Essential Newborn Care Practice and Associated Factors Among Mothers in Public Health Institutions of Nekemte Town, East Wollega Zone, Oromia Regional State, Ethiopia, 2017

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Addis Ababa University


Background: Essential new born care is a comprehensive approach planned to improve the health of new born through interventions before, during and after pregnancy, immediately after birth and during postnatal period. Among those interventions, safe cord care, early initiation of breast feeding and delay bathing are practiced by mothers. In Ethiopia about 87,000 new-borns die every year in the first weeks of life which accounts for 42% of all deaths of under-five mortality. The highest risk of death is occurred in the first 24 hours of life while within the first weeks of life greater than half of deaths occur. Objective: The Purpose of this study is to assess the essential new born care practices and associated factors among mothers attending public health institution of Nekemte town, east Wollega zone, Oromia regional state, Ethiopia, 2017. Methods: A facility-based cross sectional study design was conducted from February to march, 2017. Data were collected from 417 randomly selected mothers by interview making response rate of 98.8%. The collected data were coded, cleaned and entered into computer using Epi-Data version 3.1 and analysed using SPSS version 20 for further analysis. Multivariate logistic regression was used to identify associated factors & the strength of association was measured by odd ratios with 95% CI at p-value of < 0.05. Finally obtained results were presented by using simple frequency tables, graphs and charts. Results: The study showed that the level of comprehensive essential newborn care practice was 47% in the study area despite 76%, 76.7% and 78.7% of respondents practice timely breast feeding initiation, safe cord care and delay bath for their newborn until 24 hours of life respectively. Number of live births (OR=0.3, 95%, CI=0.13, 0.73), home visit by health extension workers (OR=1.79, 95%, CI=1.08, 2.99) and skilled birth attendant’s advice before and during delivery about essential newborn care (OR=2.39, 95%, CI=1.44, 3.98) were found to have statistically significant association with essential newborn care practice. Conclusion and recommendation: This study indicated that the level of comprehensive essential newborn care practice is unsatisfactory in the study area. Promotion of essential newborn care through provision of community oriented awareness creation forum and provision of counselling and education on essential newborn care and neonatal danger signs to all pregnant women was recommended. Key words: Essential newborn care practice, Newborn, Mothers, Neonatal care practices



Essential newborn care practice, Newborn, Mothers, Neonatal care practices