Hopp Leah J
127 Wakefield Crescent, London, Ontario, N5X 1Z6, Canada.
Afr Health Sci. 2017 Mar;17(1):7-13. doi: 10.4314/ahs.v17i1.3.
Drawing attention to home birth conditions and subsequent neonatal infections is a key starting point to reducing neonatal morbidity which are a main cause of mortality in sub-Saharan Africa.
To determine the proportion of respiratory, ophthalmic, and diarrhoeal infections in neonates; the proportion of mothers of neonates, following clean delivery practices; and to explore existing community practices during delivery and the neonatal period.
A descriptive, cross-sectional, exploratory study, including 10 questionnaires and five Key-Informant interviews, in rural Karamoja, Uganda.
Post-delivery razor blade and string use was 90%, but clean delivery surface use only 30%, while 90% obtained bathing water for neonates from boreholes. No mothers washed hands after latrine-related activities compared with 83% for food-related activities. None delivered in health centres or with skilled birth attendants. Respiratory infections occurred in eight neonates, compared to two ophthalmic infections, and no diarrhoea.
Use of clean delivery surfaces needs to be improved as well as washing after latrine-related activities. Diarrhoea was far less common than expected. Since rural Mother-Infant pairs spend the majority of their post-delivery time around the homestead, hygiene impacts neonatal infections to a large degree, possibly even more so than delivery practices.
关注家庭分娩条件及随后的新生儿感染是降低新生儿发病率的关键起点，而新生儿发病率是撒哈拉以南非洲地区主要的死亡原因。
确定新生儿呼吸道、眼部和腹泻感染的比例；新生儿母亲遵循清洁分娩做法的比例；并探索分娩期间及新生儿期现有的社区做法。
在乌干达卡拉莫贾农村地区开展一项描述性、横断面探索性研究，包括10份问卷调查和5次关键 informant访谈。
产后使用剃须刀片和绳子的比例为90%，但使用清洁分娩表面的比例仅为30%，而90%的人从钻孔获取新生儿洗澡水。与从事与食物相关活动后洗手的比例为83%相比，没有母亲在从事与厕所相关活动后洗手。无人在卫生中心分娩或由熟练的助产士接生。8名新生儿发生呼吸道感染，2名发生眼部感染，无腹泻病例。
需要改进清洁分娩表面的使用情况以及与厕所相关活动后的洗手情况。腹泻比预期的要少得多。由于农村母婴在产后大部分时间都在家中，卫生状况在很大程度上影响新生儿感染，甚至可能比分娩做法的影响更大。
