Perceived Barriers to Implementing Family Centered Care in Neonatal Intensive Care Units of Public Hospitals in Addis Ababa, Ethiopia, 2025
| dc.contributor.advisor | Taddese Bedada | |
| dc.contributor.advisor | Fikirtemariam Abebe | |
| dc.contributor.author | Workalem Tilahun | |
| dc.date.accessioned | 2026-06-22T15:41:21Z | |
| dc.date.available | 2026-06-22T15:41:21Z | |
| dc.date.issued | 2025-06-14 | |
| dc.description.abstract | Background: Family-centered care (FCC) in neonatal intensive care units (NICUs) promotes parental involvement, decreased neonatal mortality, and increase neonatal outcomes. Despite worldwide evidence encouraging FCC, sub-Saharan Africa, including Ethiopia, affecting high neonatal mortality rates (32.6 /1,000 live births) due to inadequate FCC implementation. While studies in high-income countries suggested successful FCC, barriers in low-resource settings like Ethiopia remain unexplored. Objectives: This study aimed to explore perceived barriers to FCC implementation in NICUs across public hospitals in Addis Ababa, Ethiopia. Methodology: A descriptive design was used across three public hospitals (SPHMMC, Abebech Gobna, and St. Peters). Purposively recruited ten healthcare providers (nurses, doctors) and nine parents. An In-depth interviews were conducted using semi-structured guides question, translated, transcribed, and analyzed thematically via Open Code 4.03. Trustworthiness was confirmed through credibility, dependability, and confirmability measures. Results: Nineteen interviews were conducted, with 10 health care provider participants and 9 care givers with mean age of 26 (± SD = 0.38). Two main themes were identified as facility-related barriers (lack of space, communication gaps, insufficient medicine supply, no FCC training, strict protocol) and family-related barriers (low health literacy, logistical barriers, and emotional distress). Congestion and bad NICU architecture limited family presence, and communication gaps and medicals were barriers to engagement. Conclusion and recommendation: Applying FCC in NICUs requires multifaceted strategies like redesigning NICU room, flexible visitation rule, updating staff, and family support programs. Addressing gaps through government-NGO partnerships and prioritizing parental involvement can increase neonatal outcomes and reduce mortality. Future research might need explore FCC interventions in diverse Ethiopian healthcare settings to investigating equitable, family-center care. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/8381 | |
| dc.language.iso | en | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Family-Centred Care (FCC) | |
| dc.subject | Neonatal Intensive Care Unit (NICU) | |
| dc.subject | Ethiopia. | |
| dc.title | Perceived Barriers to Implementing Family Centered Care in Neonatal Intensive Care Units of Public Hospitals in Addis Ababa, Ethiopia, 2025 | |
| dc.type | Thesis |