Knowledge Of Neonatal Danger Signs Research Articles

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

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

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.

Knowledge of neonatal danger signs among recently delivered mothers in Mekedella woreda, Northeast Ethiopia, in 2017: a cross-sectional study

ObjectiveThis study was conducted with the aim of assessing mothers' level of knowledge of neonatal danger signs and its associated factors in Mekedella woreda, Northeast Ethiopia. Study designThis is a community-based cross-sectional study. MethodsThe study was conducted among 757 mothers who were selected by stratified simple random sampling between November 1, 2017, and December 30, 2017. A structured interviewer-administered pretested questionnaire was used to collect the data. Data were entered into EpiData, version 3.1, and then exported into SPSS (statistical package for social science), version 20, for analysis. Independent predictors of women's level of knowledge were identified by multivariable logistic regression analysis. ResultsIn total, only 28.2% of mothers were knowledgeable about neonatal danger signs. Significant predictors of a good level of knowledge on newborn danger signs included those who attended secondary education, were urban residents, attended 2–3 antenatal care visits, had an institutional delivery, attended postnatal care visit(s), had a higher decision-making ability to seek neonatal health care, completed up-to-date immunisation of the infant, had heard about neonatal danger signs from health workers and had a history of neonatal death. ConclusionsEducating women, increasing mothers' health service use and providing health education for mothers who attend pregnancy-related services showed a positive impact on their knowledge of neonatal danger signs and should therefore be promoted.

Prevalence, care-seeking behaviors and treatment cost for neonatal morbidities in Karnataka (India)

Purpose Around three million infants die within the first four weeks of life each year – nearly all (98%) of these deaths occur in developing countries. Approximately one million newborns die each year in India. Therefore, this study aims to determine the patterns of reported neonatal morbidity and care-seeking behavior and identify factors associated with it. Design/methodology/approach A cross-sectional study was conducted during November 2016. A systematic random sampling technique was used to select the sample. Statistical techniques like Binary Logistic regression and chi-square test were used. Findings The results of the study showed that around 31% mothers of neonates reported that their neonates suffered from some kind of morbidity. Fever, jaundice, cough and cold, the low birth-weight and difficulty in breathing were the most common dangers signs reported. Birth order and mother’s knowledge of neonatal danger signs were found to be significantly associated with reporting of neonatal morbidity. In all 95% of the mothers sought care for their newborns. Among those who had problems, 59% consulted private hospitals/clinics, 30% visited District Hospital/Taluka Hospital or higher facilities and another 9% to Primary Health Centers/Community Health Centers. Further, findings show that nearly half of the neonates taken to government facilities have got free treatment, whereas an average cost of 7,156 INR were recorded for treatment, 935 INR for outpatient department and 13,774 INR for inpatient department cases. Originality/value There is an urgent need to implement intervention modalities that focus on increasing the level of parental education and access to treatment, and advocating the message regarding newborn danger signs during pregnancy is pinpointed.

Level of Knowledge About Neonatal Danger Signs and Determinant Factors Among Recently Delivered Mothers in Mekedella Woreda, Northeast Ethiopia 2018: A Cross-Sectional Study

Background: Neonatal mortality remains the major public health problem of Ethiopia. The problem is mothers' low level of health seeking behavior, which might be due to their inadequate level of knowledge about neonatal danger sign. This study was conducted with the aim of assessing mothers' level of knowledge and associated factors of neonatal danger sign in Mekedella woreda, Northeast Ethiopia. Methodology: A community based cross-sectional study was employed from October 23 to November 17, 2018 on 728 participants that selected by Stratified simple random sampling technique. Data were collected by a pre-tested interview administered questionnaire, entered to Epi data version 3.1 and analyzed by SPSS version 20. Independent predictors of women's level of knowledge were identified by multivariable logistic regression analysis. Result: Among 728 respondents, only 28.2 % (205) of mothers were knowledgeable about neonatal danger sign. Attended secondary education (AOR=4.22), Urban residence (AOR=2.62), attended 2-3 ANC visit (AOR= 2.38), delivered in health center & Hospital (AOR=3.75) & (AOR=2.56) respectively, Attended PNC visit(AOR=4.23), higher decision-making ability of women to seek neonatal health care (AOR=3.13), Immunization status of infant (AOR=2.9), heard from Health worker about neonatal ganger sign (AOR=3.6), had history of neonatal death (AOR=4) were significant predictor of women's level of knowledge on newborn danger sign. Conclusion: Women education, health service utilization by mothers before, during and after delivery and the health education given when mothers come to pregnancy related services showed positive impact on their knowledge of neonatal danger signs. Therefore, educating mothers about neonatal danger sign should be strengthened. Funding Statement: The authors declare: Not applicable. Declaration of Interests: The authors declare that they have no competing interests. Ethics Approval Statement: Ethical clearance was obtained from the Research and Ethics Committee of Jimma University, College of Medicine and Health science. Respondents were informed about the objective of the study and Verbal consent was taken for the willingness of patients to participate. Participants’ identity was kept anonymous throughout the data collection and analysis process. Verbal consent was approved and accepted by the department ethical committee.

