scholarly journals Newborn Care Practices and Associated Factors Among Lactating Mothers at Home in the Rural Districts of Gedeo Zone, Southern Ethiopia

2020 ◽  
Vol Volume 11 ◽  
pp. 47-54
Author(s):  
Abebe Alemu ◽  
Akine Eshete
2021 ◽  
Vol 8 ◽  
pp. 2333794X2110161
Author(s):  
Mamush Agonafir ◽  
Mulugeta Shegaze Shimbre ◽  
Sultan Hussen ◽  
Gebremaryam Temesgen ◽  
Belay Boday ◽  
...  

Community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, the practice is challenging within the Ethiopian health system. The aim of this study was to assess prevalence of community based newborn care practices and associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Across-sectional study design and simple random sampling technique was employed to select study participants. Data was collected through face-to-face interview; EpiData version 3.1 and SPSS version 20 software were used for analysis. Bi-variable and multivariable logistic regression was employed to analyze the associated factors. In this study 29% practiced community based essential newborn care. Educational status of father (AOR = 2.28; 95% CI: 1.07-4.84), last delivery assisted by relative (AOR = 3.58; 95% CI: 1.66-7.73), having awareness about community based newborn care (AOR = 3.49; 95% CI: 2.11-5.77), awareness about newborn danger sign (AOR = 2.18; 95% CI: 1.29-3.68) were some of identified factors associated with community based newborn care practice. In conclusion, community based newborn care practice was low. Therefore, promotion of information at community level, women empowerment, and strengthening health extension program were recommending.


2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Tesfaye Yitna Chichiabellu ◽  
Baze Mekonnen ◽  
Feleke Hailemichael Astawesegn ◽  
Birhanu Wondimeneh Demissie ◽  
Antehun Alemayehu Anjulo

2019 ◽  
Author(s):  
Mamush Agonafir ◽  
Mulugeta Shegaze Shimbre ◽  
Sultan Hussen ◽  
Gebremaryam Temesgen ◽  
Goytom Girmay ◽  
...  

Abstract Introduction:- Significant numbers of women are giving birth at home; in this case community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, practice is challenging within the Ethiopian health system. Objective:- The aim of this study was to assess prevalence of community based newborn care practices and its associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Methods:- Across-sectional study was conducted on 490 women in the reproductive age groups of 15-49 in Amaro district and by using simple random sampling technique individual was recruited. Data collected through face-to-face interview at household level. EpiData version 3.1 statistical software was used for entry and SPSS version 20 for was used for data cleaning, management and analysis. Bi-variate and multivariate logistic regression analysis employed for analysis of factors associated with Community based newborn care practices. Results:- A total 490 of study participants were included in the analysis and only 29% practiced community based essential newborn care. Educational status of father [AOR=2.28; 95%CI:1.07-4.84] & mother [AOR=0.35; 95%CI: 0.16-0.75], last delivery assisted by relative/friends [AOR=3.58; 95%CI: 1.66-7.73], having awareness about Community based newborn care [AOR=3.49; 95%CI: 2.11-5.77], awareness about newborn danger sign [AOR=2.18; 95%CI: 1.29-3.68] and having birth preparedness and complication readiness plan [AOR=3.52; 95%CI: 1.97-6.29] were an identified independent factors associated with Community based newborn care Practice. Conclusion and recommendation:- Around three-fourth (71%) of mothers were not practicing Community based newborn care. Educational status of family, awareness about community based newborn care and newborn danger sign, last delivery assisted by relative or friends at home, and having birth preparedness and complication readiness plan were identified as independent factors for community based newborn care practice. Promotion of information at community level, women empowerment and health extension program strengthening are recommending.


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.


