Effect of Planned Teaching on Essential Newborn Care Practice and Identification of Neonatal Danger Signs among Mothers in Chewaka Resettlement Area

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Date

2014-06

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Addis Ababa University

Abstract

Background: Every year over 130 million babies are born and 40 million women give birth athome globally. About 2.6 million births take place in Ethiopia and 2.34 million (90%) births peryear occur in home without the help of a skilled birth attendant. Home delivery and newborncare provided by non-skilled personnel has not yet been evaluated whether the skills womenhave and the extent of newborn care they could provide is up to the world health organizationdefinitions of essential newborn care. Therefore, this study was carried out to evaluate how faressential newborn care was being practiced in home delivery at Chewaka resettlement area. Objective: The main objective of this study was to evaluate effect of planned teaching onessential newborn care practice and knowledge of neonatal danger signs among mothers inChewaka resettlement area. Methods: The study was employed by using community based a preexperimental one-shotdesign was conducted among women who gave birth at home during the one year preceding thestudy. A total of 238 study subjects were involved in the study. Result: Newborn care practices like bathing the baby immediately after birth 38.7%, giving pre-lacteals 40.8%, late initiation of breast feeding 37%, and application of substances on umbilicalcord 102 42.9% were common. The study finding shows that a low level of use of the combinednewborn care indicators: good thermal care 38 (16%), safe cord care practice 64 (26.9%), goodneonatal feeding 16.8% and it found that poor thermal care was driven mainly by early bathing;poor cord care by putting substances on the cord; and poor breastfeeding by giving feeds otherthan breast milk. Mother’s knowledge of newborn danger signs was good. In the present studythe knowledge scores of mothers revealed that 64.3% of the respondents had good knowledge. Conclusion Even after years of efforts by government to reduce unhealthy newborn carepractices are highly prevalent in this setting. But some of the newborn care practices may havebeen influenced by the health education interventions. Recommendation: The study suggests that effort should be made to stop unhealthy newborncare practice particularly, applying substances on the stump of umbilical cord, discardingcolostrum, and pre lacteal feeding, and bathing the baby immediately after birth, and should bereplaced by recommended practices. Keywords: Home deliveries, Essential newborn care practice, Chewaka resettlement are

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Home deliveries Essential newborn care practice Chewaka resettlement

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