Knowledge Of Neonatal Danger Signs Research Articles

Knowledge of Neonatal Danger Signs among Postnatal Mothers at Women and New born Hospital - University Teaching Hospitals in Lusaka Zambia.

Purpose: The awareness and identification of neonatal danger signs by mothers play a significant role in a neonate's survival and future health. The survival of neonates is thought to be increased by providing a clear understanding of neonatal danger signs. This study aimed to assess postnatal mothers' knowledge of neonatal danger signs and associated factors. Methodology: A cross-sectional analytical study design was used to conduct a study at Women and Newborn Hospital UTH in Lusaka Zambia with a total number of 150 participants. Participants recruited in the study included all mothers aged 18 and above seeking care at UTH from day six today twenty-eight after delivery. Data was collected using the validated Neonatal Danger Signs Knowledge and Practices Questionnaire (NDSKQ) tool and SPSS version 26 was used to analyse data. A Binary logistic regression analysis was done to identify factors associated with Neonatal danger signs. Findings: Slightly above half (53%) of the respondents had poor knowledge on neonatal danger signs. Age, marital status, educational level, parity, antenatal care attendance and family support system were associated with knowledge on neonatal danger signs with all p values of less than or equal to 0.05. Younger mothers (18-20 years) (56.5%) were more likely to have poor knowledge compared to older mothers. Married mothers (68%) and those who were divorced or widowed (60%) were more likely to have better knowledge compared to single mothers, mothers with tertiary education (60%) had better knowledge compared to those with none/primary education (58%), mothers with more children (66.7%) were less likely to have poor knowledge compared to those with their first child (50%), mothers who attended antenatal care six times or more (67.1%) had better knowledge compared to those who attended five times or less (53.8%) and mothers with a family support system (75%) were more likely to have good knowledge compared to those without (53%) all the associations were statistically significant. Unique contribution to theory, policy and practice: There is need to focus on training in maternal identification of neonatal danger signs. Personalised education for mothers, considering age and education level, and integrating family involvement and cultural competence into care delivery are crucial. Nursing education should advance through specialized curricula, utilizing advanced simulation training and interdisciplinary collaboration to enhance clinical skills in identification of neonatal danger signs and promote maternal awareness of neonatal dangers signs, ultimately improving neonatal health.

Mothers' Knowledge of Neonatal Danger Signs: A Cross-Sectional Study

Aim: This study was performed to investigate mothers' knowledge of neonatal danger signs. 
 Materials and Methods: The present research is a cross-sectional and descriptive study. The study was carried out in a children's hospital in the southeast of Turkey. The study sample consisted of 214 mothers who had infants aged between 0-12 months, did not have communication barriers, and agreed to participate in the study. Data were collected by the face-to-face interview method using the Demographic Information Questionnaire and the Neonatal Danger Signs Information Form. 
 Results: The mean danger signs knowledge score of the mothers was found to be 9.78±3.41. The knowledge of 88.3% of the mothers was at a "good" level. The mothers reported cough and diarrhea as danger signs at the highest rate of 81.8%, fever at a rate of 80.4%, and vomiting and malnutrition at a rate of 79%. The factors affecting the mothers' knowledge of danger signs (high/low) were examined by binary logistic regression analysis, and it was found that income status affected their knowledge (p

Level of knowledge about neonatal danger signs and associated factors among postpartum mothers in public hospitals, northeastern Ethiopia