2012 ◽  
Vol 35 (3) ◽  
pp. 90-96 ◽  
Author(s):  
Md Mahbubul Hoque ◽  
Mohammad Faizul Haque Khan ◽  
Jotsna Ara Begum ◽  
MAK Azad Chowdhury ◽  
Lars Ake Persson

Background: Despite proven cost effective intervention, there has been little change in neonatal mortality. In Bangladesh neonatal mortality accounts for two third of infants death. About 90% deliveries take place in home and majority of neonatal death are taking place within 7 days of birth. Information about reasons for delivering at home and newborn care practices will be useful to undertake simple intervention measures by policy makers.Aims and objective: To see the knowledge, perception and behaviour of mothers towards their normal and sick newborn.Methods: A cross sectional study was carried out in Dhaka Shishu Hospital from June to November, 2007. A semistructured, pretested questionnaire was used to interview mothers attending inpatient (IPD) and outpatient department (OPD) of hospital.Results: A total 198 mothers were interviewed. Home deliveries were 35.5% and Institutional were 64.5%. Among the Institutional deliveries 35% (44 out of 127) were planned and tried first at home, but when failed mothers were taken to hospital. Majority (86%) of home deliveries were conducted by Dai/relatives. Umbilical cord was cut with new/boiled blade in 85% of home deliveries and household knife was used in 4% cases. Birth place were not at all heated in all home deliveries. In 32 % of home deliveries babies were given bath within 1 hour of birth and it was 15% in case of hospital deliveries. Forty-eight percent babies of home deliveries were wrapped within 10 minutes. Prelacteal feed was given in 51% of home deliveries in comparison to 23% of institutional deliveries. The rate of initiation of breast feeding within one hour of birth was 52% in home and 35% in institutional deliveries. In all cases breast milk was given within 48 hours. Main reasons cited for delivering at home were preference (43%) and fear about hospital (39%). In case of educated (graduate) mothers 72% deliveries took place at hospital. Less feeding (56%), vomiting (42%), less movement (32%), fever (29%) and cough (27%) could be recognized by mothers as signs of sickness.Conclusion: Home deliveries and poor newborn care practices are commonly found in this study. Traditional birth attendants should be adequately trained as they are conducting majority of home deliveries. Female education is very important to reduce home delivery as it is seen that deliveries of educated mothers are taking place in hospital. High risk traditional newborn care practices like delayed wrapping, early bathing, use of oil in umbilical stump and prelacteal feeding need to be addressed. This study also found that knowledge to identify sickness in newborn is still poor.DOI: http://dx.doi.org/10.3329/bjch.v35i3.10497  Bangladesh J Child Health 2011; Vol 35 (3): 90-96


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.


2019 ◽  
Author(s):  
Gemechu Kejela ◽  
Feleke Gebremeskel ◽  
Hadiya Hassen ◽  
Misgun Shewangizaw ◽  
Markos Desalegn

Abstract Background Maternal Nutrition contributes significantly to the long term health of mothers and their children. Despite this importance, globally, about 795 million people are undernourished and women and their children are the most vulnerable groups.Objective the main aim of this study was to assess under nutrition and associated factors among lactating mothers in Arba Minch zuria district, Southern Ethiopia.Methods institution based cross-sectional study was used. Data was collected using interview administered questionnaire from a total of 441 lactating mothers. To get the required respondents, first health centers in Arba Minch zuria district were selected by using lottery method and probability to population size was performed for each health center. Finally, eligible respondents were selected using systematic sampling method. The questionnaire was pretested and close supervision was undertaken during data collection to assure the quality of data. The collected data was entered using Epi data version 3.02 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression were conducted, and finally variables with p-value of <0.05 were considered as statistically significant predictors.Results Prevalence of under nutrition in this study was 26.1%. Under nutrition is higher among mothers who are unable to read and write (AOR[95%CI]= 3.931[1.700,9.091]), mothers who experienced more than five numbers of pregnancies (AOR[95%CI]= 2.453[1.051, 5.728]), those with more than four members of family size (AOR[95%CI]= 2.289[1.171, 4.472]), those who live in the household with no toilet (AOR [95%CI] = 6.407[3.556, 11.545]) and those who have less than 4 antenatal care visits (AOR[95%CI]= 2.053[1.185, 3.559]).Conclusions and Recommendations In this study, the magnitude of under nutrition among lactating women was high. So, nutrition based health information, education and communication is needed for mothers especially during pregnancy and lactation in the study area.


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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