Abstract

ObjectiveThe aim of this study was to examine the association between husband involvement and maternal awareness and knowledge of newborn danger signs. This cross-sectional study was conducted in three rural hospitals of Bangladesh among the recently delivered women (RDW).ResultsRDW were interviewed to determine their knowledge and understanding of seven key neonatal danger signs. About 51.4% of the respondents were able to identify at least one danger sign. ‘Fever’ was the most correctly identified (43.7%), and hypothermia was the least (26.1%) identified danger sign. The factors associated with RDW possessing knowledge of at least one neonatal danger sign were: secondary education (COR: 1.3, 95% CI 1.1–1.6), increased ANC visits (COR: 1.2, 95% CI 1.1–1.3), previous history of facility delivery (COR: 1.3, 95% CI 1.1–1.4), and husband involvement in the mother’s facility delivery (COR: 1.3, 95% CI 1.1–1.5). RDW were more likely to recall at least one newborn danger sign (AOR: 1.2, 95% CI 1.1–1.4) when the husband was actively involved in his wife’s antenatal, delivery and postnatal care. In conclusion, this study found that husband involvement was significantly associated with the maternal knowledge related to identification of neonatal danger signs.

Highlights

  • Of the estimated 5.9 million under-five deaths in 2015, about 45% of children died in the neonatal period

  • We found associations with secondary education (COR: 1.3, 95% CI 1.1–1.6), increased antenatal care (ANC) visits (COR: 1.2, 95% CI 1.1–1.3), previous history of facility delivery (COR: 1.3, 95% CI 1.1–1.4), and husbands involvement in care (COR: 1.3, 95% CI 1.1–1.5) with having the maternal knowledge of at least one neonatal danger sign (Table 3)

  • This study found a significant association between husband involvement and maternal knowledge of newborn danger signs

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Summary

Results

Participant’s characteristics The mean age of the participants was 23.7 (± 8.6) years. Factors influencing husband’s involvement in facility delivery As shown in the bivariate logistic regression analysis, factors that were significantly associated with the husband’s participation in the facility delivery (secondary outcome variable) included: increased age (COR: 1.4, 95% CI 1.2–2.1), semi-urban residence (COR: 1.3, 95% CI 1.1–1.5), secondary education (COR: 1.1, 95% CI 1.0–1.3), use of ANC services (COR: 1.2, 95% CI 1.1–1.3), and previous history of facility delivery (COR: 1.5, 95% CI 1.2–1.6). We found associations with secondary education (COR: 1.3, 95% CI 1.1–1.6), increased ANC visits (COR: 1.2, 95% CI 1.1–1.3), previous history of facility delivery (COR: 1.3, 95% CI 1.1–1.4), and husbands involvement in care (COR: 1.3, 95% CI 1.1–1.5) with having the maternal knowledge of at least one neonatal danger sign (Table 3). CI 1.1–1.4) was associated with an increased maternal knowledge of newborn danger signs

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