Abstract
BackgroundQuality of essential newborn care is defined as the extent of health care services to improve the health of newborns. However, studies are scarce regarding the quality of newborn care implementation. Therefore, this study aimed to measure the magnitude and factors associated with essential newborn care implementation perceived quality among health facility deliveries in Northwest Ethiopia.MethodsA facility-based cross-sectional study design was employed to collect data from 370 randomly selected deliveries in 11 health facilities from November 2018 to March 2019. Essential newborn care implementation perceived quality was assessed in two domains (delivery and process) from clients’ perspectives. A pre-tested interviewer-administered structured questionnaire was adopted from different kinds of literature and guidelines. The research data were collected by trained midwives and nurses. A binary logistic regression model was used to identify associated factors with newborn care implementation perceived quality. Odds ratio with 95% CI was computed to assess the strength and significant level of the association at p-value < 0.05.ResultsAbout 338 mothers completed the interview with a response rate of 97.1%. The mean age of the study participants was 26.4 (SD = 5.7) with a range of 12 and 45 years. Most mothers, 84.3%, have attended antenatal care. The overall implementation perceived quality of essential newborn care was found to be 66.3%. The implementation perceived quality of cord care, breast-feeding and thermal care was 75.4, 72.2 and 66.3% respectively. Newborn immunization and vitamin K administration had the lowest implementation perceived quality i.e. 22.4 and 24.3% respectively. Friendly care during delivery (AOR = 5.1, 95% CI: 2.4, 11.0), partograph use (AOR = 3.0, 95% CI: 1.1, 8.6), child immunization service readiness (AOR = 2.9, 95% CI: 1.5, 5.7), BEmEONC service readiness (AOR = 2.1, 95% CI: 1.2, 3.9) and facing no neonatal illness at all (AOR = 4.2, 95% CI: 1.6, 10.9) were significantly associated with good essential newborn care implementation qualities.ConclusionsThe perceived quality of essential newborn care implementation was low in the study area. This is associated with poor readiness on BEmEONC and child immunization services, unfriendly care and not using partograph during delivery. Hence, availing the BEmEONC and the child immunization service inputs, continuous training and motivation of healthcare workers for friendly care are vital for improving essential newborn care implementation perceived quality.
Highlights
Quality of essential newborn care is defined as the extent of health care services to improve the health of newborns
This study aimed to measure the magnitude and factors associated with essential newborn care implementation perceived quality among health facility deliveries in Northwest Ethiopia
75.2% Process Quality partograph use, child immunization, and BEmEONC service readiness, having ≥ 2500 g birth weight, delivering in a health center, and facing no neonatal illness at all were the factors significantly associated with good essential newborn care implementation perceived quality
Summary
Quality of essential newborn care is defined as the extent of health care services to improve the health of newborns. Studies are scarce regarding the quality of newborn care implementation. This study aimed to measure the magnitude and factors associated with essential newborn care implementation perceived quality among health facility deliveries in Northwest Ethiopia. Ensuring the quality of newborn care during delivery is crucial to improve health outcomes and reduce preventable mortality and morbidity among newborns. Access to institutional delivery care and the presence of skilled birth attendants have increased globally, a substantial proportion of newborns experience many avoidable deaths within health facilities due to quality issues [1]. Essential Newborn Care (ENC) is a set of measures every newborn baby needs regardless of its birthplace and size. Components of ENC and neonatal resuscitation are proven interventions for reducing neonatal mortality rate and stillbirth rate [6]
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