scholarly journals Assessment of knowledge and quality of essential newborn care practices in La Dade Kotopon Municipality, Ghana

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237820
Author(s):  
John Ayete-Nyampong ◽  
Emilia Asuquo Udofia
2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Tesfaye Yitna Chichiabellu ◽  
Baze Mekonnen ◽  
Feleke Hailemichael Astawesegn ◽  
Birhanu Wondimeneh Demissie ◽  
Antehun Alemayehu Anjulo

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Demis Berhan ◽  
Hanna Gulema

Background. Globally 4 million newborns die every year before they reach the age of one month and approximately 3.4 million newborns die within the first week of life. Of these deaths, 66% occur during the 1st 24 hours. Late death, i.e., after 24 hours, still occurs 34% and may be prevented if mothers have knowledge about newborn care including dangers sign of newborn. Objective. The aim of the study was to assess level of knowledge and associated factors of postnatal mothers towards essential newborn care practices at governmental health centers in Addis Ababa. Methodology. Institutional-based cross-sectional study with internal comparison was conducted using multistage sampling method in AA health centers from December 5 to January 30, 2016. Result. A total of 512 mothers who came for postnatal visit were interviewed using structured pretest questionnaires. Knowledge was assessed using closed and open ended questions. Poor knowledge has strong association with women’s occupation (AOR = 2.10, 95% CI : (1.38,3.20)). Parity of the women was found as one of significant predictors for poor knowledge of essential newborn care. Women who were primiparas are 1.99 times more likely to have poor knowledge of ENC compared to women who were multiparas AOR = 1.99,95% CI: (1.25,3.20). The other significant predictors for poor knowledge of ENC were ANC visit. Women who had less than four antenatal visits were 0.63 times less likely to have poor knowledge than those who visit four times and above. AOR = 0.63, 95% CI:( 0.40,0.99). Conclusion. Maternal education programs should be given emphasis for the components of ENC for mothers’ knowledge gaps. Special emphasis needs to be placed when educating vulnerable groups including those who failed to fully attend antenatal clinic visits.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041829
Author(s):  
Wen Qu ◽  
Qing Yue ◽  
Yan Wang ◽  
Jin Liuxing Yang ◽  
Xi Jin ◽  
...  

ObjectiveTo explore the changes in childbirth care practices and health outcomes of newborns after the introduction of early essential newborn care (EENC).DesignA pre-comparison and post-comparison study.SettingThe study was conducted in December 2016 and December 2018 in 18 counties in four western provinces of China.Participants46 hospitals that provide delivery services participated in the study.InterventionsEENC practices were introduced and implemented in the 46 hospitals.Outcome measuresThe changes of hospital indicators such as incidence of birth asphyxia and neonatal mortality were compared in 2016 and 2018. EENC coverage indicators, such as skin-to-skin (STS) contact, and time of first breast feeding were also compared before and after the intervention via interview with 524 randomly selected postpartum mothers (320 in 2016 and 204 in 2018).Results54 335 newborns were delivered in the pre-EENC period (2016) and 58 057 delivered in the post-EENC period (2018). According to hospital records, the proportion of newborns receiving immediate STS contact increased from 32.6% to 51.2% (Risk Ratio (RR)=1.57,95% CI 1.55 to 1.59) and the percentage of newborns receiving prolonged STS contact for more than 90 min increased from 8.1% to 26.8% (RR=3.31, 95% CI 3.21 to 3.41). No statistically significant changes were found in neonatal mortality, although slight decreases in birth asphyxiate and neonatal intensive care unit admission rates were detected. Among the mothers interviewed, the proportion of newborns receiving immediate STS contact increased from 34.6% to 80.0% (RR=2.31, 95% CI 1.69 to 3.17). The exclusive breastfeeding rate increased from 43% to 73.4% (RR=1.71, 95% CI 1.43 to 2.04). The average length of the first breast feeding increased from 15.8 min to 17.1 min.ConclusionsThe introduction of EENC has yielded significant improvements in newborn care services at the pilot hospitals, including enhanced maternal and newborn care practices, improved STS contact quality and early breastfeeding performance. Further studies are needed to evaluate the long-term impact of EENC on newborn health outcomes.


2015 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Teshome Kokebie ◽  
Mekonen Aychiluhm ◽  
Genet Degu Alamneh

Background; Essential newborn care is important for the proper development and healthy life of a baby. Although 70% of infant deaths occur during the first month of life, the policy-makers and health professionals in developing countries, until recently, gave little attention for the new born care. But, the principles of essential newborn care are simple, requiring no expensive high technology equipment.Objective: the main aim of this study was to assess level of community based essential new born care practices and associated factors among rural women who gave birth in the last 12 months preceding the survey in Awabel District, Amhara, Ethiopia.Method: A community-based cross-sectional study was conducted in September and October 20013. Data were collected from randomly selected 570 women by interview. The collected data were entered into computer using Epi-Data version3.1 and analyzed using SPSS version 16. Logestic regression was fitted to assess possible associations and the strength of association was measured using odds ratio with 95% CI.Results: the study revealed that the level of Essential New born Care practices was 23.1%. Educational status, (OR=7.02, 95%, CI=2.27,21.74), immediate PNC visit, (OR=3.22,95%CI = 1.18,9.48), advise about Essential New born Care practices during monthly pregnant mothers group meeting (OR=4.77,95%CI=1.11, 19.79) advise about birth preparedness during ANC visits (OR=9.05,95% CI =2.76,29.61) and presence of radio in the household (OR=7.91,95%CI=2.64,23.67) were found to have statistically significant association with essential new born care practices.Conclusion: The study identified low comprehensive practices of essential new born care in the study area. Community oriented promotion of essential new born care practices including women empowerment through education, promotion of suitable IEC materials and emphasizing and providing information and education to all pregnant women is recommended.


