scholarly journals Assessment of Mother’s Knowledge and Attitude Regarding Newborn Care at Public Hospitals in Kirkuk City

2020 ◽  
Keyword(s):  
Newborn Care ◽  
Public Hospitals ◽  
Knowledge And Attitude

scholarly journals Immediate newborn care and breastfeeding: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Tazeen Tahsina ◽  
◽  
Aniqa Tasnim Hossain ◽  
Harriet Ruysen ◽  
Ahmed Ehsanur Rahman ◽  
...  
Keyword(s):  
Newborn Care ◽  
Health Indicators ◽  
Newborn Health ◽  
Public Hospitals ◽  
Maternal And Newborn Health ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Improve Measurement ◽  
Immediate Newborn Care ◽  
Skin To Skin

Abstract Background Immediate newborn care (INC) practices, notably early initiation of breastfeeding (EIBF), are fundamental for newborn health. However, coverage tracking currently relies on household survey data in many settings. “Every Newborn Birth Indicators Research Tracking in Hospitals” (EN-BIRTH) was an observational study validating selected maternal and newborn health indicators. This paper reports results for EIBF. Methods The EN-BIRTH study was conducted in five public hospitals in Bangladesh, Nepal, and Tanzania, from July 2017 to July 2018. Clinical observers collected tablet-based, time-stamped data on EIBF and INC practices (skin-to-skin within 1 h of birth, drying, and delayed cord clamping). To assess validity of EIBF measurement, we compared observation as gold standard to register records and women’s exit-interview survey reports. Percent agreement was used to assess agreement between EIBF and INC practices. Kaplan Meier survival curves showed timing. Qualitative interviews were conducted to explore barriers/enablers to register recording. Results Coverage of EIBF among 7802 newborns observed for ≥1 h was low (10.9, 95% CI 3.8–21.0). Survey-reported (53.2, 95% CI 39.4–66.8) and register-recorded results (85.9, 95% CI 58.1–99.6) overestimated coverage compared to observed levels across all hospitals. Registers did not capture other INC practices apart from breastfeeding. Agreement of EIBF with other INC practices was high for skin-to-skin (69.5–93.9%) at four sites, but fair/poor for delayed cord-clamping (47.3–73.5%) and drying (7.3–29.0%). EIBF and skin-to-skin were the most delayed and EIBF rarely happened after caesarean section (0.5–3.6%). Qualitative findings suggested that focusing on accuracy, as well as completeness, contributes to higher quality with register reporting. Conclusions Our study highlights the importance of tracking EIBF despite measurement challenges and found low coverage levels, particularly after caesarean births. Both survey-reported and register-recorded data over-estimated coverage. EIBF had a strong agreement with skin-to-skin but is not a simple tracer for other INC indicators. Other INC practices are challenging to measure in surveys, not included in registers, and are likely to require special studies or audits. Continued focus on EIBF is crucial to inform efforts to improve provider practices and increase coverage. Investment and innovation are required to improve measurement.

scholarly journals Free Newborn Care Services: A New Initiative in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 340-344
Author(s):  
Gambhir Shrestha ◽  
Prajwal Paudel ◽  
Parashu Ram Shrestha ◽  
Shambhu Prasad Jnawali ◽  
Deepak Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Neonatal Mortality ◽  
Newborn Care ◽  
Public Hospitals ◽  
Significant Progress ◽  
The Public ◽  
Care Services ◽  
Common Causes ◽  
The Status ◽  
The Common

