scholarly journals Newborn care practices in a tribal community in tamilnadu: a qualitative study

2017 ◽  
Vol 4 (3) ◽  
pp. 869 ◽  
Author(s):  
Latha S. ◽  
Kamala S. ◽  
Srikanth S.
Keyword(s):  
Qualitative Study ◽  
Cultural Practices ◽  
Health Workers ◽  
Scientific Information ◽  
Newborn Care ◽  
Work Place ◽  
Tribal Community ◽  
Essential Newborn Care ◽  
Beliefs And Practices ◽  
Care Practices

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.  

scholarly journals Newborn Care Practices of Mothers in a Rural Community in Baitadi, Nepal

2018 ◽  
Vol 10 ◽  
pp. 5-9 ◽  
Author(s):  
MD Devkota ◽  
MR Bhatta
Keyword(s):  
Cultural Practices ◽  
Newborn Care ◽  
Neonatal Morbidity ◽  
Analysis Data ◽  
Living Room ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Care Practices ◽  
Breast Fed

Background: Despite efforts by government and other agencies, neonatal morbidity and mortality are still high in Nepal. Among all other reasons, newborn care practices are one of the major contributors for such high rates of morbidity and mortality.Objective: To find out the essential newborn care practices in a rural community.Design: Community based descriptive (cross sectional) and explorative study.Setting: Siddheshwar, Siddhapur and Gujar VDCs of Baitadi district.Participants: 71 mothers having less than 3 month infants.Materials and Methods: Semi-structured pre-tested tools were used to interview mothers along with check list for case studies.Statistical analysis: Data was analyzed using SPSS 11.5 for widows.Results and Conclusion: More than two third mothers (71.8%) took ANC service and average number of ANC service was 3.16 times. Most of the deliveries (91.5%) took place at home (69.0% in living room and 22.5% in cattle shed) which were mostly conducted by relatives (29.6%) or family members (35.2%) or self (8.5%). Nearly two third of the respondents (64.8%) did not use clean home delivery kit (CHDK) and more than one fourth (26.8%) used "used blade" for cord cutting. About 86.0% of the respondents did not use any substance on the stump, and one third (33.8%) did not wipe their babies. Most of the respondents (84.4%) burnt firewood for heating the room. More than two third (38%) of the respondents bathed their babies within one hour and only 18.3% of respondents bathed their babies after 24 hours. Only 7.0% of the respondents’ breast fed their babies within one hour, though all babies were breast fed. Nearly one third (29.6%) of the respondents discarded the first milk (colostrum). Most of the respondents (87.3%) did not give pre lacteals to their newborns and more than two third (70.4%) did not seek any health services for their newborns. More than one third (35.2%) did not vaccinate their babies. Regarding the birth preparedness practices more than half did not practice for each of pregnancy, delivery and newborn care. The common reasons behind harmful practices were lack of awareness, traditional cultural practices and lack of free time for the mothers. Therefore, there is an urgent need to introduce interventions to address newborn care practices focusing on marginalized and disadvantaged communities in the area.DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5637 Health Prospect Vol.10 2011, pp.5-9

scholarly journals Neonatal care practices in Buikwe District, Uganda: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marte Bodil Roed ◽  
Ingunn Marie Stadskleiv Engebretsen ◽  
Robert Mangeni
Keyword(s):  
Health Workers ◽  
Post Partum ◽  
Newborn Care ◽  
Neonatal Care ◽  
Sub Saharan Africa ◽  
Cord Clamping ◽  
Care Practices ◽  
Sub Saharan ◽  
Skin To Skin ◽  
User Perspectives

Abstract Background Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum period. The objective of the study was to identify provider and user perspectives regarding the knowledge of and adherence to the UCG recommendations in aspects of delivery and newborn care, both in cases of normal as well as complicated births. Methods The study used qualitative methods with data collection from participant observations, interviews with key-informants and focus group discussions. Malterud’s Systematic Text Condensation (STC) was used for analysis. Results The study found low knowledge about the UCG among the health workers. Various discrepancies between performed hands-on-procedures and the UCG were found related to neonatal care practices, including low use of partograms, uncertainty around timing for cord clamping, routine oronasopharyngeal suction of newborns and inadequate implementation of skin-to-skin care. Conclusions Continued focus on systemic strategies for further implementation of the UCG is recommended.

scholarly journals Essential newborn care practices and associated factors among home delivered mothers in Damot pulasa Woreda, southern Ethiopia

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Tesfaye Yitna Chichiabellu ◽  
Baze Mekonnen ◽  
Feleke Hailemichael Astawesegn ◽  
Birhanu Wondimeneh Demissie ◽  
Antehun Alemayehu Anjulo
Keyword(s):  
Associated Factors ◽  
Newborn Care ◽  
Southern Ethiopia ◽  
Essential Newborn Care ◽  
Care Practices

scholarly journals Level of Knowledge and Associated Factors of Postnatal Mothers’ towards Essential Newborn Care Practices at Governmental Health Centers in Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Demis Berhan ◽  
Hanna Gulema
Keyword(s):  
Associated Factors ◽  
Maternal Education ◽  
Addis Ababa ◽  
Newborn Care ◽  
Health Centers ◽  
Essential Newborn Care ◽  
Poor Knowledge ◽  
Postnatal Mothers ◽  
Level Of Knowledge ◽  
Care Practices

