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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Date
2017-06
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Addis Ababa University
Abstract
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
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Keywords
Essential newborn care practice, Newborn, Mothers, Neonatal care practices