Background: Nepal has made a significant progress in reducing child mortality. However, the annual rate of reduction in neonatal mortality is not satisfactory. As safeguarded by constitution of Nepal and to address neonatal mortality due to poverty and inequity, government has introduced free newborn care (FNC) package. This study aims to assess the status of FNC services in all the public hospitals.Methods: Child Health Division organized 5 workshops region-wise with the theme of newborn care services in March/April 2018 to cover all the public hospitals in the country. A template was designed comprising of duration of FNC implementation, number of newborns admitted since implementation, morbidities pattern, and number of babies served. It was circulated and all hospitals were advised to fill it and present in the review. Later, the data were compiled and analyzed.Results: Only 58 presentations out of 93 participated hospitals were included in this study. The total admitted cases were 8564 newborns. The common causes of admission were neonatal sepsis (44.5%) followed by asphyxia (14.29%) and hyperbilirubinemia (11.4%). A total of 1573 neonates received services of FNC package C, 3722 package B, 3081 received package A. The main challenges faced in implementation reported were lack of infrastructure and human resources to provide services and the reimbursement is not enough.Conclusions: Free newborn care is a new initiative taken to reduce neonatal mortality. This package is very helpful to serve sick newborns. However, the package should be revised taking into consideration the appropriate reimbursement and extra staffs to provide this service.Keywords: Free newborn care; government efforts; health services.

scholarly journals Lessons from a Health Policy and Systems Research programme exploring the quality and coverage of newborn care in Kenya

2020 ◽  
Vol 5 (1) ◽  
pp. e001937
Author(s):  
Mike English ◽  
David Gathara ◽  
Jacinta Nzinga ◽  
Pratap Kumar ◽  
Fred Were ◽  
...  
Keyword(s):  
Health System ◽  
Low Income ◽  
Health Workers ◽  
Newborn Care ◽  
Well Being ◽  
Public Hospitals ◽  
Urban Setting ◽  
Health System Strengthening ◽  
Research Approach ◽  
Systems Research

There are global calls for research to support health system strengthening in low-income and middle-income countries (LMICs). To examine the nature and magnitude of gaps in access and quality of inpatient neonatal care provided to a largely poor urban population, we combined multiple epidemiological and health services methodologies. Conducting this work and generating findings was made possible through extensive formal and informal stakeholder engagement linked to flexibility in the research approach while keeping overall goals in mind. We learnt that 45% of sick newborns requiring hospital care in Nairobi probably do not access a suitable facility and that public hospitals provide 70% of care accessed with private sector care either poor quality or very expensive. Direct observations of care and ethnographic work show that critical nursing workforce shortages prevent delivery of high-quality care in high volume, low-cost facilities and likely threaten patient safety and nurses’ well-being. In these challenging settings, routines and norms have evolved as collective coping strategies so health professionals maintain some sense of achievement in the face of impossible demands. Thus, the health system sustains a functional veneer that belies the stresses undermining quality, compassionate care. No one intervention will dramatically reduce neonatal mortality in this urban setting. In the short term, a substantial increase in the number of health workers, especially nurses, is required. This must be combined with longer term investment to address coverage gaps through redesign of services around functional tiers with improved information systems that support effective governance of public, private and not-for-profit sectors.

scholarly journals Cesarean delivery rates, hospital readiness and quality of clinical management in Ethiopia: national results from two cross-sectional emergency obstetric and newborn care assessments

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Misrak Getnet Beyene ◽  
Theodros Getachew Zemedu ◽  
Azmach Hadush Gebregiorgis ◽  
Ana Lorena Ruano ◽  
Patricia E. Bailey
Keyword(s):  
Cesarean Delivery ◽  
Clinical Management ◽  
Unmet Need ◽  
Newborn Care ◽  
Public Hospitals ◽  
Cross Sectional ◽  
For Profit ◽  
Robson Classification ◽  
Hospital Readiness

