Perinatal mortalities were high among neonates who had birth of&amp;lt;1500gms together with prolonged labour. The socio-economic and cultural practices that determine perinatal mortality were seclusion (43(72.9%; P=0.06.), dietary restriction 48(8 1.4%; traditional remedies 40(67.8%), female genital mutilation 37(62.7%); and late attendance to ANC when pregnancy is visible. The low investments in health led to unskilled deliveries, in adequate Health Care Workers, and lack of supplies and commodities.