Knowledge Of Essential Newborn Care Research Articles

Newborn care knowledge and practices among care givers of newborns and young infants attending a regional referral hospital in Southwestern Uganda.

A child born in developing countries has a 10 times higher mortality risk compared to one born in developed countries. Uganda still struggles with a high neonatal mortality rate at 27/1000 live births. Majority of these death occur in the community when children are under the sole care of their parents and guardian. Lack of knowledge in new born care, inappropriate new born care practices are some of the contributors to neonatal mortality in Uganda. Little is known about parent/caregivers' knowledge, practices and what influences these practices while caring for the newborns. We systematically studied and documented newborn care knowledge, practices and associated factors among parents and care givers. To assess new born care knowledge, practices and associated factors among parents and care givers attending MRRH. We carried out a quantitative cross section methods study among caregivers of children from birth to six weeks of life attending a regional referral hospital in south western Uganda. Using pretested structured questionnaires, data was collected about care givers' new born care knowledge, practices and the associated factors. Data analysis was done using Stata version 17.0. We interviewed 370 caregivers, majority of whom were the biological mothers at 86%. Mean age was 26 years, 14% were unemployed and 74% had monthly earning below the poverty line. Mothers had a high antenatal care attendance of 97.6% and 96.2% of the deliveries were at a health facility Care givers had variant knowledge of essential newborn care with associated incorrect practices. Majority (84.6%) of the respondents reported obliviousness to putting anything in the babies' eyes at birth, however, breastmilk, water and saliva were reportedly put in the babies' eyes at birth by some caregivers. Hand washing was not practiced at all in 16.2% of the caregivers before handling the newborn. About 7.4% of the new borns received a bath within 24 hours of delivery and 19% reported use of herbs. Caregivers practiced adequate thermal care 87%. Cord care practices were inappropriate in 36.5%. Only 21% of the respondents reported initiation of breast feeding within 1 hour of birth, Prelacteal feeds were given by 37.6% of the care givers, water being the commonest prelacteal feed followed by cow's milk at 40.4 and 18.4% respectively. Majority of the respondents had below average knowledge about danger signs in the newborn where 63% and mean score for knowledge about danger signs was 44%. Caretaker's age and relationship with the newborn were found to have a statistically significant associated to knowledge of danger signs in the newborn baby. There are variable incorrect practices in the essential new born care and low knowledge and awareness of danger signs among caregivers of newborn babies. There is high health center deliveries and antenatal care attendance among the respondents could be used as an opportunity to increase caregiver awareness about the inappropriate practices in essential newborn care and the danger signs in a newborn.

Assess the Effect of Educational Intervention Regarding Knowledge of Essential New-born Care among the G.N.M 3rd Year Students

Objectives: To assess the knowledge on essential new-born care among the G.N.M 3rd Year nursing students. To evaluate the effectiveness of planned teaching programme regarding knowledge of Essential New-born Care. To associate the Pre-test- Post-test level of knowledge of students regarding Essential New-born Care. Materials and Methods: The Pre- experimental with one group pre-test post-test design was used on 75 students of class G.N.M 3rd year were included in the study, each student were given structured teaching program on essential new-born care. The socio demographic data was collected. The knowledge level of students of G.N.M 3rd year was assessed by structured questionnaire. Descriptive statics and inferential statistics were used to analyses the data. Results: Findings related to planned teaching program by comparing pre-test and post-test knowledge level of the students of G.N.M 3rd year students. There was no significant association exist in age group of 17-35 years at p value <0.05. According to knowledge level of pre-test among 75 students of age group 17-35 years, the 2.7% students were having inadequate knowledge 88% were having moderately adequate knowledge and 9.3% were having adequate knowledge regarding selected aspects of essential new born care. According to post-test level of knowledge, the 0 %students were having inadequate knowledge. 22.7% students were having moderately adequate knowledge and 77.3% were having adequate knowledge regarding selected aspects of essential new-born care. The data shows that there was significant difference between level of knowledge with age (1.380), education (1.614), previous knowledge (0.353), source of knowledge (2.730), place of residence (0.215). Conclusion: The following conclusions were made on the basis of the finding of the study: there was significant difference in the pre-test and post-test knowledge level regarding selected aspect of essential new-born care.There was no significant association existing in students of age group 17-35 years at p value< 0.05. According to knowledge level of pre-test among 75 students of age group 17-35 years, the 2.7% students were having inadequate knowledge 88% were having moderately adequate knowledge and 9.3% were having adequate knowledge regarding selected aspects of essential new born care. According to post-test level of knowledge, the 0 %students were having inadequate knowledge. 22.7% students were having moderately adequate knowledge and 77.3% were having adequate knowledge regarding selected aspects of essential new born care There was no significant association existing in knowledge level of students of age group 17-35 years at p<0.05.

