{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:56:46Z","timestamp":1790607406990,"version":"4.1.0"},"reference-count":85,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite global declines in neonatal mortality, Sub\u2010Saharan Africa continues to bear a disproportionate burden. In Ethiopia, available evidence is largely derived from facility\u2010based studies, yet pooled evidence from these studies remains limited. Therefore, this study aimed to estimate the pooled proportion of neonatal deaths among admitted neonates and identify associated factors in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We searched major databases, including Web of Science, Scopus, PubMed, Google Scholar, and African Journals Online. Data were extracted using standardized Microsoft Excel spreadsheet. Study quality was assessed using the Joanna Briggs Institute appraisal checklist. A random\u2010effects meta\u2010analysis estimated pooled proportion of neonatal deaths, with heterogeneity measured by\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      and publication bias assessed using a funnel plot and Egger's test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The pooled proportion of admitted neonatal deaths in Ethiopia was 14.31% (95% confidence interval [CI]: 12.59\u201316.03), indicating a high burden of neonatal deaths within healthcare facilities, with substantial heterogeneity across studies (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a098.93%). Given this extreme heterogeneity, the pooled estimate should be interpreted cautiously and should not be considered a fixed national figure. Lack of antenatal care (ANC) (adjusted odds ratio [AOR]\u00a0=\u00a02.7, 95% CI: 1.5\u20133.96), birth asphyxia (AOR\u00a0=\u00a05.1, 95% CI: 3.0\u20137.1), low\u2010birth weight (AOR\u00a0=\u00a04.1, 95% CI: 1.6\u20136.6), preterm birth (AOR\u00a0=\u00a02.2, 95% CI: 1.3\u20133.1), and hypothermia (AOR\u00a0=\u00a02.4, 95% CI: 1.2\u20133.7) were identified as significant risk factors for neonatal deaths.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A considerable proportion of neonatal deaths occurred among admitted neonates in Ethiopia, indicating a high burden of neonatal mortality within healthcare facilities. The major risk factors for neonatal deaths were lack of ANC, asphyxia, low\u2010birth weight, preterm birth, and hypothermia. As the evidence was derived predominantly from facility\u2010based studies, the findings mainly reflect the proportion of deaths among neonates receiving care in health facilities and should not be considered nationally representative of all neonates in Ethiopia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/puh2.70332","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:44:53Z","timestamp":1786365893000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal Mortality and Its Associated Factors Among Neonates in Ethiopia: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1595-5654","authenticated-orcid":false,"given":"Temesgen Gebeyehu","family":"Wondmeneh","sequence":"first","affiliation":[{"name":"Department of Public Health College of Medical and Health Science Samara University  Semera Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3859-8514","authenticated-orcid":false,"given":"Oumer Abdulkadir","family":"Ebrahim","sequence":"additional","affiliation":[{"name":"Department of Public Health College of Medical and Health Science Samara University  Semera Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Neonatal Mortality","author":"UNICEF","year":"2023"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00043-2"},{"key":"e_1_2_13_4_1","volume-title":"Newborn Mortality","author":"WHO","year":"2024"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.4081\/gh.2017.501"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01308-2"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-020-00893-6"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001471"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.875652"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03614-x"},{"issue":"1","key":"e_1_2_13_11_1","first-page":"160","article-title":"Cause and Predictors of Neonatal Mortality Among Neonates Admitted to Neonatal Intensive Care Units of Public Hospitals in Eastern Ethiopia: A Facility\u2010Based Prospective Follow\u2010Up Study","volume":"20","author":"Desalew A.","year":"2020","journal-title":"BMC Pediatrics [Electronic Resource]"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267999"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2023-001897"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X20970005"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.72136"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/1491912"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0164472"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.1315711"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2243-5"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.979402"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40745-017-0107-2"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30220-7"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_24_1","unstructured":"Encyclopedia Encyclopedia. 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