Association of maternal knowledge of neonatal danger signs and postnatal care utilization of neonatal services, among mothers in Butajira, Ethiopia, 2019.
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Date
2020-12
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Addis Abeba University
Abstract
Introduction: Neonatal period is the first 28 days of life; they face highest risk of death during
this time. Global rate of neonatal mortality rate is 19 deaths/1000 births. One of the prevention
method which could decrease neonatal mortality is postnatal care to mother and baby after birth
up to 6weeks.Worldwide, about one third of the neonates use postnatal care, while its utilization
coverage in Ethiopia is very low. Knowledge of the neonatal danger sign is one of important factor
for utilization of neonatal postnatal care.
Objective -The aim of this particular study was to determine the association between maternal
knowledge of neonatal danger signs and postnatal care service utilization of neonate.
Method: Community based cross-sectional study using quantitative method was conducted at
Butajira Ethiopia. A total of 523 mothers who had given birth before one year were selected using
simple random sampling. Data were collected using a pre-tested structured intervieweradministered
questionnaire. The data were entered using Epi-data v-4.4.3.1 and export to
STATA14 for analysis. Bivariate and multivariate logistic regression were done to assess the
association between knowledge of neonatal danger signs and utilization of postnatal care of
neonate and P-value < 0.05 was used to declare the statistical significance.
Result -Postnatal care service utilization of neonates was 78.1% and maternal knowledge of
neonatal danger signs were 15.8%. Place of residence [AOR=4.54, 95%CI (1.23-16.77)], place of
delivery [AOR=26.9,95% CI (11.5-63.37)] and wealth index [AOR=8.13,95%CI (1.49 - 44.29)]
had significant association with postnatal care utilization of neonates with in the first three days.
However, mothers’ knowledge of neonatal danger sign had no significant association with
postnatal care utilization in the first three days [COR= 0.8,95% CI (0.45 - 1.42)].
Conclusion - In this study mothers’ knowledge of neonatal danger sign hadn’t shown association
with neonatal postnatal care service utilization. Mothers in urban areas were found to utilize more
neonatal postnatal care service than rural and mothers who had facility delivery were also found
to utilize more than those with no facility birth. Strengthen and improve neonatal service provision
in rural communities and also encouraging facility delivery is important.
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Keywords
Maternal knowledge,neonatal danger signs , postnatal care,neonatal services,mothers