Knowledge Analysis of Postnatal Mother about Essential Newborn Care with Incidence of Postpartum Blues: A Cross-Sectional Study

Stress in the postpartum period can cause anxiety, fatigue, and decreased self-care associated with an increased risk of postpartum depression. In Indonesia, the incidence of postpartum blues is between 50-70%. This study assessed knowledge of essential newborn care among postnatal mothers and identified the incidence rate of postpartum blues. This cross-sectional study was conducted in Bengkulu city. Respondents of this research were 57 mothers who met the criteria included in the 2 weeks postpartum in Public Health Facilities. Mother’s knowledge was measured by Essential Newborn Care Questionnaire. The symptoms of postpartum blues were measured by the Edinburg Postnatal Depression Scale (EPDS). The contingency coefficient shows a relationship between mother’s knowledge about essential newborn care and the incidence of postpartum blues (p = 0.002; r = 0.380). The multiple logistic regression proved that knowledge is the main risk factor of postpartum blues (p 0.007; OR 6.039). The results of this study indicate that there is a significant relationship between maternal knowledge about essential newborn care and postpartum blues with a weak relationship. Those with poor knowledge, who are 6.039 times more risky than those with good knowledge, should be targeted for newborn care education.

Assessing Essential New-Born Care Knowledge, Skills and Associated Factors among Nurses/Midwives in Zanzibar: A Cross-Sectional Study.

Essential newborn care (ENC) is one of the significant strategies for neonatal survival, especially immediately after delivery. Nurses and midwives are the key healthcare providers who care for neonates immediately after birth, their knowledge and skills on ENC are very important for the preventable causes of neonatal deaths. Therefore, this study aimed to assess essential newborn care knowledge and skills among nurses/midwives in Zanzibar. A hospital-based analytical cross-sectional study that included 246 nurses-midwives was conducted in Zanzibar from January to February 2021. The purposive sampling method was used to select district and regional hospitals. Simple random sampling was used to select primary health facilities. A systematic random sampling technique was used to select study participants. A standard structured self-administered questionnaire was used. Predictors of knowledge and skills of ENC were determined using Binary Logistic regression under multivariate analysis using SPSS version 23.0. P<.05 was considered to be significant. Among the total (246) participants, 89 (36.2%) and 66 (26.8%) had adequate knowledge and appropriate skills of ENC, respectively. Having a BSc in Nursing (AOR = 8.83, 95%CI = 2.00-38.96) and the presence of guidelines (AOR = 3.52, 95%CI = 1.59 -7.80) were significantly associated with knowledge of ENC. Residing in Pemba (AOR = 0.30, 95%CI = 0.11-0.80), availability of staff (AOR = 0.80, 95%CI = 0.02-0.32), adequate knowledge (AOR = 2.80, 95%CI = 1.15-6.84) were factors significantly associated with ENC skills. Generally, nurses-midwives had suboptimal knowledge and skills on essential newborn care. Nurses-midwives are in urgent need of positive supportive supervision and low-dose- high-frequency skills training in ENC for the prevention of neonatal morbidity and mortality. Also, policymakers should be aware of this gap and should plan necessary interventions to close the gap to resecure newborns' survival.

Assessment of knowledge and practice of gynecology/obstetrics residents and midwives towards essential newborn care At Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia

