Assessment of knowledge, attitude, practice and associated factors towards kangaroo mother care among postnatal mothers paired with their babies at Addis Abeba Public hospitals, 2019: cross sectional study

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Date

2019-06

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Addis Abeba University

Abstract

Back ground: Kangaroo Mother Care is a method of holding a small Nappy newborn with skinto skin contact, prone and upright on the maternal chest. Lack of maternal knowledge regarding care of their tiny babies including kangaroo mother care can harm their babies and increase the risk of neonatal morbidity and mortality. Objective: To assess the knowledge, attitude, practice and associated factors towards kangaroo mother care among postnatal mothers paired with their babies at selected public hospitals, Addis Ababa, Ethiopia, 2019. Method: An institutional based cross sectional study was conducted among 249 mothers, at five selected public hospitals in Addis Ababa, from March 15 th , 2019 to May 15 , 2019. Single population proportion with adjusted formula was used to calculate the total sample size. Face to face interview with structured questionnaire were used to collect data. Data was entered with Epi data version 4.4.2.1and analyzed by SPSS version 24 statistical software. Binary and multiple logistic regressions with P value ≤0.2 and ≤0.05 was used respectively. Result: Based on this finding, the overall proportion of good knowledge, favorable attitude and good practice of kangaroo mother care were 67.1%, 54.22% and 43 % respectively with 100% response rate. Educational status(AOR;5.33;95%CL;(1.39-20.47), residency (AOR;7.58;95%CL; (2.39-23.90), income(AOR;3.70;95%CL;(1.17-11.67)acceptability of KMC in community(AOR; 6.32;95% CL;(3.13-18.04), health condition of the baby (AOR;6.76 95%CL;(2.74-16.69),source of information (AOR;2.71;95%CL;(1.01-7.23), gravidity (AOR;2.61;95% CL;(1.20-5.67) as well as mode of delivery(AOR;3.05,95% CL;(1.54-6.04) were statistically significant factors for knowledge, attitude and practice of mothers on kangaroo mother care. Conclusion: Proportion of good knowledge, favorable attitude and good practice of kangaroo mother care were 67.1%, 54.22% and 43 % respectively. There were statistically significant factors for knowledge, attitude and practice of mothers such as educational status of the mothers, residency, family income, and health condition of the baby, gravidity, mode of delivery, conducive home, and community acceptability of kangaroo mother care as well as source of information about kangaroo mother care. Recommendations: Health professionals should give special care for sick and preterm/low birth weight babies and provide counseling for mothers. Health care stakeholders should strengthen health education accessibility for the community. In addition, other stake holders should increase women educational coverage, especially for rular areas. th

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Keywords

Attitude, knowledge, kangaroo mother care, Low birth weight, practice, Preterm

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