Birth asphyxia accounts for one-quarter newborn deaths. Providing quality care service of neonatal resuscitation reduces neonatal mortality. However, challenges to providing quality neonatal resuscitation are not well investigated in Ethiopia. Hence, this study is conducted to assess the quality provision of neonatal resuscitation in Ethiopia. We used data from the Ethiopian 2016 Emergency Obstetric Newborn Care survey, conducted in 3804 health facilities providing maternal and newborn health services. We described the quality of neonatal resuscitation services according to the structure, process and outcome triad of quality dimension. Data from registers and birth records for the last 12 months prior to the survey were extracted. In each facility, the three last eligible charts of resuscitated neonates were reviewed and the highest frequency of chart of resuscitated baby was considered to the analysis. Thus, a total of 555 charts were assessed. Logistic regression model was used to assess the relationship between the neonatal resuscitation processes, provider, facility and newborn characteristics with neonatal outcome at the time of discharge. The finding suggested that, around two-third, 364(65.6%) of the asphyxiated babies resuscitated by bag and mask type of neonatal resuscitation. Of the babies who had got neonatal resuscitation 463 (83.4%) survived. Resuscitated neonates with a gestational age of greater than 37 weeks and above (Adjusted Odds Ratio (AOR) =1.82; 95% Confidence Interval (CI) (1.09–3.04)), availability of priority equipment in health facilities for neonatal resuscitation (AOR = 1.24, 95% CI (1.09, 1.54)) and women who had 12 h and less duration of labor (AOR = 1.76; 95% CI (1.23, 3.13)) were the independent factors of survival of the neonate. Only half of the health facilities were ready for neonatal resuscitation (NR) in terms of priority equipment’s. However, eight out of ten babies survived after NR in Ethiopia. Gestational age, priority equipment for NR and duration of labor were determinants of survival of resuscitated neonates in Ethiopia. Therefore, the availability of priority equipment and attentive care and follow-up for premature neonates and those face prolonged labor need to be improved in Ethiopia.

中文翻译：

---

埃塞俄比亚的新生儿复苏质量：对新生儿生存的影响

出生窒息占新生儿死亡的四分之一。提供优质的新生儿复苏护理服务可降低新生儿死亡率。但是，埃塞俄比亚没有对提供优质新生儿复苏的挑战进行深入研究。因此，本研究旨在评估埃塞俄比亚新生儿复苏的质量。我们使用了埃塞俄比亚2016年产科急诊新生儿护理调查的数据，该调查是在3804个提供孕产妇和新生儿保健服务的医疗机构中进行的。我们根据质量维度的结构，过程和结局三方面描述了新生儿复苏服务的质量。从调查前的最近12个月的登记册和出生记录中提取数据。在每个设施中 复查了最后三个合格的复苏新生儿的图表，并考虑了复苏婴儿图表的最高频率。因此，总共评估了555个图表。Logistic回归模型用于评估新生儿复苏过程，提供者，设施和新生儿特征与出院时新生儿结局之间的关系。该发现表明，大约有三分之二的窒息婴儿中有364（65.6％）名通过袋装和口罩式新生儿复苏进行了复苏。在接受新生儿复苏的婴儿中，有463名（83.4％）存活。复苏的胎龄大于37周及以上的新生儿（调整后的赔率（AOR）= 1.82； 95％的置信区间（CI）（1.09–3.04）），卫生保健机构中用于新生儿复苏的优先设备（AOR = 1.24，95％CI（1.09，1.54））和劳动时间少于12小时的妇女（AOR = 1.76; 95％CI（1.23，3.13））新生儿生存的独立因素。就优先设备而言，只有一半的医疗机构准备好进行新生儿复苏（NR）。但是，埃塞俄比亚自然保护区出生后，十分之八的婴儿得以幸存。埃塞俄比亚，胎龄，NR的优先设备和分娩时间是复苏的新生儿生存的决定因素。因此，在埃塞俄比亚，需要改善早产儿和面临长期分娩的婴儿的优先设备，细心护理和跟进服务。13））是新生儿生存的独立因素。就优先设备而言，只有一半的医疗机构准备好进行新生儿复苏（NR）。但是，埃塞俄比亚自然保护区出生后，十分之八的婴儿得以幸存。埃塞俄比亚，胎龄，NR的优先设备和分娩时间是复苏的新生儿生存的决定因素。因此，埃塞俄比亚需要改善对早产新生儿和面临长期劳役的婴儿的优先设备，周到护理和后续行动。13））是新生儿生存的独立因素。就优先设备而言，只有一半的医疗机构准备好进行新生儿复苏（NR）。但是，埃塞俄比亚自然保护区出生后，十分之八的婴儿得以幸存。埃塞俄比亚，胎龄，NR的优先设备和分娩时间是复苏的新生儿生存的决定因素。因此，在埃塞俄比亚，需要改善早产儿和面临长期分娩的婴儿的优先设备，细心护理和跟进服务。NR的优先设备和分娩时间是埃塞俄比亚复苏的新生儿生存的决定因素。因此，在埃塞俄比亚，需要改善早产儿和面临长期分娩的婴儿的优先设备，细心护理和跟进服务。NR的优先设备和分娩时间是埃塞俄比亚复苏的新生儿生存的决定因素。因此，在埃塞俄比亚，需要改善早产儿和面临长期分娩的婴儿的优先设备，细心护理和跟进服务。