Background: A time-bound and chronologically ordered series of medical interventions that a baby receives at birth are referred to as the "essential newborn protocol." This period of immediate care is critical for the babies' subsequent well-being and adaptation. However, there are still reports of health workers lacking good knowledge and practice with newborn care, which was not investigated in our hospital. &#x0D; Methods: A hospital-based cross-sectional study was conducted in TASH with 114 selected gynecology and obstetrics residents and midwives. Using the SPSS version 25 software package, continuous data were described using the mean and standard deviation, while categorical data were de-scribed using frequency and percentage. To identify factors related to knowledge and practice, multivariable binary logistic regression analyses were used. &#x0D; Result: Eighty-eight residents and 26 midwives were included. Nearly a quarter (24.6%) of participants had good knowledge about essential newborn care. Regarding knowledge level by profession, 31.8% of the residents had good knowledge of essential newborn care, and all the midwives had poor knowledge. The odds of having good knowledge of ENC were 96.3% lower for first-year residents and 90.5% lower for second-year residents as compared to year four. Untrained participants had an 84 percent lower chance of having good knowledge of essential newborn care than trained participants. Regarding practice level by profession, more than two-thirds of 68 (77.3%) residents and 21 (80.8%) midwives had sufficient skill in essential newborn care. &#x0D; Conclusion: A substantial number of healthcare providers lacked essential newborn care knowledge and practice. The availability of service or on-the-job training, as well as the year of residency, were factors influencing newborn care knowledge. In-service training, encouraging supervision, and provisions should be reinforced to improve newborn care activities.

Predictors of knowledge and practice of newborn care among post-natal mothers attending immunisation clinics in Southeast Nigeria.

Evidence-based newborn care practice recommended by WHO reduces neonatal mortality and improves neonatal outcomes. This study assessed the knowledge, practice-associated factors and predictors of essential newborn care among post-natal mothers in two primary health care centres in Southeast Nigeria. A cross-sectional total population study. Two primary health care centres in two local government areas in Southeast Nigeria. Post-natal mothers who attended immunisation clinics. Quantitative data was collected over four weeks from 400 post-natal mothers. Chi-square test and logistic regression were carried out for associations and predictors, respectively. Analytical decisions were taken at p<0.05 and 95% confidence interval. Knowledge, attitude, the practice of essential newborn care; predictors of practice. Mean age of participants was 28.68±5.4. The majority (78.9%) had been counselled on newborn care and 85.2% delivered in a formal health facility. The majority (77%) had good knowledge of essential newborn care and practices (61%). More than half (62.3%) reported support from health workers. Predictors of good practice were older age (AOR: 0.435; 95%CI: 0.212-0.893), being married (AOR: 8.095; 95%CI: 3.732-17.558), living in the urban area (AOR: 0.478; 0.291-0.784), and having good knowledge of newborn care (AOR: 0.239; CI: 0.139-0.411). Good practice was identified in the majority. Being married, older, living in urban areas and having good knowledge were predictors of good practice. Health facility delivery, continuous support by health workers and post-natal education to mothers in rural areas are recommended policy priorities. None declared.

Knowledge of nurses on neonatal sepsis: a tertiary teaching hospital-based study

Neonatal sepsis is a significant cause of morbidity and mortality in hospitalized newborns and premature infants. Therefore, knowledge of essential newborn Care (ENC) is important for a newborn's survival, growth and development.&#x0D; The aim of this study was to assess the knowledge of nurses regarding essential newborn care in our Special Care Neonatal Unit (SCNU).&#x0D; Methods: A descriptive cross-sectional study was conducted between 1st September 2021 and 30th November 2021 among the nurses working in SNCU of Government Medical College and Hospital (GMC), Doda, Jammu and Kashmir, India. Data were was collected using a pre-tested questionnaire by purposive sample. Collected data were checked, and coding was done and analyzed using SPSS 20 software.&#x0D; Results: 72.0 % of nurses were of the age group of 21–30 years. The majority (74 %) were females, 78 % had completed B Sc Nursing, and 66 % had experience of 2 to 4 years. Most of the nurses had good knowledge about ENC, about basic equipment’s used in SNCU, and about advanced equipment’s or procedures had less knowledge. All nurses answered bacteria correctly as a causative organism of neonatal sepsis.&#x0D; Conclusions: Most of the nurses working in the SCNU of GMC Doda had good knowledge regarding ENC. The knowledge appeared irrespective of their age, gender, religion, educational status, working place and special courses/training in neonatology.

Knowledge of essential newborn care and neonatal danger signs amongst post-natal mothers in Dar es Salaam, Tanzania.