Abstract Background Cesarean delivery (CD) rates have reached epidemic levels in many high and middle income countries while increasingly, low income countries are challenged both by high urban CD rates and high unmet need in rural areas. The managing authority of health care institutions often plays a role in these disparities. This paper shows changes between 2008 and 2016 in Ethiopian CD rates, readiness of hospitals to provide CD and quality of clinical care, while highlighting the role of hospital management authority. Methods This secondary data analysis draws from two national cross-sectional studies to assess emergency obstetric and newborn care. The sample includes 111 hospitals in 2008 and 316 hospitals in 2016, and 275 women whose CD chart was reviewed in 2008 and 568 in 2016. Descriptive statistics are used to describe our primary outcome measures: population- and institutional-based CD rates; hospital readiness to perform CD; quality of clinical management, including the relative size of Robson classification groups. Results The national population CD rate increased from 2008 to 2016 (< 1 to 2.7%) as did all regional rates. Rates in 2016 ranged from 24% in urban settings to less than 1% in several rural regions. The institutional rate was 54% in private for-profit hospitals in 2016, up from 46% in 2008. Hospital readiness to perform CDs increased in public and private for-profit hospitals. Only half of the women whose charts were reviewed received uterotonics after delivery of the baby, but use of prophylactic antibiotics was high. Partograph use increased from 9 to 42% in public hospitals, but was negligible or declined elsewhere. In 2016, 40% of chart reviews from public hospitals were among low-risk nulliparous women (Robson groups 1&2). Conclusions Between 2008 and 2016, government increased the availability of CD services, improved public hospital readiness and some aspects of clinical quality. Strategies tailored to further reduce the high unmet need for CD and what appears to be an increasing number of unnecessary cesareans are discussed. Adherence to best practices and universal coverage of water and electricity will improve the quality of hospital services while the use of the Robson classification system may serve as a useful quality improvement tool.

scholarly journals TINGKAT PENGETAHUAN DAN SIKAP MEMANDIKAN BAYI DAN MERAWAT TALI PUSAT OLEH IBU POST PARTUM

2020 ◽  
Vol 8 (2) ◽  
pp. 34
Author(s):  
Militia Christy Aprilia Sundalangi ◽  
Sefti S.J. Rompas ◽  
Maria Lupita N. Meo
Keyword(s):  
Umbilical Cord ◽  
Total Population ◽  
Post Partum ◽  
Newborn Care ◽  
Negative Attitude ◽  
Survey Method ◽  
Descriptive Research ◽  
Total Respondent ◽  
Level Of Knowledge ◽  
Knowledge And Attitude

Abstract  The knowledge and attitude of bathing a baby are very important aspects in parenting work. Also to caring for the umbilical cord is the principal thing to notice by mothers regarding newborn care. Lacking of knowledge and attitude in bathing a baby and caring for the umbilical cord could affect the health of the baby. The purpose of this research is to describe the level of knowledge and attitude of baby bathing and caring for the umbilical cord of post-partum mother in Warisa village of Talawaan district of North Minahasa regency. The research method that was used on this research is descriptive research design with survey method. The sample research used the total population model. The total respondent was 33 respondents of post-partum mothers in the Warisa village of Talawaan district of North Minahasa regency. The results showed that from 33 respondents, there were 13 respondents (39.4%) those who have good knowledge in bathing babies, there were 13 respondents (39.4%) those who have lacking knowledge to caring for the umbilical cord, there were 23 respondents (69.7%) those who have negative attitude in bathing babies and there were 19 respondents (57,6%) those who have a negative attitude in caring for the umbilical cord. Conclusion the results of this research were displayed that there were many levels of knowledge in bathing babies and caring for the umbilical cord of the post-partum in Warisa village of North Minahasa Regency. The author suggests that the health services should have been able to see and maximize the needs of the knowledge level and attitude toward newborn care, specifically in terms of post-partum mothers, in bathing the baby and caring for the umbilical cord by improving the level education for the related issues.Keywords: Knowledge, Attitude, Baby Bathing, Umbilical Cord. Abstrak : Pengetahuan dan sikap memandikan bayi dan merawat tali pusat merupakan hal penting yang harus diperhatikan oleh ibu dalam perawatan bayi baru lahir. Pengetahuan yang kurang serta sikap yang tidak baik dalam memandikan bayi dan merawat tali pusat dapat mempengaruhi kesehatan bayi. Tujuan penelitian untuk mengetahui gambaran tingkat pengetahuan dan sikap memandikan bayi dan merawat tali pusat oleh ibu post partum di Desa Warisa Kecamatan Talawaan Kabupaten Minahasa Utara Metode penelitian ini menggunakan desain penelitian deskriptif dengan metode survey. Sampel penelitian ini menggunakan total populasi yaitu seluruh ibu post partum di Desa Warisa Kecamatan Talawaan Kabupaten Minahasa Utara sebanyak 33 responden. Hasil penelitian menunjkkan bahwa dari 33 responden 13 responden (39,4%) memiliki pengetahuan baik dalam memandikan bayi, 13 responden (39,4%) memiliki pengetahuan kurang dalam pengetahuan merawat tali pusat, 23 responden (69,7 %) memiliki sikap negatif dalam memandikan bayi dan 19 responden (57,6 %) memiliki sikap negatif dalam merawat tali pusat . Kesimpulan, hasil penelitian ini mendapatkan gambaran tingkat pengetahuan memandikan bayi dan merawat tali pusat oleh ibu post partum di Desa Warisa Kecamatan Talawaan Kabupaten Minahasa Utara. Saran, Bagi pihak pelayanan kesehatan yang ada diharapkan dapat melihat dan memaksimalkan kebutuhan tingkat pengetahuan dan sikap perawatan bayi baru lahir lebih khusus dalam hal memandikan bayi dan merawat tali pusat oleh ibu post partum  dengan meningkatkan edukasi dalam hal memandikan bayi dan merawat tali pusat.Kata Kunci : Pengetahuan, Sikap, Memandikan Bayi, Merawat Tali Pusat.

