resources on maternal and neonatal health. Furthermore, it will be a stimulus for future cumulative meta-analysis researchers in developing nations.
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1: PRISMA-P 2015 checklist. Additional file 2: PubMed search string. Additional file 3: Articles screening checklist. Additional 4: Adapted Newcastle-Ottawa Quality Assessment Scale (NOS)
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