BackgroundTanzania has high infant mortality. Essential newborn care (ENC) and neonatal danger indicators are vital for reducing neonatal morbidity and mortality. This study examined postnatal moms’ knowledge of ENC and neonatal danger indicators in Dar es Salaam.MethodsPost-natal moms from four hospitals in Dar es Salaam, Tanzania, participated in a hospital-based, cross-sectional study employing sequential sampling. Interviewees completed a structured questionnaire. SPSS 20.0 was used for data analysis. We employed frequencies to summarize ENC and neonatal risk signs knowledge. When the pvalue was less than 0.05, statistical significance was assumed for the adjusted odds ratio.ResultsThere were 825 people registered. Most were married (71.8%) and had a primary education (59%). Over 85% of women visited the prenatal clinic at least four times, however only 33.1% received ENC education during ANC visits and 70.5% following birth. Nurses and midwives trained 86% of them. 64.2% of postnatal mothers were ENC-savvy. Fever and difficulty to breastfeed were the most prevalent neonatal risk signals. Participants who did not receive ENC education before delivery were 1.74 times more likely to have bad knowledge (AOR 1.74 [95% CI (1.22-2.49)], p0.002), while moms who did not obtain education after delivery were 4.2 times more likely to have poor knowledge (AOR 4.20 [95% CI 3.00-5.88]).ConclusionsOver 35% of postnatal mothers lacked ENC and newborn danger sign awareness. Prenatal and postnatal education increased maternal knowledge. Before and after delivery, ENC and neonatal risk indicators should be emphasized.

Assessing essential new born care practice and associated factors in mothers who gave birth within the last 6 months in east badewacho woreda, hadiyya zone, Ethiopia

Background: Every year, more than 2.7 million new-borns die before reaching neonatal age in the world, with the majority of these deaths occurring at home. Surprisingly, half of these occur within the first 24 hours of delivery, and 75% occur in the early neonatal period. One low-cost approach to improving new-born baby health outcomes is to promote essential new-born care practices. Objective: Thus, the purpose of this study was to evaluate essential new-born care practices and associated factors among mothers who gave birth within the last 6 months in East Badewacho woreda, Hadiyya zone. Methods: From March 1 to April 30, 2018, a community-based cross-sectional study was designed. The sampled population consisted of 399 mothers who had live births within the previous six months, as determined by a multistage random sampling technique. The data was collected using a semi-structured questionnaire and entered into Epi-data version 3.1 before being exported to SPSS version 21 for analysis. A binary logistic regression analysis with a 95% confidence interval was performed. Results: Less than half of the mothers (34.1 %) practice essential new-born care. The husband's educational status [AOR=0.24, CI (0.089, 0.64)] and [AOR=0.314, CI (0.126, 0.78)], place of delivery [AOR=0.024, CI (0.009, 0.068)] and knowledge of essential new-born care [AOR=2.03, CI (1.223,3.371)] were significant predictors of essential new-born care practice. Conclusion: The study's findings revealed that essential new-born care was not widely practiced in East Badewacho Woreda. As a result, strengthen the link between health centers and health posts in order to increase ANC, institutional delivery, and PNC service utilization.

Knowledge of Essential Newborn Care Among Rural Mothers

Background: Components of essential newborn care and neonatal resuscitation are proven interventions for reducing neonatal mortality and stillbirth. Objective: To assess the level of knowledge of essential newborn care among the rural mothers. Methods: This cross-sectional study was carried out during January - December 2019 in Panchagarh district of the Rangpur division in Northern Bangladesh. A total of 354 rural postnatal mothers were purposively selected for the study. Rural mothers were interviewed with a semi-structured pre-tested questionnaire. Results: The mean age of the mothers was 22.1±3.2 years where 33.1% were illiterate and 83.3% were house wives. Majority of the mothers (76.3%) had taken antenatal care visit,48.3% delivered their children at home, 70.9% had normal delivery and 56.5%had taken postnatal care. Only few mothers (11.0%) knew about kangaroo cares, 83.9%mothers did not know that baby should be given first bath after 24 hours of birth, 26.3%mothers knew that the umbilical stump of baby should not be covered a cloth/bandage. Majority of the mothers (57.1 %) knew that one should start breast feeding immediately after birth and 62.4 %mothers knew that one should start vaccination just after birth. Less than half of the mothers (41.2 %) knew that one should not use any substance like Kajol to eyes. Majority of the mothers (59.3%) had inadequate knowledge regarding ENC while 40.7% had adequate knowledge. Literate mothers involved in job, family members &lt;6 with monthly family income &gt; 20,000 taka had significantly more adequate knowledge than others (p&lt;0.001). Again, mothers who took ANC, delivered their babies at private hospitals, underwent cesarean section and took postnatal care had significantly more adequate knowledge than others (p&lt;0.001). Conclusion: Majority of the mothers had inadequate knowledge regarding essential new born care. Health education and behavioral change communications on essential newborn care are recommended. Health workers should give special emphasis on thermal care by Kangaroo care, naval care and early breast feeding. Bangladesh Med Res Counc Bull 2021; 47(1): 34-41

Magnitude and Determinants of Postnatal Mothers' Knowledge of Essential Newborn Care at Home in Rural Ethiopia.

