Essential newborn care practice and associated factors among health care providers in Northeast Ethiopia: a cross-sectional study

Betregiorgis Zegeye,Tadesse Tsehay Tarekegn,Gebrehana Ashenef,Mitku Mammo Taderegew,Akine Eshete

doi:10.1186/s13690-021-00613-4

Betregiorgis Zegeye, Tadesse Tsehay Tarekegn + Show 3 more

Open Access

https://doi.org/10.1186/s13690-021-00613-4

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Abstract

BackgroundGlobally, 2.7 million children die during the neonatal period annually. Ethiopia is one of the ten countries with the highest number of neonatal deaths. The practice of poor essential newborn care contributes to the problem. Hence the study was conducted to assess the essential newborn care practice and associated factors among health care providers from selected health facilities in Northeast Ethiopia.MethodsFacility-based cross-sectional study was conducted among health care providers working in selected health facilities in Northeast Ethiopia from February-25 to March-25, 2019. Data were collected by a pre-tested questionnaire and an observational checklist. Then data were edited into Epi-data-7.2.0.1 and analyzed by using SPSS-25 software. The degree of association was assessed using binary logistic regression analysis. P-value < 0.05 was considered statistically significant.ResultsA total of 256 health care providers were included in the study. Overall, 62.9% (95%CI: 57.0–68.8%), and 73.8% (95%CI: 68.4–79.2%) of the health care providers had adequate knowledge and good practice on essential newborn care activities, respectively. The presence of supportive supervision (AOR = 2.09, 95%CI = 1.07–4.11), the interest of health care providers to work at delivery room (AOR = 1.97, 95%CI = 1.00–3.88), and availability of vitamin-K (AOR = 4.81, 95%CI = 1.07–21.64) were significantly associated with essential newborn care practices.ConclusionsA significant number of health care providers had inadequate knowledge and poor practice of essential newborn care. Availability of vitamin-K, the interest of the health care providers to work in the delivery room and the presence of supportive supervision were the factors affecting essential newborn care practice. Hence, giving in-service training, supportive supervision, and providing supplies should be strengthened to enhance essential newborn care activities.

Highlights

2.7 million children die during the neonatal period annually
All the health care providers who were working in maternal and child health (MCH) unit at selected health facilities were eligible for the study, whereas those health care providers who were assigned in MCH units but not participate in immediate newborn care activities during the study periods were excluded from the study
Are there different supplies and drugs being available in this health facility to provide essential newborn care (ENBC)?

Summary

Introduction

2.7 million children die during the neonatal period annually. Ethiopia is one of the ten countries with the highest number of neonatal deaths. An estimated 2.5 million neonates die every year, approximately 7000 deaths every day. 98% of neonatal deaths occur in developing regions [1, 2]. The risk of neonatal deaths is highest in Africa (41 deaths per 1000 live births). The sub-Saharan regions of Eastern, Western, and Central Africa have between 42 and 49 neonatal deaths per 1000 live births. Ten countries account for 67% of the total newborn deaths from the global total neonatal deaths. Ethiopia is ranked at the sixth among ten countries with the highest number of neonatal deaths [3, 4]

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