BackgroundKnowing and seeking medical attention for neonatal danger signs has many benefits for reducing neonatal morbidity and death. Despite numerous interventions that have been made to raise mothers’ awareness about neonatal danger signs, the desired level of knowledge has not yet been reached in Ethiopia. ObjectiveTo assess the level of knowledge of neonatal danger signs and associated factors among postpartum mothers in public hospitals in the Eastern Amhara region, northeastern Ethiopia. MethodsA hospital-based cross-sectional study was conducted in four government hospitals between January 10, 2023, and February 10, 2023.421 participants in the study were selected using a systematic random sampling technique. Face-to-face interviews, observation, and chart reviews were used to collect the data. The association was discovered through multivariate logistic regression analysis. ResultOnly 36.6% (154) of mothers were knowledgeable about newborn danger signs in this study. Mothers who had higher institution status [(adjusted odds ratio) AOR = 3.355, 95% CI (1.751, 6.428)]; who were civil servants or a private employer [AOR = 2.986, 95% CI (1.822, 4.892)] and [AOR = 2.544, 95% CI (1.269, 5.138)]; and who had counseling about breastfeeding [AOR = 2.614, 95% CI (1.695, 4.029)] were positive predictors of awareness of neonatal danger signs. ConclusionIn this study, the level of mothers' awareness of newborn danger signs was low and required more effort. Moreover, mothers who were educated, worked as civil servants or private employers, had a family size of 4–6, and received breastfeeding counseling were linked to mothers’ good awareness of newborn danger signs. As a result, intensive community and facility-based health promotion activities on newborn danger signs should be strengthened, with special emphasis on uneducated and housewife mothers and breastfeeding counseling sessions.

Influence of Husband Involvement during Antenatal Clinic on Knowledge of Neonatal Danger Signs among Mothers Attending Well Baby Clinics in Nakuru County-Kenya: A Quasi Experimental Study

Introduction: Male involvement is associated with improved maternal and newborn outcomes as they play a vital role in decision making in health seeking.
 Objective: To determine the influence of husbands’ accompaniment to the antenatal clinic on maternal knowledge of neonatal danger signs (NDS) after nurses’ capacity building.
 Study design: A quasi experimental study.
 Method: Eight health facilities were selected at random among facilities in Nakuru County. Mothers attending well baby clinics with children <1 year were interviewed using structured questionnaires. Analysis was done using the SPSS software (version 23).
 Results: Two different cohorts of 414 mothers each were interviewed at baseline and at the end with 176 (42.5%) and 200 (48.3%) of mothers respectively being accompanied by husbands for antenatal clinic. At baseline they were likely to identify inability to breastfeed, convulsions and hypothermia as NDS and these were statistically significant with p <0.004, P< 0.003 and P< 0.033 respectively. Identification of more 3 NDS increased from 37 (21%) at baseline to 99 (49.5%) with all mentioning at least one NDS at the end point.
 Conclusion: Male partner accompaniment to antenatal care was found to have a positive correlation to maternal knowledge of NDS with nurses’ capacity building playing a big role.

Neonatal Danger Signs: Knowledge and Its Correlates Among Mothers Attending Child Vaccination Program at Public Health Centers of Southwest Ethiopia

Neonatal danger signs are the indication of the presence of clinically significant risk of neonatal morbidity and mortality which pursues the need for the early assessment and therapeutic interventions. In this regards, the main aim of this study was to examine the status of knowledge about neonatal danger signs and its correlates among mothers attending child vaccination program at public health centers of south west Ethiopia. Facility based cross sectional study was conducted in November, 2020. Four hundred eleven participants were recruited through systematic random sampling. Pre-tested structured questionnaires were used to collect data. Data were entered into Epidata version 3.1 and analyzed by SPSS version 20. Binary logistic regression was employed and explanatory variables with P value < 0.25 in the bivariate logistic regression were included in the multivariable logistic regression model. Adjusted odd ratio was considered to determine association and P value < 0.05 was used to declare statistical significance. As the result indicated, about 34.3% (95% CI: 29-38.9) of participants reported to have good knowledge of neonatal danger signs. Maternal age between 29-32 year (AOR =7.3, 95% CI: 3.7-14.5), being government employee (AOR=2.5, 95% CI: 1.3-4.9), ANC attendance (AOR = 3.95, 95% CI: 2.1-7.52), two or more ANC visits (AOR=3.79, 95% CI: 1.79-8.05) and having ≥ 3 PNC visit during the last delivery (AOR=4.3, 95% CI: 2.14-8.63) were significantly associated with good knowledge of neonatal danger signs. In conclusions, nearly two thirds of participants had poor knowledge of neonatal danger signs which indicates the need for the necessary intervention. Maternal age and occupation, and the trends of ANC and PNC visit were identified as the factors that had linked to the status of maternal knowledge about neonatal danger signs.

