International Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Hum Resour Health. 2009 Apr 24;7:36. doi: 10.1186/1478-4491-7-36.
An estimated four million deaths occur each year among children in the neonatal period. Current evidence-based interventions could prevent a large proportion of these deaths. However, health care workers involved in neonatal care need to have knowledge regarding such practices before being able to put them into action.The aim of this survey was to assess the knowledge of primary health care practitioners regarding basic, evidence-based procedures in neonatal care in a Vietnamese province. A further aim was to investigate whether differences in level of knowledge were linked to certain characteristics of community health centres, such as access to national guidelines in reproductive health care, number of assisted deliveries and geographical location.
This cross-sectional survey was completed within a baseline study preparing for an intervention study on knowledge translation (Implementing knowledge into practice for improved neonatal survival: a community-based trial in Quang Ninh province, Viet Nam, the NeoKIP project, ISRCTN44599712). Sixteen multiple-choice questions from five basic areas of evidence-based practice in neonatal care were distributed to 155 community health centres in 12 districts in a Vietnamese province, reaching 412 primary health care workers.
All health care workers approached for the survey responded. Overall, they achieved 60% of the maximum score of the questionnaire. Staff level of knowledge on evidence-based practice was linked to the geographical location of the CHC, but not to access to the national guidelines or the number of deliveries at the community level. Two separated geographical areas were identified with differences in staff level of knowledge and concurrent differences in neonatal survival, antenatal care and postnatal home visits.
We have identified a complex pattern of associations between knowledge, geography, demographic factors and neonatal outcomes. Primary health care staff knowledge regarding neonatal health is scarce. This is a factor that is possible to influence and should be considered in future efforts for improving the neonatal health situation in Viet Nam.
每年有大约 400 万新生儿死亡。目前基于证据的干预措施可以预防很大一部分此类死亡。然而，参与新生儿护理的医护人员需要具备这些实践知识，才能将其付诸实践。本调查旨在评估越南某省基层医疗保健工作者对基本、基于证据的新生儿护理程序的知识水平。进一步的目的是调查知识水平的差异是否与社区卫生中心的某些特征有关，如获取生殖健康护理国家指南、辅助分娩数量和地理位置。
这是一项横断面调查，是为一项知识转化干预研究（将知识转化为实践以提高新生儿存活率：越南广宁省基于社区的试验，NeoKIP 项目，ISRCTN44599712）的基线研究而进行的。从五个基于证据的新生儿护理实践领域中分发了 16 个多项选择题给越南某省 12 个区的 155 个社区卫生中心，共 412 名基层医疗保健工作者。
所有参与调查的卫生保健工作者都做出了回应。总体而言，他们在问卷的满分 100 分中获得了 60 分。医护人员基于证据的实践知识水平与 CHC 的地理位置有关，但与获取国家指南或社区级别的分娩数量无关。确定了两个地理位置不同的地区，这些地区的医护人员知识水平和同期新生儿存活率、产前保健和产后家访存在差异。
我们发现知识、地理、人口因素和新生儿结局之间存在复杂的关联模式。基层医疗保健人员对新生儿健康的知识匮乏。这是一个可以影响的因素，在未来为改善越南新生儿健康状况而努力时应予以考虑。