Mothers treatment seeking intention for neonatal danger signs in northwest Ethiopia: A structural equation modeling.

BackgroundNeonatal mortality contributes to nearly half of under-five mortality in Ethiopia. Treatment seeking for newborn danger signs remains low despite correlations with neonatal mortality. This study tests a theoretical model of factors affecting mothers’ treatment seeking intention for neonatal danger signs in northwest Ethiopia.MethodA cross sectional study was conducted from March 3–18, 2016 in northwest Ethiopia. A total of 2,158 pregnant women and women who had delivered in the past 6 months were interviewed. Latent variables; knowledge of neonatal danger signs (KDS), household level women empowerment (HLWE) and positive perception toward the behavior of health care providers (PPBHCP) were measured using a Five Point Likert Scale. Socioeconomic status (SES), number of antenatal care attendance, perceived cost of treatment (PCT), average distance to health facilities (ADHF) and treatment seeking intention (TSI) were observed variables in the study. A structural equation modeling was applied to test and estimate the hypothesized model of relationships among latent and observed variables and their direct and indirect effects on TSI.ResultKDS, PPBHCP, HLWE, and PCT showed direct, positive and significant association with TSI (β = 0.41, p<0.001, β = 0.08, p<0.002, β = 0.18, p<0.001, and β = 0.06, p<0.002, respectively). SES was not directly associated with TSI. However, it indirectly influenced TSI through three pathways; KDS, number of ANC attendance and HLWE (β = 0.05, p<0.05, β = 0.08, p<0.001 and β = 0.13, p<0.001, respectively). Number of antenatal care was not directly associated with TSI. But indirectly, it affected TSI through its direct effect on KDS and PPBHCP (β = 0.05, p<0.05, β = 0.14, p<0.001, respectively). PPBHCP and HLWE also showed indirect association with TSI through their direct effect on KDS (β = 0.37, p<0.001, β = 0.36, p<0.001, respectively). All in all, the model fitted the sample data and explained 31% of the variance in TSI.ConclusionPPBHCP, HLWE, PCT and KDS were associated with mothers’ TSI for newborn danger signs.

Knowledge levels, treatment preferences and neonatal health problems in southwest Nigeria

BackgroundKnowledge of nursing mothers residing in urban and rural areas about various danger signs during neonatal period and factors influencing care and treatment preferences for newborn were not given necessary considerations in the existing studies. This study sought to examine the pattern of behaviour of nursing mothers and identify factors influencing care and treatment preferences for newborns in rural and urban environment. MethodsThe research employed a descriptive cross-sectional design. Utilizing a multistage sample design, data was obtained from 349 nursing mothers with children 0–6 months in selected rural and urban areas of Ife-Ijesha zone. Data obtained were analysed at univariate, bivariate and multivariate levels. ResultsHigh proportions of nursing mothers in both areas had poor knowledge of neonatal danger signs and were unaware of the importance of immediate care of newborn. Apart from the age of nursing mothers residing in the urban areas, respondents’ background and knowledge of neonatal health problems did not predict treatment preferences for newborns in both areas (p > 0.05). A higher proportion of nursing mothers in the urban area (62.8%) compared with their counterparts in the rural area (45.7%) noted signs suggestive of neonatal health problems on their neonates. Early bathing was the norm in both areas, with majority of nursing mothers (urban 69.2% versus rural 66.7%) bathing the index child immediately after birth. ConclusionsThe study highlights the importance of Behavior Change Communication (BCC) strategy for improving newborn health and survival in both rural and urban areas.

Knowledge of neonatal danger signs among mothers attending well baby clinic in Nakuru Central District, Kenya: cross sectional descriptive study.