Knowledge about neonatal danger signs and associated factors among mothers of children aged 0\u201312\xa0months in a rural county, Southwest of China: a cross-sectional study

BackgroundDelay in care seeking is one of the causes for neonatal death. Mothers’ knowledge of neonatal danger signs is imperative to promote early recognition of neonatal illness and reduce the delay in care seeking. Currently, no study has been conducted on the knowledge about neonatal danger signs in China, especially in economically less developed areas. This study aimed to examine the knowledge of neonatal danger signs and risk factors of poor knowledge among mothers in a rural county of southwest of China.MethodsA cross-sectional study was conducted in Wenshan, a rural county of southwest of China. A total of 112 respondents were included from November 2020 to February 2021 among women who had babies aged 0–12 months and brought their babies to health care centers for immunization within the study period. A questionnaire with 18-item key neonatal danger signs was used to measure their knowledge about these signs. Mothers who scored above average were considered to have relatively good knowledge whereas those who scored below average were considered to have relatively poor knowledge. Independent predictors of mothers’ knowledge were identified by multivariable logistic regression analysis.ResultsThe mean knowledge score of neonatal danger signs of mothers was 18.1 (SD = 8.6). Fifty-eight percentage of mothers (65/112) had poor knowledge of neonatal danger signs. Danger signs of “bluish or pale skin”, “chest indrawing”, and “convulsion” were mostly recognized, whereas danger signs of “not able to feed since birth, or stopped feeding well”, “excessive crying” and “eyes draining pus” were recognized poorly. Less than four antenatal visits [AOR = 4.348], younger than 25 years old [AOR = 3.839], ethnic minority [AOR = 3.956] and family financial difficulty [AOR = 4.944] were significant indicators of relatively poor knowledge.ConclusionsMothers’ knowledge about neonatal danger signs in rural China is poor even though the coverage of maternal and child health care services are expanded. Existing efforts should be enhanced for antenatal care visits, avoiding early marriage as well as early childbearing. More attention should be paid to low-income ethnic minority mothers. Educating and training should be strengthened for danger signs, especially those who are predicted to have insufficient knowledge.

Maternal knowledge, health care seeking behaviour and associated factors for neonatal danger signs among postpartum mothers in Shashamane Town, Ethiopia: Cross sectional study

BackgroundKnowledge of neonatal danger signs is an entry point for healthcare-seeking at health institutions. Thus, this study aimed to assess maternal knowledge, healthcare-seeking behavior, and associated factors about neonatal danger signs. MethodsA community-based cross-sectional study was conducted from June 1 to 22, 2020 among postpartum mothers in Shashamane town.Systematic random sampling was employed then data was analyzed using SPSS version 26. Variables at p < 0.05 were considered statistically significant. Results135 (33.2%, 95% CI: 28.8, 37.9) of the respondents had good knowledge of neonatal danger signs. Of 276 respondents who have recognized at least one neonatal danger sign on their neonate, 159 (57.6%, 95% CI; 51.74, 63.47) of them had good healthcare-seeking behavior. Marital status AOR (adjusted odds ratio) = 4.96, 95% CI: (1.99, 12.36), having less than five family members AOR = 2.09, 95% CI, (1.27, 3.44) receiving counseling during antenatal care follow-up AOR = 2.04, 95% CI, (1.17, 3.57), having postnatal care follow-up AOR = 2.37, 95% CI (1.35, 4.17), practiced feeding colostrum AOR = 3.01 (1.39, 6.50) were predictors of good knowledge of neonatal danger signs. ConclusionsMaternal knowledge of neonatal danger signs was poor. Receiving counseling during antenatal care follow-up, less than five family members and having postnatal care follow-up, marital status, feeding colostrum, and giving pre-lacteal fluid for their baby were factors significantly associated with having good knowledge of neonatal danger signs. Giving health education about neonatal danger signs and early care seeking at health institutions is recommended.

Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study.

Early health care seeking could save neonates' lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associated factors among postpartum mothers in Southeast Ethiopia. A community-based cross-sectional study was conducted on a random sample of 400 women with sick neonates from June 1st, 2020 to 27th, November. A Modified Anderson and Newman behavioral model consisting predisposing, enabling, need, and health system factors were utilized and participants were interviewed by using structured questionnaires. Multivariate logistic regression analysis was used to identify factors associated with maternal health-seeking behavior. Adjusted odds ratios (AOR) were reported with their corresponding 95% confidence interval (CI) to determine the strength of the association. The statistical significance was declared at P < .05. Slightly higher than two-fifths, (44%, 95% CI: 39.2-48.9) of the respondents' have appropriate healthcare-seeking behavior for neonatal danger signs. Postnatal care follows-up (AOR = 3.5; 95% CI: 2.06-5.80), good knowledge of neonatal danger signs (AOR = 2.78; 95% CI: 1.63-4.73), decision-making power for taking sick neonates to health institution (AOR = 3.02, 95% CI: 1.61-5.67), mothers living with their partner (AOR = 3.00; 95% CI: 1.42-6.31), and health insurance (AOR = 1.82; 95% CI: 1.08-3.06) were significantly associated with having appropriate healthcare-seeking behavior. Healthcare-seeking behavior of the respondents' was low and indicated by nearly 2 out of 5 respondents' had appropriate health-seeking behavior for neonatal danger sign. Postnatal care follow-up, health insurance, good knowledge of neonatal danger signs, living with a partner, and decision-making power were predictors of appropriate healthcare-seeking behavior for neonatal danger signs. Emphasis should be given to creating awareness of neonatal danger signs, maintaining postnatal follow-up, and encouraging mothers/caregivers to make immediate decisions for seeking healthcare at healthcare institutions.

Determinants of maternal knowledge on neonatal danger signs and care-seeking practices in a rural area of southeastern Ethiopia

Most infants in southeastern Ethiopia are either born at home or discharged from the health facility early and families should be able to recognize signs of newborn illnesses and bring the sick newborn to a health facility to receive care. However, studies are limited and the available studies were conducted in urban areas and/or at an institution level. This study aimed to assess the determinants of maternal knowledge of neonatal danger signs and care-seeking practices. A community-based cross-sectional study was conducted on 520 post-natal mothers using a multistage sampling method from 1 to 30 March 2019. The data were analysed using SPSS version 20 using binary logistic regression. Statistical significance was declared at p&lt;0.05. Mothers' level of knowledge of neonatal danger signs was 50.2% (95% confidence interval [CI] 46.3 to 54.3) and 61% of them sought healthcare when they noticed danger signs. Maternal education level (adjusted odds ratio [AOR] 2.15 [95% CI 1.11 to 4.17]), husband's education level (AOR 2.05 [95% CI 1.07 to 3.94]), residency (AOR 5.83 [95% CI 2.77 to 12.24]), antenatal visits (AOR 2.10 [95% CI 1.13 to 3.90]), antenatal care (ANC) counselling (AOR 4.33 [95% CI 1.88 to 9.98]) and knowledge about essential newborn care (AOR 3.91 [95% CI 2.05 to 7.48]) were the determining factors. The mothers' level of knowledge of neonatal danger signs was low and unsafe care-seeking practices were identified. The mothers' education level, husbands' education level, residence, ANC visits, counselling during ANC and knowledge about essential newborn care were found to be statistically significant determinants. Most of the mothers take their sick neonates to traditional healers and provide home remedies. Intervention modalities focusing on maternal counselling on the most common symptoms of illness in neonates are essential to increase mothers' recognition of illness and improve care-seeking practices.

