Identifying characteristics associated with performing recommended practices in maternal and newborn care among health facilities in Rwanda: a cross-sectional study

Objective: This study aimed to gather evidence of progress made in the provision of emergency obstetrics and newborn care (EmONC) services in Zanzibar. Methods: This cross-sectional study was conducted in 83 health facilities in ten districts of Unguja and Pemba islands in Zanzibar in 2018 using the validated Averting Maternal Death and Disability (AMDD) program module. Results: Proportion of non-EmONC facilities is lower compared to 2012 (35% vs. 55.7%). Moreover, partially BEmONC facilities have increased compared to 2012 survey (58.7% vs. 28%). Only 2.5% and 3.8% provided CEmONC and BEmONC respectively. Concerning population size, EmONC availability is met at only 33.3% while a similar number lacks Comprehensive EmONC.

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Essential Newborn Care and Associated Factors Among Obstetrical Care Providers in Awi Zone Health Facilities, Northwest Ethiopia: An Institutional-Based Cross-Sectional Study

Pediatric Health Medicine and Therapeutics ◽

10.2147/phmt.s276698 ◽

2020 ◽

Vol Volume 11 ◽

pp. 449-458

Author(s):

Asteray Ayenew ◽

Mahlet Abebe ◽

Mesafint Ewnetu

Keyword(s):

Associated Factors ◽

Newborn Care ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Health Facilities ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional ◽

Essential Newborn Care ◽

Obstetrical Care

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Knowledge and practice of immediate new-born care among midwives in central zone public health Facilities, Tigray, Ethiopia: cross sectional study.

10.21203/rs.2.11489/v3 ◽

2019 ◽

Author(s):

Tesfay Tsegay Gebru ◽

Rajalakshmi Murugan ◽

Alem Gebremariam Abrha ◽

Mekonnen Haftom Goyteom

Keyword(s):

Newborn Care ◽

Central Zone ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

Immediate Newborn Care ◽

The Mean ◽

Knowledge And Practice ◽

Study Participants

Abstract Objective The objective of this study was to assess knowledge and practice of immediate newborn care among midwives in governmental health facilities of central zone of Tigray regional state, 2016. Results The mean age of the study participants was 34.1 years. Majority of the participants (83%) were diploma midwives. The score of knowledge of participants on immediate newborn care was 17.7% good and 25.2% poor. More than half (52.4%) of midwives practiced immediate newborn care. Midwives working in health center have 82% lower odds of newborn care compared to those working in hospital (p=0.000, OR=0.18 (0.07, 0.43).

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Quality gap in maternal and newborn healthcare: a cross-sectional study in Myanmar

BMJ Global Health ◽

10.1136/bmjgh-2018-001078 ◽

2019 ◽

Vol 4 (2) ◽

pp. e001078 ◽

Cited By ~ 3

Author(s):

Sumiyo Okawa ◽

Hla Hla Win ◽

Hannah H Leslie ◽

Keiko Nanishi ◽

Akira Shibanuma ◽

...

Keyword(s):

Quality Care ◽

Newborn Care ◽

Household Wealth ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

High Quality ◽

Cross Sectional ◽

High Quality Care ◽

Maternal And Newborn

IntroductionAccess to maternal and newborn healthcare has improved in Myanmar. However, regular contact with skilled care providers does not necessarily result in quality care. We assessed adequate contact made by women and newborns with skilled care providers, reception of high-quality care and quality-adjusted contacts during antenatal care (ANC), peripartum care (PPC) and postnatal care (PNC) in Myanmar.MethodsThis cross-sectional study was conducted in a predominantly urban township of Yangon and a predominantly rural township of Ayeyawady in March 2016. We collected data from 1500 women. We measured quality-adjusted contact, which refers to adequate contact with high-quality care, as follows: ≥4 ANC contacts and receiving 11–14 of 14 intervention items; facility-based delivery assisted by skilled care providers, receiving 7 of 7 PPC intervention items; and receiving the first PNC contact ≤24 hours postpartum and ≥2 additional contacts, and receiving 16–17 of 17 intervention items. Using multilevel logistic regression analysis with a random intercept at cluster level, we identified factors associated with adequate contact and high-quality ANC, PPC and PNC.ResultsThe percentage of crude adequate contact was 60.9% for ANC, 61.3% for PPC and 11.5% for PNC. However, the percentage of quality-adjusted contact was 14.6% for ANC, 15.2% for PPC and 3.6% for PNC. Adequate contact was associated with receiving high-quality care at ANC, PPC and PNC. Being a teenager, low educational level, multiparity and low level in the household wealth index were negatively associated with adequate contact with healthcare providers for ANC and PPC. Receiving a maternal and child health handbook was positively associated with adequate contact for ANC and PPC, and with receiving high-quality ANC, PPC and PNC.ConclusionWomen and newborns do not receive quality care during contact with skilled care providers in Myanmar. Continuity and quality of maternal and newborn care programmes must be improved.

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Knowledge of Essential Newborn Care and Associated Factors among Nurses and Midwives: A Cross-Sectional Study at Public Health Facilities in Wolaita Zone, Southern Ethiopia, 2019

International Journal of Pediatrics ◽

10.1155/2020/3647309 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Aseb Arba ◽

Zerihun Zana

Keyword(s):

Public Health ◽

Newborn Care ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

Essential Newborn Care ◽

Public Health Facilities ◽

Delivery Unit ◽

Nurses And Midwives

Background. Knowledge of essential newborn care and proper practice is important for the survival, growth, and development of a newborn. In spite of its essentiality, most health-care professionals do not know and follow the World Health Organization recommendation. Therefore, this study is aimed at assessing knowledge of essential newborn care and associated factors among nurses and midwives working in maternal health case team at public health facilities of Wolaita Zone, Ethiopia, 2019. Methods. Institution-based cross-sectional study design was conducted from March to April 2019. Data were collected by using pretested questionnaire, and 36 public health facilities were selected after stratifying them based on their level of service and number of nurses and midwives working in maternal health-care team. All 218 nurses and midwives who were working in the delivery unit from selected facilities were included in the study. The collected data were entered into Epi data 3.02 and exported to statistical software for social sciences version 22 for analysis. Descriptive, bivariate, and multivariate analyses were done. Statistical significance of variables was declared as a p value<0.05, and strength of association was adjusted odds ratio at 95% confidence interval in the final model. Result. A total of 218 nurses and midwives were participated in the study. Among them, 57.9% of participants had good knowledge of essential newborn care. The type of profession (AOR=5.79, [2.47, 13.58]), educational level (AOR=3.26, [1.42, 7.52]), interest to work in delivery room (AOR=4.85, [1.89, 12.42]), and presence of guidelines (AOR=2.29, [1.18, 4.45]) were the factors significantly associated with having knowledge of essential newborn care. Conclusion and Recommendation. The nurses and midwives had poor knowledge of some components of essential newborn care in the study area. Bachelor level of study, interest to work in delivery room, and being a midwife were the factors independently associated with knowledge of essential newborn care among nurses and midwives. Therefore, the head of labor ward and institution, zonal and woreda health units, and nongovernmental organizations who are working on maternal and child health should work on providing continuous education, providing incentives and motivators to improve interest to work in delivery unit, and providing guidelines in the unit.

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