scholarly journals Epidemiology of neonatal infections in hospitals of Nepal: evidence from a large- scale study

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Shyam Sundar Budhathoki ◽  
Avinash K. Sunny ◽  
Pragya Gautam Paudel ◽  
Jeevan Thapa ◽  
Lila Bahadur Basnet ◽  
...  
Keyword(s):  
Risk Factors ◽  
Large Scale ◽  
Comparison Group ◽  
Mode Of Delivery ◽  
Clinical Signs ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Neonatal Infection ◽  
Public Hospitals ◽  
Neonatal Infections

Abstract Background Every year, neonatal infections account for approximately 750,000 neonatal deaths globally. It is the third major cause of neonatal death, globally and in Nepal. There is a paucity of data on clinical aetiology and outcomes of neonatal infection in Nepal. This paper aims to assess the incidence and risk factors of neonatal infection in babies born in public hospitals of Nepal. Methods This is a prospective cohort study conducted for a period of 14 months, nested within a large-scale cluster randomized control trial which evaluated the Helping Babies Breathe Quality Improvement package in 12 public hospitals in Nepal. All the mothers who consented to participate within the study and delivered in these hospitals were included in the analysis. All neonates admitted into the sick newborn care unit weighing > 1500 g or/and 32 weeks or more gestation with clinical signs of infection or positive septic screening were taken as cases and those that did not have an infection were the comparison group. Bivariate and multi-variate analysis of socio-demographic, maternal, obstetric and neonatal characteristics of case and comparison group were conducted to assess risk factors associated with neonatal infection. Results The overall incidence of neonatal infection was 7.3 per 1000 live births. Babies who were born to first time mothers were at 64% higher risk of having infection (aOR-1.64, 95% CI, 1.30–2.06, p-value< 0.001). Babies born to mothers who had no antenatal check-up had more than three-fold risk of infection (aOR-3.45, 95% CI, 1.82–6.56, p-value< 0.001). Babies born through caesarean section had more than two-fold risk (aOR-2.06, 95% CI, 1.48–2.87, p-value< 0.001) and babies with birth asphyxia had more than three-fold risk for infection (aOR-3.51, 95% CI, 1.71–7.20, p-value = 0.001). Conclusion Antepartum factors, such as antenatal care attendance, and intrapartum factors such as mode of delivery and birth asphyxia, were risk factors for neonatal infections. These findings highlight the importance of ANC visits and the need for proper care during resuscitation in babies with birth asphyxia.

scholarly journals Attitudes of Spanish Nurses towards Pressure Injury Prevention and Psychometric Characteristics of the Spanish Version of the APuP Instrument

