Department of Paediatrics, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria.
Department of Pediatrics, Division of Global Health University of Minnesota & Hennepin Healthcare Minneapolis, MN, USA.
J Trop Pediatr. 2019 Dec 1;65(6):569-575. doi: 10.1093/tropej/fmz012.
Nigeria has the highest number of neonatal and under-five deaths in Africa. Socio-cultural determinants play an important role in disease burden in low-middle income countries. This study aimed to describe knowledge, attitudes and neonatal care practice among household caregivers in a rural community in Nigeria, specifically uvulectomy, female genital mutilation (FGM), failure to routinely immunize and unsafe cord care. Further, relationships between demographic characteristics and knowledge, attitudes and neonatal care practices among caregivers were analyzed. The study design was descriptive correlational and cross-sectional. Consented caregivers (N = 298) were enrolled and interviewed using a structured questionnaire. Data were collected on demographic characteristics of the study participants and practice of uvulectomy, FGM, immunization and cord care. Statistically significant correlations were found between the practice of uvulectomy, FGM and failure to immunize based on occupation (p = 0.0202, p = 0.0290, p = 0.0071) and educational level (p =< 0.0001, p =< 0.0001, p =< 0.0001), with variations by ethnicity. Intense, preventative health measures and maternal education to eliminate harmful care practices are essential to influence outcomes.
尼日利亚是非洲新生儿和五岁以下儿童死亡人数最多的国家。社会文化决定因素在中低收入国家的疾病负担中起着重要作用。本研究旨在描述尼日利亚农村社区中家庭照顾者的知识、态度和新生儿护理实践，特别是割礼、女性生殖器切割（FGM）、常规免疫接种失败和不安全的脐带护理。此外，还分析了人口统计学特征与照顾者知识、态度和新生儿护理实践之间的关系。研究设计为描述性相关性和横断面研究。同意参与的照顾者（N=298）被招募并使用结构化问卷进行访谈。收集了研究参与者的人口统计学特征以及割礼、FGM、免疫接种和脐带护理实践的数据。根据职业（p=0.0202，p=0.0290，p=0.0071）和教育水平（p=<0.0001，p=<0.0001，p=<0.0001），发现割礼、FGM 和免疫接种失败的实践之间存在统计学显著相关性，不同种族之间存在差异。需要采取强化的预防保健措施和对产妇进行教育，以消除有害的护理实践，从而影响结果。