2017 ◽  
Vol 4 (3) ◽  
pp. 869 ◽  
Author(s):  
Latha S. ◽  
Kamala S. ◽  
Srikanth S.

Background: Neonatal mortality is high in tribal areas. Cultural practices influence the newborn health outcomes in tribal communities. Each tribe has its own unique practices on newborn rearing. Little scientific information is available on the beliefs and practices related to essential newborn care among tribes in Tamilnadu. An understanding of the tribe specific newborn care practices by health workers could facilitate them to provide effective newborn care.Methods: A qualitative study was conducted in Sittilingi tribal area in Dharmapuri district of Tamilnadu during the period August and September 2016. The data was collected by In-Depth interviews of 10 mothers with infants, selected by Snow ball sampling method. Local newborn care beliefs and practices were explored and analysis of their beneficial or harmful effects was carried out.Results: The findings show that beneficial practices like utilizing antenatal services, institutional deliveries, delayed bathing and measures to prevent infection were adopted. Harmful practices being followed included late initiation of breastfeeding, denying colostrum, feeding prelacteals, improper thermal care and application of indigenous substances on umbilical cord stump.Conclusions: In spite of utilization of health services, traditional beliefs still play a crucial role in influencing neonatal care practices in the study area. The findings necessitate a need for accessing the prevalence of cultural practices by quantitative studies. Midwives being a vital source of information should be aware of local cultural practices in their work place, to plan for effective behavior change among the mothers to preserve safe practices and avoid harmful practices.  


The Lancet ◽  
2021 ◽  
Vol 398 ◽  
pp. S2
Author(s):  
Shireen N Abed ◽  
Sireen Al Attar ◽  
Bothaina Shaikh Khalil ◽  
Laila Al Masharfa ◽  
Nashwa Skaik ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030496
Author(s):  
Faridullah Atiqzai ◽  
Partamin Manalai ◽  
Sher Shah Amin ◽  
Karen M Edmond ◽  
Malalai Naziri ◽  
...  

ObjectiveTo assess readiness and quality of essential newborn care and neonatal resuscitation practices in public health facilities in Afghanistan.DesignCross-sectional assessment.Setting226 public health facilities in Afghanistan, including 77 public health facilities with at least five births per day (high-volume facilities) and 149 of 1736 public health facilities with fewer than five births per day (low-volume facilities).ParticipantsManagers of 226 public health facilities, 734 skilled birth attendants (SBAs) working at these facilities, and 643 women and their newborns observed during childbirth at 77 high-volume health facilities.Outcome measuresAvailability of knowledgeable SBAs, availability of supplies and compliance with global guidelines for essential newborn care and neonatal resuscitation practices.ResultsAt high-volume facilities, 569/636 (87.9%) of babies were dried immediately after birth, 313/636 (49.2%) were placed in skin-to-skin contact with their mother and 581/636 (89.7%) had their umbilical cord cut with a sterile blade or scissors. A total of 87 newborn resuscitation attempts were observed. Twenty-four of the 87 (27.5%) began to breath or cry after simply clearing the airway or on stimulation. In the remaining 63 (72.5%) cases, a healthcare worker began resuscitation with a bag and mask; however, only 54 (62%) used a correct size of mask and three babies died as their resuscitation with bag and mask was unsuccessful.ConclusionsThe study indicates room for improvement of the quality of neonatal resuscitation practices at public health facilities in Afghanistan, requiring only strengthening of the current best practices in newborn care. Certain basic and effective aspects of essential newborn care that can be improved on with little additional resources were also missing, such as skin-to-skin contact of the babies with their mother. Improvement of compliance with the standard newborn care practices must be ensured to reduce preventable newborn mortality and morbidity in Afghanistan.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Gebrehiwot Gebremariam Weldeargeawi ◽  
Zenawi Negash ◽  
Alemayehu Bayray Kahsay ◽  
Yemane Gebremariam ◽  
Kidanemaryam Berhe Tekola

Introduction. Neonatal mortality contributes a higher percentage of infant mortality, especially in developing countries including Ethiopia where the rate of institutional delivery is low. In Ethiopia, scientific evidences on the level of community-based essential newborn care practice were scanty and inconclusive. Objectives. The aim of the study was to assess community-based essential newborn care practices and associated factors among women who have infant<12 months. Methods. A community-based cross-sectional study was employed among 634 randomly selected women who have infant<12 months from June 23, 2017, to August 29, 2017, at Enderta district. Data was collected by a face-to-face interview through structured questionnaires, and it was coded, entered, and cleaned using EpiData version 3.1. Then, the data was exported to SPSS version 21 for analysis. Odds ratios and p value were computed to know the association between the independent variables with the dependent variable. Finally, a variable at p values of p<0.05 was considered statistically significant with the outcome variable. Result. The overall community-based essential newborn care practice was found 40.7%. Educational status (AOR=6.6, 95% CI, 2.49-11.97), previous ANC follow-up (AOR=1.7, 95% CI, 1.2-3.80), weight of the child during birth (AOR=1.3, 95% CI, 1.12-2.98), and place of delivery (AOR=2.1, 95% CI, 1.50-4.63) were found to be significantly associated with community-based essential newborn care. Even though overall newborn practice was found to be good, the cord care practices were found to be poor that indicated there is a need to rise community awareness.


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