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Table 7 Determinants of neonatal near miss in south Ethiopia, 2018

From: Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study

Variables Neonatal Near miss UOR(95%CI) Model-I Model-II Model-III
Yes No AOR(95%CI) AOR(95%CI) AOR(95%CI)
Distant factors
Place of residence
Rural 73 (5.7) 1204 (94.3) 1.65 (1.14–2.39) 1.34 (0.91–1.99) 1.08 (0.70–1.65)  
Urban 49 (3.6) 1331 (96.4) 1 1 1  
Maternal education
Primary and below 98 (8.3) 1077 (91.7) 5.53 (3.51–8.70) 3.14 (1.93–5.10) 2.11 (1.27–3.52) 1.63 (0.94–2.84)
Secondary and above 24 (1.6) 1458 (98.4) 1 1 1 1
Paternal education
Primary and below 83 (8) 951 (92) 3.55 (2.40–5.23) 1.72 (1.12–2.63) 1.44 (0.91–2.23) 1.32 (0.80–2.19)
Secondary and above 39 (2.4) 1584 (97.6) 1 1 1 1
Maternal occupation
Housewife 100 (5.4) 1767 (94.6) 1.98 (1.24–3.16) 0.95 (0.57–1.57)   
Other 22 (2.8) 768 (97.2) 1 1   
Paternal occupation
Farmer 45 (9.6) 425 (90.4) 2.90 (1.98–4.25) 1.58 (1.04–2.40) 1.50 (0.94–2.40) 1.08 (0.63–1.84)
Others 77 (3.5) 2108 (96.5) 1 1 1 1
Monthly income
 < =79 72 (12.5) 504 (87.5) 8.23 (4.32–15.70) 4.72 (2.41–9.25) 2.96 (1.45–6.03) 2.34 (1.10–4.99)
80–121 34 (4.2) 783 (95.8) 2.50 (1.26–4.98) 1.98 (0.98–4.01) 1.78 (0.89–3.71) 1.34 (0.61–2.92)
122–155 5 (0.8) 614 (99.2) 0.47 (0.16–1.36) 0.44 (0.15–1.27) 0.48 (0.16–1.41) 0.47 (0.15–1.43)
 > 155 11 (1.7) 634 (98.3) 1 1 1 1
Intermediate factors
Birth interval
 < 24 months 72 (22.2) 253 (77.8) 16.80 (10.05–28.06)   8.52 (4.88–14.88) 4.68 (2.52–8.67)
 > =24 months 20 (1.7) 1180 (98.3) 1   1 1
First birth 30 (2.7) 1102 (97.3) 1.61 (0.91–2.85)   1.69 (0.94–3.70) 1.42 (0.77–2.66)
Type of pregnancy
Planned 96 (3.8) 2411 (96.2) 1   1 1
Unplanned 26 (17.3) 124 (82.7) 5.27 (3.29–8.42)   1.97 (1.09–3.56) 1.54 (0.78–3.01)
ANC service utilization
Yes 90 (3.6) 2414 (96.4) 1   1 1
No 32 (20.9) 121 (79.1) 7.09 (4.56–11.05)   2.05 (1.17–3.59) 1.65 (0.86–3.16)
Frequency of ANC
1–3 visits 67 (4.8) 1326 (95.2) 2.39 (1.48–3.86)    
 > =4 visits 23 (2.1) 1088 (97.9) 1    
Women’s referred from other health facility
Referred 73 (10.1) 651 (89.9) 4.31 (2.97–6.26)   2.12 (1.38–3.27) 1.32 (0.81–2.16)
Not Referred 49 (2.5) 1884 (97.5) 1   1 1
Proximal factors
Mode of delivery
Vaginal delivery 70 (3.4) 1995 (96.6) 0.36 (0.25–0.53)    0.67 (0.40–1.10)
Caesarean section 52 (8.8) 540 (91.2) 1    1
Infant sex
Female 44 (3.5) 1203 (96.5) 1    1
Male 78 (5.5) 1332 (94.5) 1.60 (1.10–2.34)    1.48 (0.93–2.37)
Maternal complications
Yes* 78 (42.4) 106 (57.6) 40.62 (26.76–61.68)    12.86 (7.82–21.15)
No 44 (1.8) 2429 (98.2) 1    1
Log-likelihood − 830 −700 − 587
AIC 1688 1440 1222
Adjusted-R2 0.188 0.333 0.453
VIF 1.23 1.50 1.83
  1. UOR- Unadjusted odds ratio AOR- Adjusted odds ratio, AIC- Akaike Information Criterion, VIF- Variance Inflation Factor