Knowledge on neonatal danger signs and associated factors among post natal mothers in public hospitals of Addis Ababa, Ethiopia, 2019: a cross-sectional study.
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Date
2019-06
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Addis Abeba University
Abstract
Background: Neonatal danger signs are now a public health problem and a contributing
factor for neonatal death. Even though, intervention programs like integrated management of
newborn and childhood illness and institution delivery service are implemented danger signs
related neonatal morbidity and mortality is high still now because of lack of maternal
knowledge towards it. Early detection of neonatal danger signs is an important step towards
improving newborn survival. Therefore, mothers‟ knowledge is needed to reduce neonatal
death and further complication of those danger signs.
Objective: The aim of this study was to assess the knowledge on neonatal danger sign and
associated factors among post natal mothers in public hospitals of Addis Ababa Ethiopia.
Methods and materials: An institutional based cross sectional study was conducted
among 363 postnatal mothers from March 15
th
to May 15
th
, 2019. Systematic random
sampling technique was used to select the study participants. Interviewer-administered,
structured and pretested questionnaire was used to collect the data. The data were checked for
completeness, entered to Epi- Data version 4.4.3.1 and exported to SPSS version 25.0 for
analysis. Bivariable and multivariable logistic regression analysis with 95% CI, crud odds
ratio and adjusted odds ratio were used to identify factors associated with the outcome
variable. Statistical significance was declared at P-value < 0.05. Then the results were
presented with text, tables, graphs and figures for different variables.
Result: A total of 363 post natal mothers were interviewed with a response rate of 100%.
Overall, only 33.1% of mothers had good knowledge about neonatal danger signs. Factors
like maternal education college and above (AOR=2.11, 95% Cl: 1.51-2.99), caesarean section
mode of delivery (AOR=3.72, 95% Cl: 1.71-8.12), parity (AOR=5.34, 95% Cl: 1.64-2.64)
and education during PNC follow up (AOR=2.77, 95% Cl: 1.49-5.15) were significantly
associated with the level of good maternal knowledge. Similarly, access to television was also
a statistical significant factor for maternal knowledge (AOR=2.15, 95% Cl: 1.11-4.15).
Conclusion: Maternal knowledge on neonatal danger signs was poor. Therefore educational
intervention during ante natal care, institution delivery and post natal care visit, advocating
the use of media and increase maternal birth preparedness are highly recommended.
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Keywords
Neonatal danger signs, neonate, knowledge, post natal mothers.