Knowledge, practice and associated factors towards neonatal resuscitation among midwives working in delivery room of public health centers in Addis Ababa Ethiopia
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Date
2023-06
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Addis Ababa University
Abstract
Background: Neonatal resuscitation is simple and life-saving intervention for birth asphyxia, a
leading cause of neonatal mortality. Worldwide, four million neonate deaths happen annually,
and birth asphyxia accounts for one million deaths. Increasing providers’ knowledge of neonatal
resuscitation and improving its practice is critical for delivering quality care and for morbidity
and mortality reduction.
Objective: To assess knowledge, practice and associated factors towards neonatal resuscitation
among midwives working in delivery room of public health centers at Addis Ababa city,
Ethiopia 2023.
Methods: Institutional based cross-sectional study design was employed among 141 study
population selected by simple random sampling method. Self-administered questionnaire and
interview guide were used to collect data. Data was entered to Epidata 4.6 and exported to
Statistical Package for Social Sciences (SPSS) version 26 for analysis. The association between
the dependent variable and independent variables were analyzed using binary logistic regression.
Adjusted odds ratio with 95% CI was computed and variables with p-value ≤ 0.05 were
considered as statistically significant.
Result: A total of 134 participants were included in the study with a response rate of 95%. Only
42.5% and 26.9 % of the participants had the appropriate level of knowledge and practice
towards neonatal resuscitation respectively. Lack of training (AOD=2.47, 95% CI: 1.086-5.640,
P-value=0.031), unavailability of guidelines (AOD=4.34, 95% CI: 1.78-10.59, P-value=0.001)
and absence of supportive supervision (AOD=3.27, 95% CI: 1.38-7.74, P-value= 0.007) were
significantly associated with poor knowledge. While educational level (AOD=3.34, 95% CI: 1-
11, P-value= 0.048), lack of training (AOD=3.32, 95% CI: 1.17-9.4, P-value= 0.024) and
unavailability of guidelines (AOD=4.57, 95% CI: 1.47-14.12, P-value= 0.009) were significantly
associated with poor practice.
Conclusion and Recommendation: Overall knowledge and practice of midwives were
inadequate. Strengthening training and supportive supervision needs to improve knowledge and
practice of midwives
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Keywords
Neonatal resuscitation, knowledge, Practice, Public health centers, Addis Ababa, Ethiopia