The shadow challenges to improve the state essential newborn care practices in healthcare providers: evidence from a multicentre cross-sectional study in Ethiopia

Ermias Sisay Chanie,Demeke Mesfin Belay,Fisha Alebel Gebreeyesus,Demewoze Kefale Mekone,Aragaw Tesfaw,Melkamu Senbeta,Abenezer Melkie,Tekalign Amera Birlie,Biruk Demissie,Amare Kassaw,Biniam Minuye Birhan,Wubet Alebachew Bayih

doi:10.1186/s12887-021-02903-w

Ermias Sisay Chanie, Demeke Mesfin Belay + Show 10 more

Open Access

https://doi.org/10.1186/s12887-021-02903-w

Copy DOI

Abstract

BackgroundNeonatal mortality can be reduced by providing essential newborn care. However, it is overlooked by most healthcare providers in Ethiopia. Hence, this study aims to examine immediate essential newborn care practices and associated factors among healthcare providers in Ethiopia.MethodsInstitution-based cross-sectional study was conducted among 214 healthcare providers from November 11 to December 19, 2020, at a selected South Gondar health facility. Data were entered into Epi-data 4.2 and then exported to STATA14.0 for analysis. Both bivariable and multivariable logistic regression with a 95% confidence interval were computed. The variable that had a p-value less than 0.25 in bivariable logistic regression was entered into the multivariable logistic regression. In multivariable logistic regression, variables having a p-value < 0.05 were considered a statistically significant association with the poor practice of essential newborn care practice.ResultsThe overall essential newborn care practice among healthcare providers was found to be 74.8% (95% CI: 68.4, 80.2). Diploma educational status (AOR = 7.8, 95% CI:2.80–21.9), presence of workload (AOR = 9.7, 95% CI: 2.76–23.9), unavailability of drugs and vaccines (AOR = 9.8, 95% CI: 6.95–17.7), and having no training (AOR = 3.9, 95% CI: 1.73–8.92) were found to be predictors for poor essential newborn care practices.ConclusionEssential newborn care practice among healthcare providers at South Gondar health institutions was found to be low. Being diploma educational status, presence of workload, unavailability of drugs and vaccines, and having no training were found to be independent predictors for poor practice of essential newborn care. Hence, periodic evaluation and strategies are needed for those predictor variables to address the gaps.

Highlights

Neonatal mortality can be reduced by providing essential newborn care
Many neonatal mortalities can be reduced by providing essential newborn care. It is overlooked by most healthcare providers in Ethiopia [13]
The odds of poor practice essential newborn care among diploma healthcare providers were 3.0 times higher as compared to degree or above healthcare providers (AOR = 3.0, 95% CI: 12.8–71.8)

Summary

Introduction

Neonatal mortality can be reduced by providing essential newborn care. It is overlooked by most healthcare providers in Ethiopia. Essential newborn care practices significantly reduce mortality and morbidity risk for the neonate, for very small newborns [2,3,4]. Skilled care during labor can prevent about 50% of newborn mortality by reducing complications. Likewise, it can prevent 75% of newborn deaths in the postnatal period [5]. Poor essential newborn care practice among healthcare providers, mainly in the resourcelimited setting, is a great challenge to achieving the goal [5, 7, 8]. Most healthcare providers give little attention, mainly in resource-limited settings [5, 9, 10]

Objectives

Methods

Results

Discussion

Conclusion