Knowledge and Practice of Immediate Newborn Care Among Midwives in Governmental Health Facilities at Central Zone, Tigray Regional State, North Ethiopia.
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Date
2015-06
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Addis Ababa University
Abstract
Background: Newborn is considered to be tiny and powerless, completely dependent on
other for life within one minute of birth the normal new born adapts from a dependent fetal
existence to an independent one; capable of breathing and carrying on life process. The first
hours are crucial because multiple organ system is making the transition from intrauterine to
extra uterine functions. The care given immediately after birth is simple but important.
Objective: To assess Knowledge and practice of immediate newborn care among Midwives
in governmental health facilities at central zone, Tigray regional state, north Ethiopia, from
January- June, 2015.
Methods: An institutional based cross-sectional quantitative descriptive study design was
used for this study. Sample size was calculated by using sample correction formula and
sample size was 150 midwives. In Central zone all woreda health facilities were included in
the study. Final study subject were selected using non probability convenience methods. The
data was collected after pre-tested the questionnaire. Observation method was used
standardized checklist adopted from save the children international followed by interview.
The collected data was coded and entered to EPI-Info version 3.5.1 and data was exported to
SPSS version 21.0. Finally, result was presented in texts, graphs and tables.
Result: Out of 150 samples size 147 were participated in the study making the response rate
of 98%. Of these, 59.9% midwives were working in health center, 99.3% were ethnicity of
Tigray and 79.6% were females. 23.8% respondents were in the age group of 25-29 and the
mean age of respondents was 34.1 years. Among the total participants, 99.3% of midwives
were applied eye ointment to immediately born baby. The general knowledge of participants
on immediate newborn care was 17.7% good and 25.2% poor. Regarding immediate newborn
care practice 52.4% were practiced but remaining 47.6% of respondents were not practiced.
Work environment was significantly associated with practice of immediate newborn care.
Midwives working in health center were 82% lower odds of newborn care compared to those
working in hospital (p=0.000, OR=0.18 (0.07, 0.43)
Conclusion and Recommendation: Most midwives have received in-service training on
immediate newborn care, even though the Study result showed presence of knowledge and
practice gap of care given to newborn baby. So it is necessary to strengthen in-service
training given to midwives on immediate newborn care periodically. Further study on
knowledge and practice of midwives regarding immediate newborn care is recommended.
Keyword: Knowledge, practice and newborn care
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Keywords
Knowledge, Practice and newborn care