Knowledge, practice and associated factors toward neonatal resuscitation among nurses and midwifes in south Wollo governmental hospitals, Northeeast Ethiopia 2018.

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Addis Ababa University


Background: The neonatal period is the most vulnerable time for child’s survival because of the highest mortality and morbidity. One quarters of the global neonatal mortality is attributed to asphyxia; the highest burden of which is disproportionately concentrated in low and middleincome countries including Ethiopia. Poor resuscitation due to incompetent health care provider contributed significantly to this asphyxia related mortality and morbidity. Objective: The aim of the study is to assess knowledge, practice and associated factors toward neonatal resuscitation among nurses and midwifes in South Wollo public hospitals, Ethiopia. Methods: Institutional based cross-sectional study design was employed among 143 study subjects selected by simple random sampling method. Self-administered questionnaire and interview guide were used to collect data. Data was coded and entered into EPI data software version 3.1 and exported in to SPSS version 20 for analysis. Logistic regression was computed to see the possible associations of factors with the dependent variables and p-values of less than 0.05 in multivariate analysis was declared significant. Result: One hundred and forty-three participants were included with a response rate of 100%. Only 32.9% and 24.5% of the participants had good knowledge and practice towards resuscitation respectively. Lack of training (AOR:3.44, 95% CI:1.54-7.68), absence of guideline (AOR:3.8, 95% CI:1.68-8.58) and lack of supportive supervision (AOR:2.49, 95% CI:1.1-5.6) were significantly associated with poor knowledge score, whereas absence of guidelines (AOR: 2.83, 95% CI:1.12-7.15) and lack of supportive supervision (AOR:5.28,95%CI:1.86-14.96) were significantly associated with the poor performance of the participants. Specialization with neonatology (AOR:0.19, 95%CI: 0.047-0.8) were associated with a higher performance of neonatal resuscitation. Conclusion: Knowledge and practice of nurses and midwifes toward neonatal resuscitation were inadequate. Training were found to be a single predictor for knowledge while supportive supervision and guideline were predictors for both knowledge and practice. Continuous and regular training and supportive supervision for nurses and midwifes should be strengthen.



Neonate, asphyxia, Resuscitation, Knowledge, Practice.