IntroductionGlobally, nearly three million children die in the neonatal period. Although there is scant information about rural mothers, the enhancement of mothers' knowledge and skills toward essential newborn care (ENC) is a vital aspect in the reduction of newborn illness and mortality. Thus, this study aimed to assess the magnitude and determinants of mothers' knowledge of ENC.MethodsA community-based cross-sectional study was conducted among recently delivered women using a multistage sampling method in Chole woreda. Data were collected via face-to-face interviews. A multivariate logistic regression model was used to identify the determinant factors with the level of knowledge. Odds ratios with a 95% confidence interval was used to describe association and significance was determined at a P-value < 0.05.ResultsData from 510 mothers were employed for analysis. Overall, 33.5% (95% CI: 29.4, 37.6) of the mothers had good knowledge of ENC. Antenatal care (ANC) visits [AOR: 2.42; 95% CI: (1.50, 3.88)], counseled about ENC during ANC [AOR: 5.71; 95% CI: (2.44, 13.39)], delivery at health institutions [AOR: 2.41; 95% CI: (1.30, 4.46)], religion [AOR 1.99, 95% CI: (1.25, 3.16)], and educational level [AOR = 1.64 95% CI: (1.10, 2.51)] were significantly associated with knowledge of ENC. About 74, 75, and 41% of mothers practiced appropriate cord care, breastfeeding, and thermal care, respectively.ConclusionThree out of 10 mothers had a good level of knowledge of ENC. Knowledge gaps identified pertained to cord care, breastfeeding, and thermal care. There is opportunity to enhance maternal knowledge of ENC through improving access to ANC and institutional delivery.

Assessment of Factors Associated with Practice and Knowledge of Essential Newborn Care Among Nurses and Midwives, Western Ethiopia, 2021.

Background: Promoting basic newborn care skill and practice is a cost-effective approach to improving newborn health outcomes. Objective: Intended to assess factors associated with Practice of Essential newborn care in western Ethiopia, 2021. Methods: Institutional based cross-sectional study design was conducted. Data was collected by interviewer administered structured questionnaires, entered by Epi-data 3.1version and analyzed by using SPSS version 26. The strength of association between independent and dependent variables was measured by odd ratios with 95% CI at p-value of &lt; 0.05. Conclusion: The Mean value of good score of essential newborn care practice was 41.5% with [95% CI (38.3, 48.5)]. Training, educational qualification, availability of newborn care materials and work experience were significantly associated with knowledge and practice of essential newborn care. Since practice of essential newborn care was low compared to other studies in Ethiopia identified interventional area should be focused by the stake holders.

A Descriptive Study to Assess the Knowledge regarding essential new born care among the nursing students of selected colleges in Jalandhar, Punjab with a view to Develop Self – Instructional Module 2019-2020

A descriptive study to assess the knowlegde regarding essential newborn care among the nursing students of sekected colkeges in Jalandhar, Punjab with a view to develop self-instructional module 2019-2020. The objectives of the study were: a) To assess the knowledge regarding essential newborn care among nursing students. b) To find out the association between knowledge level with selected demographic variables among nursing students. c) To develop a self-instructional module regarding essential newborn care.The descriptive research design was adopted to accomplish the objectives of the study to assess the knowledge of essential newborn care among the 60 nursing students of the army college of nursing, Jalandhar Cantt. The sample was chosen by using a purposive sampling technique and the data collected by using a self-structured knowledge questionnaire. The data were analyzed with objectives by using descriptive and inferential statistics such as frequency, percentage mean, and chi-square test.The major findings of the present study reveal that maximum nursing student i.e. 66.66% have very good knowledge and 33.33% have good knowledge as per the data collected through self-questionnaire scores. As per the demographic variables of the nursing students, distribution of nursing students according to their exposure in the Labor room and NICU shows that most of the nursing students i.e. 66.66% of them were posted to the Labor room and NICU for 1-10 days, 20% were posted for 11-20 days and 13.33% for 21-30 days and exposure in postnatal unit shows that most of the nursing students i.e. 53.33% were posted in a postnatal unit for 1-2 weeks, 38.33% were posted for 2-3 weeks and 8.3% for 3-4 week and according to their source of information regarding essential newborn care shows that most of the students i.e. 70% learned from clinical experience, 28.33% learned from textbooks and 1.66% learned from mass media. Also there is no significant association between selected demographic variables and knowledge score among the nursing students of selected college of Jalandhar.