Married women's decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia.

Women's decision-making autonomy is very crucial for the improvement of women empowerment, and maternal, neonatal, and child healthcare utilization. As time immemorial, Ethiopian culture is largely gender stratified, and the position of women is subordinate to men in various household and health-seeking decision-making matters. However, there is a dearth of empirical evidence on women's decision-making autonomy, especially in the household and on maternal and newborn healthcare utilization. Therefore, this study assessed married women's decision-making autonomy in the household and on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A two-stage sampling technique was used to select 730 married women. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI INFO 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women's decision-making autonomy in the household and maternal and neonatal healthcare utilization. The adjusted odds ratio with its 95% confidence interval was computed to determine the level of significance at a p-value of ≤ 0.05. A total of 730 married women were included in the analysis. Thus, three-fourths (75.1%) of women had higher decision-making autonomy on their health, neonatal health, and other socio-economic aspects. Besides, the proportion of four and above antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years old (AOR = 2.08; 95% CI: 1.19, 3.62), monthly income of > 5000 ETB (AOR = 3.1; 95% CI: 1.36, 7.07), husband involvement (AOR = 2.36; 95% CI: 1.55, 3.43), and adequate knowledge of neonatal danger signs (AOR = 2.11; 95% CI: 1.4, 3.2) were factors independently associated with women's decision-making autonomy on maternal and neonatal healthcare utilization and other socio-economic affairs. Our findings show that women's decision-making autonomy in the household and maternal and neonatal healthcare utilization was optimal. Increasing household income level, promotion of husband's involvement starting from the prenatal period, and increasing women's knowledge of maternal and neonatal danger signs will have a great role in the improvement of women's decision-making autonomy.

Determinants of maternal knowledge of neonatal danger signs among postpartum mothers in Southern Ethiopia: institutional-based cross-sectional study

ObjectiveThe main aim of this study was to assess knowledge of neonatal danger signs and associated factors among postpartum mothers in Southern Ethiopia.SettingGurage zone, Southern Ethiopia.Study participantsA total of 608...

Knowledge of neonatal danger signs and associated factors among husbands of mothers who gave birth in the last 6 months in Gurage Zone, Southern Ethiopia, 2020: a community-based cross-sectional study

ObjectiveTo assess knowledge of neonatal danger signs and their associations among husbands of mothers who gave birth in the last 6 months in Gurage Zone, Southern Ethiopia, from 1 February...

Knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan District Health Centers, North Wollo, Ethiopia

BackgroundThe majority of neonatal deaths in developing countries occurred at home due to late recognition of the signs of serious illness by parents or caregivers. In Ethiopia, besides the attempts made to scale-up the maternal and child health services, maternal knowledge of neonatal danger signs is low. Therefore, this study aimed to assess the knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan district health centers, North Wollo, Ethiopia. MethodAn institution-based cross-sectional study was conducted from September 1–30, 2020, among 399 mothers attending pediatric immunization clinics in Gidan district health centers. The data were collected using a pretested, structured, and interviewer-administered questionnaire. Epidata version 4.4.2.0 was used for data entry, and Statistical Package for Social Sciences version 22 was used for analysis. Descriptive statistics, bivariate and multivariate logistic regression were computed. Finally, an adjusted odds ratio along with 95% CI was calculated, and variables that had a P-value <0.05 were declared statistically significant. ResultThe level of good maternal knowledge of neonatal danger signs in the study area was 48.1% (95% CI, 43.6%–52.9%). Maternal education level (AOR: 3.58, 95% CI, 1.22–10.55), parity (AOR: 2.10, 95% CI 1.18–3.71), having postnatal care follow-up (AOR: 2.05, 95% CI, 1.21–3.49), receiving health education about neonatal danger signs (AOR: 4.87, 95% CI, 2.73–8.68), and previous experience of neonatal danger signs (AOR: 2.35, 95% CI, 1.33–4.15) were significantly associated variables with the maternal knowledge of neonatal danger signs. ConclusionThis study revealed that maternal knowledge of neonatal danger signs was low. Maternal educational level, parity, postnatal care follow-up, health education about neonatal danger signs, and previous experience of neonatal danger signs were significantly associated variables. Therefore, maternal knowledge of neonatal danger signs needs to be enhanced through improving postnatal care services utilization and providing adequate health education about newborn health problems.

