Assessment of Magnitude and Determinants of Neonatal Care Practice among Mothers in Selected Health Centers of Addis Ababa, Administration, Ethiopia
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Date
2015-06
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Addis Ababa University
Abstract
Background: Essential newborn care is a wide-ranging approach planned to improve the health
of newborns through interventions before, during and after pregnancy, immediately after birth
and during postnatal period. In Ethiopia about 120,000 newborns die every year in the first
weeks of life which accounts for 42% of all deaths of under five mortality.
Objective: The aim of this study was to assess the magnitude and determinants of essential
newborn care practices among mothers in selected health centers of Addis Ababa, city
administration, Ethiopia.
Methods: A facility-based cross-sectional study was conducted in February to March, 2015. A
total of 576 women in the first six weeks of post partum were included in the study. The
collected data were entered into computer using Epi-Data version 3.5 and analyzed using SPSS
version 21. Logistic regression was fitted to assess possible associations and the strength of
association was measured using odds ratio with 95% CI.
Result: The study revealed that the level of essential new born care practices was 38.8%.
Education and advise about essential new born care practices during and after birth by skilled
birth attendants (OR=2.17, 95%, CI=1.42,3.31),home visit by health extension worker
(OR=1.55, 95%CI=1.03,2.32) and place of delivery at health centers (OR=7.69, 95% CI =1.32,
36.42), at private health facility(OR=9.18, 95% CI=1.32, 63.75) and government hospital
(OR=6.68, 95% CI =1.32, 33.87) were found to have statistically significant association with
essential new born care practices.
Conclusion: This study indicated that level of essential newborn care practices were low even
though the majority of respondents practice early initiation of breast feeding and safe cord care.
Home visit by health extension workers, timing of postnatal care visit by skilled birth attendants,
advice about essential newborn care practices during and after pregnancy and place of delivery
were found to be independent predictors of essential newborn care practices in the study area
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Keywords
Essential newborn care