Knowledge of Nurses Regarding Essential Newborn Care in Special Care Neonatal Units (SCANU) of Different Hospitals of Chattogram, Bangladesh

Background: The advancements in intensive care in recent decades have enabled better survival of newborn. Knowledge of essential newborn care is important for the survival, growth, and development of a newborn. In spite of its essentiality, most health-care professionals do not know and follow the World Health Organization recommendation.&#x0D; Aim and objectives: The aim of this study was to assess the knowledge of nurses regarding essential newborn Care in Special Care Neonatal Units (SCANU).&#x0D; Materials and methods: This observational study was conducted among the nurses working in SCANU of Chattogram Medical College and Hospital, Chattogram Maa- O- Shishu Hospital and Bangabandu memorial hospital of University of Science and Technology, Chattogram (USTC) for 6 months. Purposive sampling technique were applied for selecting the sample. A structured data sheet was predesigned to collect data. Knowledge regarding Essential Newborn Care among the nurses graded as satisfactory or not satisfactory.&#x0D; Results: In this study it was observed that 69.0% nurses had completed diploma in nursing and midwife education, B. Sc in nursing 11.0%, diploma in nursing 7.0%. 56.0% nurses attended special courses/training in neonatology. 94.75% of the nurses had satisfactory knowledge regarding essential newborn care. 58.0% of nurses washed their hands with disinfectant solution before handling the baby, 99.0% mentioned that the baby must be breast feeding within 1st hour of delivery, 92.0% mentioned that baby must be fed 6 months of exclusive breast feed, 91.0% knew how to stabilize body temperature of low birth weight newborn. The knowledge regarding essential newborn care were almost similar with age, gender, religion, marital status, educational level, working place and attending special courses/training in neonatology.&#x0D; Conclusion: Most of the nurses working in SCANU of both Government and non-government hospitals of Chattogram have good knowledge regarding ENC. This knowledge appeared irrespective of their age, gender, religion, marital status, working place and special courses/training in neonatology.&#x0D; J Bangladesh Coll Phys Surg 2021; 39(3): 185-192

Essential Newborn Care and Associated Factors Among Obstetrical Care Providers in Awi Zone Health Facilities, Northwest Ethiopia: An Institutional-Based Cross-Sectional Study.

BackgroundEach year, millions of newborns die as a result of birth asphyxia, infections, and complications of preterm birth. This burden of death is disproportionately concentrated in low-income countries including Ethiopia. As a result, the care given immediately after birth is crucial for making a successful transition from intrauterine to extrauterine function and to reduce neonatal mortality.MethodsFacility-based cross-sectional study design was carried out on a sample size of 208 obstetrical care providers. A simple random sampling technique was used to select the study subjects. The data were collected through Interview-administered questionnaires and observational checklists. The data were entered into Epi-info version 7 and exported to SPSS 23 for analysis.ResultsA total of 201 obstetric care providers participated in the study, making a response rate of (96.6%). This study revealed that 62.7% of obstetric care providers practiced essential newborn care properly. The factors significantly associated were received in-service training (AOR = 2.7, 95% CI: 1.35, 5.51), level of education (AOR = 0.46, 95% CI: 0.22, 0.96), midwifery profession (AOR = 3.1, 95% CI: 1.35, 7.39), having good knowledge of essential newborn care (AOR = 2.1, 95% CI: 1.03, 4.49), availability of drugs for essential newborn care (AOR = 2.3, 95% CI: 1.16, 4.72), and availability of medical equipment to perform essential newborn care (AOR = 2, 95% CI: 1.01, 3.96).ConclusionThe practice of essential newborn care was generally low. Having in-service training, midwifery profession, a good knowledge of essential newborn care, availability of drugs, level of education, and availability of medical equipment for essential newborn care were the determinant factors for essential newborn care practice. Improvement in essential newborn care practices could be attained through modifiable proven interventions like provision of in-service training, availed drugs, and medical equipment for essential newborn care.