Men's and women's knowledge of danger signs relevant to postnatal and neonatal care-seeking: A cross sectional study from Bungoma County, Kenya.

Neonatal and maternal mortality rates remain high in Kenya. Knowledge of neonatal danger signs may reduce delay in deciding to seek care. Evidence is emerging on the influential role of male partners in improving maternal and newborn health. This study analysed the factors that determine men's and women's knowledge and practices in postnatal and neonatal care-seeking, in order to inform design of future interventions. A quantitative, cross-sectional study was undertaken in Bungoma County, Kenya. Women who had recently given birth (n = 348) and men whose wives had recently given birth (n = 82) completed questionnaires on knowledge and care-seeking practices relating to the postnatal period. Univariate and multivariate logistic regression analyses were performed to investigate associations with key maternal and newborn health outcomes. 51.2% of women and 50.0% of men knew at least one neonatal danger sign, however women knew more individual danger signs than men. In the univariate model, women's knowledge of a least one neonatal danger sign was associated with attending antenatal care ≥4 times (OR 4.46, 95%CI 2.73-7.29, p<0.001), facility birth (OR 3.26, 95%CI 1.89-5.72, p<0.001), and having a male partner accompany them to antenatal care (OR 3.34, 95%CI 1.35-8.27, p = 0.009). Higher monthly household income (≥10,000KSh, approximately US$100) was associated with facility delivery (AOR 11.99, 95%CI 1.59-90.40, p = 0.009). Knowledge of neonatal danger signs was low, however there was an association between knowledge of danger signs and increased healthcare service use, including male partner involvement in antenatal care. Future interventions should consider the extra costs of facility delivery and the barriers to men participating in antenatal and postnatal care.

Effect of place of birth on knowledge of neonatal danger signs and associated factors among mother's in Meicha district, northwest Ethiopia: A community-based comparative cross-sectional study.

Introduction: Neonatal mortality in Ethiopia remains high accounting for 29 per 1,000 live births. Objective: This study compares the knowledge of neonatal danger signs and associated factors of mothers who gave birth at home and health facilities in Northwest Ethiopia. Methods: A comparative community-based cross-sectional study was conducted. A simple random sampling method was used to select the participants. A binary logistic regression analysis was used to identify correlations. Result: A total of 650 mothers were interviewed. Of these, 50.7% (95%, CI=45.7, 55.9) of the mother is aware of the signs of neonatal danger in the district. Knowledge of neonatal danger sign is higher among those who give birth in health care 60.1% than home births 41.1% mothers. Maternal age (AOR:3.99, 95% CI:(1.45-11.03)), age new born (AOR:0.53, 95% CI:(0.36-0.78)), Para (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI:(1.47, 3.96)) were significantly associated with overall mother’s knowledge. Whereas, residence (AOR:3.09, 95% CI : (1.44, 6.64)) and occupational of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with mothers who give birth in health care. Age of new born (AOR: 0.50, 95% CI : (0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR:12.04, 95% CI:(5.9,24.65)) was closely associated with home birth mother. Conclusion: The overall mother's knowledge of neonatal danger signs was low but was high among mothers who delivered at health institutions than those who delivered at home. This implies that we need to strengthen the awareness of neonatal danger signs among home-delivered mothers.

