Why do new-borns die? Perspectives of community members and health care providers in the Lawra municipality of the Upper West Region, Ghana

Neonatal deaths contribute significantly to under-five mortality and serve as a crucial indicator of a country’s socioeconomic development, quality of life, and health status. These deaths occur both at home and in health facilities. Therefore, the perspectives of community members and healthcare providers are essential in defining neonatal survival. This study explored the perceived causes of neonatal deaths among healthcare professionals and community members at the Lawra Municipality in the Upper West Region, Ghana. This study employed a qualitative descriptive approach. A purposive sample of 30 participants including 18 community members and 12 healthcare providers, was selected. Data were gathered using Focus Group Discussion (FGD), transcribed verbatim, coded and analysed using thematic-content analysis. Three themes were constructed to describe the factors leading to newborn deaths both at health facilities and in the community. These factors included: (1) personal factors related to newborns, mothers/families and health staff; (2) physical factors related to hospital facilities and equipment; and (3) logistical factors related to transport, referral and presentation delays. The study identified differences in perspectives between healthcare providers and community members, which can affect interventions in neonatal care. Health authorities are encouraged to develop a shared vision to engage communities by addressing geographic-specific factors causing neonatal deaths. This approach can help in understanding how collective actions can contribute to reducing neonatal deaths.