2020 ◽  
Vol 17 (22) ◽  
pp. 8543 ◽  
Author(s):  
María Dolores López-Franco ◽  
Laura Parra-Anguita ◽  
Inés María Comino-Sanz ◽  
Pedro L. Pancorbo-Hidalgo
Keyword(s):  
Psychometric Properties ◽  
Factor Model ◽  
Point Of Care ◽  
Public Hospitals ◽  
Spanish Version ◽  
Hospitalised Patients ◽  
Back Translation ◽  
Pressure Injury ◽  
Knowledge And Attitude ◽  
Nursing Professionals

The prevention of pressure injuries in hospitalised patients is a critical point of care related to patient safety. Nurses play a key role in pressure injury (PI) prevention, making it important to assess not only their knowledge but also their attitude towards prevention. The main purpose of this study was to translate into Spanish and evaluate the psychometric properties of the Attitude towards Pressure ulcer Prevention instrument (APuP); a secondary aim was to explore the associations of attitude with other factors. A Spanish version was developed through a translation and back-translation procedure. The validation study was conducted on a sample of 438 nursing professionals from four public hospitals in Spain. The analysis includes internal consistency, confirmatory factorial analysis, and construct validity in known groups. The 12-item Spanish version of the APuP fit well in the 5-factor model, with a Cronbach’s alpha of 0.7. The mean APuP score was 39.98, which means a positive attitude. Registered nurses have a slightly better attitude than Assistant nurses. A moderate correlation (R = 0.32) between knowledge and attitude for the prevention of PI was found. As concluded, the Spanish version of the APuP questionnaire is a valid, reliable and useful tool to measure the attitude toward PI prevention in Spanish-speaking contexts. This version has 12 items grouped into 5 factors, and its psychometric properties are similar to those of the original instrument.

scholarly journals Neonatal mortality in Kenyan hospitals: a multisite, retrospective, cohort study

2021 ◽  
Vol 6 (5) ◽  
pp. e004475
Author(s):  
Grace Irimu ◽  
Jalemba Aluvaala ◽  
Lucas Malla ◽  
Sylvia Omoke ◽  
Morris Ogero ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Income ◽  
Universal Access ◽  
Low Cost ◽  
Newborn Care ◽  
Routine Data ◽  
Public Hospitals ◽  
Childhood Mortality ◽  
Age Group ◽  
Common Diagnosis

BackgroundMost of the deaths among neonates in low-income and middle-income countries (LMICs) can be prevented through universal access to basic high-quality health services including essential facility-based inpatient care. However, poor routine data undermines data-informed efforts to monitor and promote improvements in the quality of newborn care across hospitals.MethodsContinuously collected routine patients’ data from structured paper record forms for all admissions to newborn units (NBUs) from 16 purposively selected Kenyan public hospitals that are part of a clinical information network were analysed together with data from all paediatric admissions ages 0–13 years from 14 of these hospitals. Data are used to show the proportion of all admissions and deaths in the neonatal age group and examine morbidity and mortality patterns, stratified by birth weight, and their variation across hospitals.FindingsDuring the 354 hospital months study period, 90 222 patients were admitted to the 14 hospitals contributing NBU and general paediatric ward data. 46% of all the admissions were neonates (aged 0–28 days), but they accounted for 66% of the deaths in the age group 0–13 years. 41 657 inborn neonates were admitted in the NBUs across the 16 hospitals during the study period. 4266/41 657 died giving a crude mortality rate of 10.2% (95% CI 9.97% to 10.55%), with 60% of these deaths occurring on the first-day of admission. Intrapartum-related complications was the single most common diagnosis among the neonates with birth weight of 2000 g or more who died. A threefold variation in mortality across hospitals was observed for birth weight categories 1000–1499 g and 1500–1999 g.InterpretationThe high proportion of neonatal deaths in hospitals may reflect changing patterns of childhood mortality. Majority of newborns died of preventable causes (>95%). Despite availability of high-impact low-cost interventions, hospitals have high and very variable mortality proportions after stratification by birth weight.

Sign in / Sign up

Export Citation Format

Share Document