Parents’ Knowledge of Neonatal Danger Signs and Associated Factors at Health Centers in Kigali, Rwanda

Background&#x0D; Globally, nearly half of all under-five deaths occur during the neonatal period. About two million dies within the first week, of which 75% come from low-resource countries, such as Rwanda. Many neonatal deaths are preventable or avoidable if parents are knowledgeable of Neonatal Danger Signs (NDS), and do not delay seeking care at a health facility.&#x0D; Objective&#x0D; To assess the parents’ knowledge of NDS and associated factors within the neonatal period at four health centers in Kigali.&#x0D; Method&#x0D; This study was a descriptive cross-sectional design. A proportionate stratified probability sampling strategy was used to select 209 parents who attended selected health centers in Kigali. Data analysis used descriptive and inferential statistics.&#x0D; Results&#x0D; The findings showed that 67% of participants had some information on NDS. Logistic regression showed that educational level, parity, number of antenatal visits, and information from healthcare providers was significantly associated with parents' knowledge of NDS.&#x0D; Conclusion &#x0D; Our findings indicate the need to enhance education of parents’ knowledge of NDS in the study population. Educational efforts also should target NDS in health centers where most Rwandan women attend antenatal care.&#x0D; Rwanda J Med Health Sci 2020;3(2):128-138

&lt;p&gt;Mother’s Knowledge of Neonatal Danger Signs and Health-Seeking Practices and Associated Factors in Debretabor, Northwest Ethiopia: A Community-Based Cross-Sectional Study&lt;/p&gt;

&lt;p&gt;Mother’s Knowledge of Neonatal Danger Signs and Health-Seeking Practices and Associated Factors in Debretabor, Northwest Ethiopia: A Community-Based Cross-Sectional Study&lt;/p&gt;

Knowledge of Neonatal Danger Signs and Associated Factors Among Mothers of

IntroductionNeonatal mortality is one of the challenging issues in current global health. Globally, about 2.5 million children die in the first month of life, out of which Sub-Saharan Africa accounts >40% per annual. Currently, the neonatal mortality rate in Ethiopia is 30/1000 live births. In the study area, there was a limitation of data on mothers’ knowledge towards neonatal danger signs. Therefore, this study aimed to assess mothers’ knowledge of neonatal danger signs and associated factors.Patients and MethodsA community-based cross-sectional design study was conducted in Dire Dawa from March 01/2019 to April 30/2019. Data were collected from 699 randomly selected mothers through a face-to-face interview. Bivariate logistic regression with p-value <0.25 was entered into the multivariable logistic regression analysis. Finally, AOR with 95% confidence intervals at P-value <0.05 was considered a significant association with the outcome variable.ResultsAbout 285 (40.8%) (95% CI: 37.3–44.3) of mothers had good knowledge of neonatal danger signs, and 97.1% (95% CI: 94.1, 99.3) of mothers sought medical care at a health facility. Mothers who were governmental employed (AOR = 2.14, 95% CI: 1.17–3.9), whose fathers’ educational level is secondary or above (AOR=2.3, 95% CI: 1.18–4.49), four/more antenatal care visit (AOR=4.3, 95% CI: 1.5–12.3), whose baby developed danger signs (AOR=3.5, 95% CI: 2.13–5.73), and those mothers received education on neonatal danger sign (AOR=7, 95% CI: 4.2–11.5), had a significant association with knowledge of neonatal danger signs.ConclusionMaternal knowledge toward neonatal danger signs was low and a high number of mothers sought medical care at a health facility. Mother’s occupation, fathers’ education, development of neonatal danger signs, frequency of antenatal care visit, and received health education on neonatal danger signs were factors associated with mothers’ knowledge towards neonatal danger signs.

Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia.

Background Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR = 2.37, 95% CI [1.35-4.17], P = 0.003), educational status of primary and above (AOR = 2.68, 95% CI [1.48-4.88], P = 0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR = 3.57, 95% CI [2.10-6.06], P < 0.001), and history of postnatal attendance after birth (AOR = 2.33, 95% CI [1.16-4.65], P = 0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

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.