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 maternalknowledge towards it. Early detection of neonatal danger signs is an important step towardsimproving newborn survival. Therefore, mothers‟ knowledge is needed to reduce neonataldeath 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 15th to May 15th, 2019. Systematic randomsampling technique was used to select the study participants. Interviewer-administered,structured and pretested questionnaire was used to collect the data. The datawere checked forcompleteness, entered to Epi- Data version 4.4.3.1 and exported to SPSS version 25.0 foranalysis. Bivariable and multivariable logistic regression analysis with 95% CI, crud oddsratio and adjusted odds ratio were used to identify factors associated with the outcomevariable. Statistical significance was declared at P-value < 0.05. Then the results werepresented 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 sectionmode 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 significantlyassociated with the level of good maternal knowledge. Similarly, access to television was alsoa 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 educationalintervention during ante natal care, institution delivery and post natal care visit, advocatingthe use of media and increase maternal birth preparedness are highly recommended.
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Neonatal danger signs, neonate, knowledge, post natal mothers.