BackgroundNeonatal mortality has remained high in Kenya despite various efforts being applied to reduce this negative trend. Early detection of neonatal illness is an important step towards improving new born survival. Toward this end there is need for the mothers to be able to identify signs in neonates that signifies severe neonatal illnesses. The objective of the study was to determine the level of knowledge of mothers attending well baby clinics on postnatal neonatal danger signs and determine the associated factors.Study designCross sectional descriptive study.Study methodsPurposive sampling of Health care facilities that provide antenatal, delivery and postnatal services were identified. In each of the selected health facility structured questionnaires were administered to mothers with children aged six weeks to nine months attending well baby clinics. Frequencies, Chi square and multivariate logistic regression were determined using the SPSS software (version 20).ResultsDuring the period of study 414 mothers attending well baby clinics were interviewed. Information on neonatal dangers was not provided to 237 (57.2%) of the postnatal mothers during their antenatal clinic attendance by the health care providers. Majority of mothers 350 (84.5%) identified less than three neonatal danger signs. Hotness of the body (fever) was the commonly recognized danger sign by 310 (74.9%) postnatal mothers. Out of 414 mothers 193 (46.6%), 166 (40.1%), 146 (35.3%) and 24 (5.8%) identified difficulty in breathing, poor sucking, jaundice and lethargy/unconsciousness as new born danger signs respectively. Only 46 (11.1%) and 40 (9.7%) identified convulsion and hypothermia as new born danger signs respectively. Education Level, PNC accompaniment by Spouse, Danger signs information to Mother, Explanation of MCH booklet by Care provider during ANC and Mother read MCH Booklet were factors positively associated with improved knowledge of neonatal danger sign. In multivariate logistic regression none of the factors tested were statistically significant in relation to level of knowledge.ConclusionKnowledge of neonatal danger signs was low among mothers attending well baby clinic despite the information being available in the MCH booklets provided to the mothers during antenatal clinics.

Risk factors associated with neonatal deaths: a matched case–control study in Indonesia

BackgroundSimilar to global trends, neonatal mortality has fallen only slightly in Indonesia over the period 1990–2010, with a high proportion of deaths in the first week of life.ObjectiveThis study aimed to identify risk factors associated with neonatal deaths of low and normal birthweight infants that were amenable to health service intervention at a community level in a relatively poor province of Indonesia.DesignA matched case–control study of neonatal deaths reported from selected community health centres (puskesmas) was conducted over 10 months in 2013. Cases were singleton births, born by vaginal delivery, at home or in a health facility, matched with two controls satisfying the same criteria. Potential variables related to maternal and neonatal risk factors were collected from puskesmas medical records and through home visit interviews. A conditional logistic regression was performed to calculate odds ratios using the clogit procedure in Stata 11.ResultsCombining all significant variables related to maternal, neonatal, and delivery factors into a single multivariate model, six factors were found to be significantly associated with a higher risk of neonatal death. The factors identified were as follows: neonatal complications during birth; mother noting a health problem during the first 28 days; maternal lack of knowledge of danger signs for neonates; low Apgar score; delivery at home; and history of complications during pregnancy. Three risk factors (neonatal complication at delivery; neonatal health problem noted by mother; and low Apgar score) were significantly associated with early neonatal death at age 0–7 days. For normal birthweight neonates, three factors (complications during delivery; lack of early initiation of breastfeeding; and lack of maternal knowledge of neonatal danger signs) were found to be associated with a higher risk of neonatal death.ConclusionThe study identified a number of factors amenable to health service intervention associated with neonatal deaths in normal and low birthweight infants. These factors include maternal knowledge of danger signs, response to health problems noted by parents in the first month, early initiation of breastfeeding, and delivery at home. Addressing these factors could reduce neonatal deaths in low resource settings.

Inadequate knowledge of neonatal danger signs among recently delivered women in southwestern rural Uganda: a community survey.

BackgroundEarly detection of neonatal illness is an important step towards improving newborn survival. Every year an estimated 3.07 million children die during their first month of life and about one-third of these deaths occur during the first 24 hours. Ninety-eight percent of all neonatal deaths occur in low- and middle-income countries like Uganda. Inadequate progress has been made globally to reduce the amount of neonatal deaths that would be required to meet Millennium Development Goal 4. Poor knowledge of newborn danger signs delays care seeking. The aim of this study was to explore the knowledge of key newborn danger signs among mothers in southwestern Uganda.MethodsResults from a community survey of 765 recently delivered women were analyzed using univariate and multivariate logistic regressions. Six key danger signs were identified, and spontaneous responses were categorized, tabulated, and analyzed.ResultsKnowledge of at least one key danger sign was significantly associated with being birth prepared (adjusted OR 1.7, 95% CI 1.2–2.3). Birth preparedness consisted of saving money, identifying transportation, identifying a skilled birth attendant and buying a delivery kit or materials. Overall, respondents had a poor knowledge of key newborn danger signs: 58.2% could identify one and 14.8% could identify two. We found no association between women attending the recommended number of antenatal care visits and their knowledge of danger signs (adjusted OR 1.0, 95% CI 0.8–1.4), or between women using a skilled birth attendant at delivery and their knowledge of danger signs (adjusted OR 1.2, 95% CI 0.9–1.7).ConclusionsOur findings indicate the need to enhance education of mothers in antenatal care as well as those discharged from health facilities after delivery. Further promotion of birth preparedness is encouraged as part of the continuum of maternal care.