Prevalence of Neonatal Hypothermia and Associated Factors at Delivery Ward in Public Hospitals of Addis Ababa, Ethiopia 2020.
No Thumbnail Available
Date
2020-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Globally the prevalence of hypothermia at hospital level ranges from 32% to 85%even in tropical environments. Hypothermia is associated with a nearly fivefold increase inmortality during the first 7 days of newborn life. For that reason, addressing neonatalhypothermia might bridge achievement of the 2030 development agenda,which is reducingneonatal mortality to at least as low as 12 deaths per 1000 live births by ending preventableneonatal death.
Objective: The main aim of this study was to assess the prevalence of neonatal hypothermia and associated factors in public hospitals of Addis Ababa, Ethiopia 2020.
Methodology: Institutional based cross sectional study was conducted among 377 new bornwith in six hours of delivery at labor ward, in representative randomly selected public hospitals April 1st2020 to May 12, 2020 in Addis Ababa, Ethiopia. Simple random samplingtechnique was used to select four public hospitals. To select study participants systematicrandom sampling techniques were utilized. Data were collected by using pretested, structuredquestionnaire through face to face interview with the mother. Additional data were collected bydirect observation and from mother chart review by using checklist. The collected data wasentered using Epi data version 4.6 and exported to SPSS version 24 for analysis. Variables thathave P-value <0.25 were entered in to multivariable logistic regression model to control forconfounder. Statistical significance was declared at p-value ≤0.05. Odds ratio with 95% CI isused to determine the direction and strength of association.
Result: The prevalence of neonatal hypothermia in the study area was 63.4% [95% CI:58.6%,68.2%]. Temperature of the delivery room <=24oc (AOR=5.5, 95%CI: 2.4,12.55), night timedelivery (AOR=4.07, 95%CI: 2.02, 8.2), drying by non-pre-warmed towel (AOR=6.9, 95%CI:2.09,22.9), newborn head not covered by hat (AOR=3.6, 95%CI: 1.62, 8.01), number of ANC<=4 visits (AOR=2.08, 95%CI: 1.03, 4.2), not initiate breast feeding within one hour of birth(AOR=3.11, 95%CI: 1.39, 6.98) and age of the newborn <=2:59hr (AOR=3.58,95%CI: 1.57,8.13) were factors associated with neonatal hypothermia.
Conclusion and recommendation: Prevalence of neonatal hypothermia in Addis Ababa publichospitals is high. Therefore, implementing low cost and easy warm chain interlinked procedurefor every delivery will have a paramount effect in reducing the problem.
Description
Keywords
Hypothermia, Neonate, Thermal care, Public hospital, Addis Ababa