Perinatal mortality and its determinants in Sub Saharan African countries: systematic review and meta-analysis

Despite decreasing overall perinatal and maternal mortality in high-income countries, perinatal and maternal health inequalities are persisting in Sub Saharan African countries. Therefore, this study aimed to determine the effects size of rates and determinants for perinatal mortality in Sub-Saharan...

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Published in:Maternal health, neonatology and perinatology neonatology and perinatology, 2021-01, Vol.7 (1), p.1-17, Article 1
Main Authors: Tiruneh, Dawit, Assefa, Nega, Mengiste, Bezatu
Format: Article
Language:English
Subjects:
Bias
Births
Determinants
Effect size
Health disparities
Heterogeneity
Infants
Maternal mortality
Measuring instruments
Meta-analysis
Mortality
Mothers
Observational studies
Patient outcomes
Perinatal mortality
Publication Bias
Random effect
Rankings
Regression analysis
Review
Search strategies
Sensitivity analysis
Statistical analysis
Statistics
Stillbirth
Sustainable development
Systematic review
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Summary:Despite decreasing overall perinatal and maternal mortality in high-income countries, perinatal and maternal health inequalities are persisting in Sub Saharan African countries. Therefore, this study aimed to determine the effects size of rates and determinants for perinatal mortality in Sub-Saharan countries. The sources for electronic datasets were PubMed, Medline, EMBASE, SCOPUS, Google, Google Scholar, and WHO data Library. Observational studies published in the English language from January 01, 2000, to May 30, 2019 were included. STROBE and JBI tools were used to include relevant articles for this review. We used a Comberehensive Meta-Analysis version 2 software for this analysis. The I and Q- statistic values were used to detect the level of heterogeneity. The Kendall's without continuity correction, Begg and Mazumdar rank correlation and Egger's linear regression tests were used to detect the existence of significant publication bias (P 
ISSN:2054-958X
2054-958X
DOI:10.1186/s40748-020-00120-4