Orimadegun Adebola E, Ojebiyi Adeola O
Institute of Child Health, College of Medicine, University of Ibadan, Ibadan.
Afr J Prim Health Care Fam Med. 2017 Jan 30;9(1):e1-e7. doi: 10.4102/phcfm.v9i1.1081.
Over half of births and newborn care occur in primary healthcare facilities in Nigeria, but information on activities of personnel working there is scarce.
To assess the knowledge and practices relating to neonatal jaundice (NNJ) among community health workers (CHWs) and community birth attendants (CBAs) in Nigeria.
We conducted a cross-sectional survey of all 227 CHWs and 193 registered CBAs in Ibadan, Nigeria.
Knowledge and practices regarding NNJ were measured using a pretested questionnaire. Knowledge and practices were assessed on a 33-point scale and a 13-point scale, respectively. Scores ≤ 17 and ≤ 9 was regarded as poor knowledge and as wrong practice, respectively.
Many (64.5%) of the respondents could not correctly describe examination for NNJ (CHWs: 49.4%; CBAs: 50.6%). Of the 200 (47.6%) who treated NNJ 3 months prior to the study, 62.5% (CHWs: 66.9% and CBAs: 53.7%) treated NNJ with orthodox drugs. Drugs prescribed included: antibiotics (93.3%), antimalarials (5.3%), multivitamins (28.0%), paracetamol (6.2%) and phenobarbitone (7.1%). Significantly more CHWs than CBAs practiced exposure to sunlight (33.1% versus 16.4%) and administration of glucose water (28.6% versus 14.9%), while 58.0% of all respondents referred cases to secondary health facilities. Overall, 80.2% had poor knowledge (CHWs: 78.9%; CBAs: 81.9%) and 46.4% engaged in wrong practices (CHWs: 57.3%; CBAs: 33.7%). CHWs were more likely to indulge in wrong practices than CBAs (OR = 2.22, 95% CI = 1.03, 4.79).
Primary Health Workers in Ibadan had poor knowledge and engaged in wrong practices about NNJ. The needs to organise regular training programmes were emphasised.
在尼日利亚，超过半数的分娩和新生儿护理在初级卫生保健机构进行，但关于这些机构工作人员活动的信息却很匮乏。
评估尼日利亚社区卫生工作者（CHW）和社区助产士（CBA）对新生儿黄疸（NNJ）的知识和实践情况。
我们对尼日利亚伊巴丹的所有227名社区卫生工作者和193名注册社区助产士进行了横断面调查。
使用预先测试的问卷来衡量关于新生儿黄疸的知识和实践情况。知识和实践分别采用33分制和13分制进行评估。得分≤17分和≤9分分别被视为知识欠缺和错误实践。
许多（64.5%）受访者无法正确描述新生儿黄疸的检查方法（社区卫生工作者：49.4%；社区助产士：50.6%）。在研究前3个月治疗过新生儿黄疸的200人（47.6%）中，62.5%（社区卫生工作者：66.9%；社区助产士：53.7%）使用传统药物治疗新生儿黄疸。所开药物包括：抗生素（93.3%）、抗疟药（5.3%）、多种维生素（28.0%）、对乙酰氨基酚（6.2%）和苯巴比妥（7.1%）。社区卫生工作者进行日光照射（33.1%对16.4%）和给予葡萄糖水（28.6%对14.9%）的比例显著高于社区助产士，而所有受访者中有58.0%将病例转诊至二级卫生设施。总体而言，80.2%的人知识欠缺（社区卫生工作者：78.9%；社区助产士：81.9%），46.4%的人存在错误实践（社区卫生工作者：57.3%；社区助产士：33.7%）。社区卫生工作者比社区助产士更有可能出现错误实践（比值比=2.22，95%置信区间=1.03，4.79）。
伊巴丹的初级卫生工作者对新生儿黄疸知识欠缺且存在错误实践。强调了组织定期培训项目的必要性。