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.

scholarly journals Assessing the changes in childbirth care practices and neonatal outcomes in Western China: pre-comparison and post-comparison study on early essential newborn care interventions

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041829
Author(s):  
Wen Qu ◽  
Qing Yue ◽  
Yan Wang ◽  
Jin Liuxing Yang ◽  
Xi Jin ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Neonatal Mortality ◽  
Breast Feeding ◽  
Newborn Care ◽  
Western China ◽  
Comparison Study ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Care Practices ◽  
Childbirth Care

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.

scholarly journals Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Silondile Luthuli ◽  
Neil McKerrow
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Workers ◽  
Newborn Care ◽  
Well Being ◽  
Structured Interview ◽  
Observation Data ◽  
Good Communication ◽  
District Hospitals

Abstract Background There is a high global burden of neonatal mortality, with many newborn babies dying of preventable and treatable conditions, particularly in low and middle-income countries. Improving quality of newborn care could save the lives of many thousands of babies. Quality of care (QoC) is a complex and multifaceted construct that is difficult to measure, but patients’ experiences of care are an important component in any measurement of QoC. We report the findings of a qualitative study exploring observations and experiences of health workers (HWs) and mothers of babies in neonatal units in South Africa. Methods A qualitative case study approach was adopted to explore care of newborn babies admitted to neonatal units in district hospitals. Observation data were collected by a registered nurse during working hours over a continuous five-day period. Doctors and nurses working in the neonatal unit and mothers of babies admitted during the observation period were interviewed using a semi-structured interview guide. All interviews were audio recorded. Observation data were transcribed from hand written notes. Audiotapes of interviews were transcribed verbatim and, where necessary, translated into English. A thematic content analysis was used to analyse the data. Results Observations and interviews were conducted in seven participating hospitals between November 2015 and May 2016. Our findings highlight the importance of information sharing between HWs and mothers of babies, contrasting the positive communication reported by many mothers which led to them feeling empowered and participating actively in the care of their babies, with incidents of poor communication. Poor communication, rudeness and disrespectful behaviour of HWs was frequently described by mothers, and led to mothers feeling anxious, unwilling to ask questions and excluded from their baby’s care. In some cases poor communication and misunderstandings led to serious mismanagement of babies with HWs delaying or withholding care, or to mothers putting their babies at risk by not following instructions. Conclusion Good communication between mothers and HWs is critical for building mothers’ confidence, promoting bonding and participation of mothers in the care of their baby and may have long term benefits for the health and well-being of the mother and her baby.

scholarly journals Community Based Essential New Born Care Practices and Associated Factors among Women in the Rural Community of Awabel District, East Gojjam Zone, Amhara, Ethiopia, 2013

2015 ◽  
Vol 1 (1) ◽  
pp. 17 ◽  
Author(s):  
Teshome Kokebie ◽  
Mekonen Aychiluhm ◽  
Genet Degu Alamneh
Keyword(s):  
Rural Women ◽  
Associated Factors ◽  
Newborn Care ◽  
Educational Status ◽  
Birth Preparedness ◽  
Community Based ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
New Born ◽  
Care Practices

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.

Safe delivery and newborn care practices in Sindh, Pakistan: a community-based investigation of mothers and health workers

Midwifery ◽  
2012 ◽  
Vol 28 (4) ◽  
pp. 466-471 ◽  
Author(s):  
Hamid Hassan ◽  
Abdul Hakeem Jokhio ◽  
Heather Winter ◽  
Christine MacArthur
Keyword(s):  
Health Workers ◽  
Newborn Care ◽  
Community Based ◽  
Safe Delivery ◽  
Care Practices

scholarly journals Cultural Beliefs and Practices of Ethnic Filipinos: An Ethnographic Study

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Evelyn J. Grey
Keyword(s):  
Rural Communities ◽  
Qualitative Study ◽  
Cultural Practices ◽  
Cultural Beliefs ◽  
Ethnographic Study ◽  
Life Stages ◽  
Way Of Life ◽  
Traditional Beliefs ◽  
Beliefs And Practices

<div><p><em>The study was to determine the cultural beliefs and practices of the ethnic Filipinos. This is a qualitative study and the focus is the Aetas living in Central Philippines. The informants were the 9 prominent Aetas, 6 of them were Aeta women who have experienced pregnancy or pregnant during the time this study was conducted. The findings revealed that during pregnancy their most  beliefs and practices are observed by the Aetas.  Some of the traditional beliefs and practices of Aetas  have been influenced by many factors. They have also retained some of their traditional beliefs and practices on pregnancy, childbirth, marriage, death and burial despite the effects of the factors mentioned. All throughout the life stages of the Aetas in the rural communities, their old beliefs and practices had been influenced by modernization.  It simply shows that the Aetas , are also susceptible to accept changes that may affect their way of life. Their traditional cultural practices that deeply rooted in their beliefs were difficult to neglect since it has already been part of their tradition for years.</em></p></div>

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