Maternal knowledge of essential newborn care in rural Zambia

Maternity waiting homes (MWHs) may offer an intervention to improve newborn outcomes in rural Zambia. This study compared maternal knowledge of newborn care for women referred from facilities with and without MWHs. Topics assessed included: (1) umbilical cord care; (2) thermal and skin care; (3) nutrition, and; (4) prevention of diarrhea, and; (5) newborn danger signs prompting care-seeking. A two-group comparison design with a convenience sample was employed using a face-to-face interviews at one district hospital. Descriptive, inferential, and multivariate analyses were employed to compare knowledge. Overall, mothers demonstrated newborn care knowledge in accordance with World Health Organization (WHO) guidelines for newborn health and there were no significant differences in maternal knowledge of newborn care practices among MWH and non-MWH users. Younger mothers more often did not know about umbilical cord care, newborn skin care, and newborn danger signs. MWH users went more often for antenatal care than non-MWH users. In both groups, we found as the number of ANC visits increases, odds of answering “Don’t know” decreases. This study is the first to assess maternal newborn care knowledge and MWH use in rural Zambia. Both MWH users and non-users in the rural district were knowledgeable about essential newborn care.

Essential new-born care practices and associated factors among post natal mothers in Nekemte City, Western Ethiopia.

BackgroundNew-born survival is a prominent goal on the global health agenda and an important area of focus for programs seeking to ensure child survival. Geographically, neonatal deaths are most prevalent in Sub-Saharan Africa and southern Asia, accounting for 39% and 38% of all neonatal deaths respectively while Ethiopia in particular has 28% neonatal death. Promotion of essential new-born care practice is one of a cheap approach to improve health outcomes of new-born babies. Thus, this study was aimed to assess the magnitude of essential new-born care practices and associated factors among postnatal mothers in Nekemte city, Western Ethiopia.MethodsAn institution-based cross-sectional study was conducted from February to March, 2017, in Nekemte city, East Wollega Zone. Data was collected from 417 randomly selected mothers who have less than six months infants by face to face interview in three public health institutions of Nekemte City, Ethiopia. Women who were not biological mother to the new-born were excluded from the study. The collected data were coded, cleaned and entered using Epi-Data version 3.1 and analysed using Statistical Package for Social Science (SPSS) version 21.0. Both bivariable and multivariable logistic regression analysis were computed to identify associated factors. The strength of association was measured by odds ratios with 95% confidence interval (CI) at a p-value of < 0.05 and finally obtained results were presented by using simple frequency tables, graphs, and charts.ResultsThe study revealed that the level of essential new-born care practice was 184(44.1%). The overall safe cord care practice of the respondents was 285 (68.3%) while the optimal thermal care practices and good neonatal feeding were 328 (78.7%) and 322 (77.2%) respectively. Having visit to Antenatal Care (ANC) [Adjusted Odds Ratio (AOR) = 4.38, 95% CI = (1.38, 13.94)], knowledge of essential new-born care [AOR = 4.58, 95% CI = (2.93, 7.16)], and counselled about essential new-born care [AOR = 2.32, 95% CI = (1.38, 3.91)] were factors significantly associated with good practices of essential new-born care.ConclusionThis study indicated that the level of essential new-born care practice was unsatisfactory in the study area. Promotion of essential new-born care through the provision of community awareness and provision of counselling on essential new-born care and neonatal danger signs to all pregnant women should be given emphasis.

Determinants of maternal knowledge of neonatal danger signs among postnatal mothers visiting neonatal intensive care unit, north Central Ethiopia, 2019: a cross-sectional study

BackgroundSick neonates can be early readmitted if and only if their mothers have good knowledge of the key neonatal danger signs at first discharge. Thus, it was aimed to assess the level and determinants of maternal knowledge on these signs at first discharge from NICU.MethodsA hospital based cross sectional study design was employed at Debre Tabor General Hospital, South Gondar Zone. A sample of 363 participants was included to the study from September 2018 to February 2019 through systematic selection of every other eligible mother baby pair. Data were collected through face to face interview at time of discharge from NICU. Knowledge score of neonatal danger signs was computed by adding the total number of correct spontaneous responses to 9 key danger signs with a minimum score of 0 and maximum of 9 [0 when a mother named none of the key danger signs and 9 when the mother named all the signs]. Mothers who scored ≥3 points were considered to have good knowledge whereas those scoring less than 3 points had poor knowledge.Results224(61.70%) mothers had good knowledge of neonatal danger signs at discharge from NICU. Secondary and above level of education [AOR = 4.62], receiving danger sign information during stay at NICU [AOR = 3.64], four and above antenatal visits [AOR = 3.04], well preparedness of birth [AOR = 13.70], institutional delivery [AOR = 6.46] and good knowledge of essential newborn care [AOR = 4.41] were significant factors.ConclusionsAt discharge time, maternal knowledge of neonatal danger signs wasn’t comparable to their exposure of NICU environment. Therefore, danger sign education should be routinely given during maternal stay at NICU. Moreover, existing efforts should be enhanced to improve number of antenatal visits, institutional delivery rate and postnatal services along the continuum of maternal and child health care in South Gondar Zone.

Knowledge of Essential Newborn Care and Associated Factors among Nurses and Midwives: A Cross-Sectional Study at Public Health Facilities in Wolaita Zone, Southern Ethiopia, 2019.

Background Knowledge of essential newborn care and proper practice is important for the survival, growth, and development of a newborn. In spite of its essentiality, most health-care professionals do not know and follow the World Health Organization recommendation. Therefore, this study is aimed at assessing knowledge of essential newborn care and associated factors among nurses and midwives working in maternal health case team at public health facilities of Wolaita Zone, Ethiopia, 2019. Methods Institution-based cross-sectional study design was conducted from March to April 2019. Data were collected by using pretested questionnaire, and 36 public health facilities were selected after stratifying them based on their level of service and number of nurses and midwives working in maternal health-care team. All 218 nurses and midwives who were working in the delivery unit from selected facilities were included in the study. The collected data were entered into Epi data 3.02 and exported to statistical software for social sciences version 22 for analysis. Descriptive, bivariate, and multivariate analyses were done. Statistical significance of variables was declared as a p value < 0.05, and strength of association was adjusted odds ratio at 95% confidence interval in the final model. Result A total of 218 nurses and midwives were participated in the study. Among them, 57.9% of participants had good knowledge of essential newborn care. The type of profession (AOR = 5.79, [2.47, 13.58]), educational level (AOR = 3.26, [1.42, 7.52]), interest to work in delivery room (AOR = 4.85, [1.89, 12.42]), and presence of guidelines (AOR = 2.29, [1.18, 4.45]) were the factors significantly associated with having knowledge of essential newborn care. Conclusion and Recommendation. The nurses and midwives had poor knowledge of some components of essential newborn care in the study area. Bachelor level of study, interest to work in delivery room, and being a midwife were the factors independently associated with knowledge of essential newborn care among nurses and midwives. Therefore, the head of labor ward and institution, zonal and woreda health units, and nongovernmental organizations who are working on maternal and child health should work on providing continuous education, providing incentives and motivators to improve interest to work in delivery unit, and providing guidelines in the unit.

Level of Knowledge and Associated Factors of Postnatal Mothers’ towards Essential Newborn Care Practices at Governmental Health Centers in Addis Ababa, Ethiopia

Background. Globally 4 million newborns die every year before they reach the age of one month and approximately 3.4 million newborns die within the first week of life. Of these deaths, 66% occur during the 1st 24 hours. Late death, i.e., after 24 hours, still occurs 34% and may be prevented if mothers have knowledge about newborn care including dangers sign of newborn. Objective. The aim of the study was to assess level of knowledge and associated factors of postnatal mothers towards essential newborn care practices at governmental health centers in Addis Ababa. Methodology. Institutional-based cross-sectional study with internal comparison was conducted using multistage sampling method in AA health centers from December 5 to January 30, 2016. Result. A total of 512 mothers who came for postnatal visit were interviewed using structured pretest questionnaires. Knowledge was assessed using closed and open ended questions. Poor knowledge has strong association with women’s occupation (AOR = 2.10, 95% CI : (1.38,3.20)). Parity of the women was found as one of significant predictors for poor knowledge of essential newborn care. Women who were primiparas are 1.99 times more likely to have poor knowledge of ENC compared to women who were multiparas AOR = 1.99,95% CI: (1.25,3.20). The other significant predictors for poor knowledge of ENC were ANC visit. Women who had less than four antenatal visits were 0.63 times less likely to have poor knowledge than those who visit four times and above. AOR = 0.63, 95% CI:( 0.40,0.99). Conclusion. Maternal education programs should be given emphasis for the components of ENC for mothers’ knowledge gaps. Special emphasis needs to be placed when educating vulnerable groups including those who failed to fully attend antenatal clinic visits.