Department of Biomedical Sciences, School of Medicine, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.
Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.
BMC Pregnancy Childbirth. 2020 Feb 24;20(1):124. doi: 10.1186/s12884-020-2804-7.
Globally, newborn death accounted for 46% of under-five deaths and more than 80% of newborn deaths are the result of preventable and treatable conditions. Findings on the prevalence and associated factors of essential newborn care utilization are highly variable and inconsistent across Ethiopia. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of essential newborn care utilization and associated factors in Ethiopia.
The international databases accessed included MEDLINE/PubMed, EMBASE, Web of Sciences, Scopus, and Grey literature databases, Google Scholar, Science Direct and Cochrane library were scientifically explored. We considered all primary studies reporting the prevalence of essential newborn care utilization and associated factors in Ethiopia. We retrieved all necessary data by using a standardized data extraction format spreadsheet. STATA 14 statistical software was used to analyze the data and Cochrane Q test statistics and I test was used to assess the heterogeneity between the studies. There significant heterogeneity between the studies so a random effect model was employed.
The pooled estimate of essential newborn care utilization from 11 studies in Ethiopia was 48.77% (95% CI: 27.89, 69.65). Residence [OR = 2.50 (95% CI: 1.64, 3.88)], Postnatal care [OR = 5.53, 95% CI = (3.02, 10.13], counseling during pregnancy and delivery [OR = 4.39, 95% CI = (2.99, 6.45], antenatal care follows up (OR = 6.84; 95% CI: 1.15, 4.70) and maternal educational status [OR = 1.63 (95% CI: 1.12, 2.37)] were identified as associated factors of essential newborn care utilization.
Based on the current study essential newborn care utilization in Ethiopia was significantly low in comparison with the current global recommendation on essential newborn care utilization. Place of residence, Postnatal care, counseling during pregnancy and delivery, antenatal care follow up, and maternal educational status were associated risk factors. Therefore, on the basis of the results, it is suggested that special attention should be given to attempts to ensure that education should focus on women during ante and postnatal follow-up, counseling during pregnancy and delivery, as well as rural and illiterate mothers. Finally, appropriate newborn services at health facilities and raising mother's level of awareness about newborn care practices are imperative in addressing the gaps in essential newborn care utilization in Ethiopia.
全球范围内，新生儿死亡占五岁以下儿童死亡人数的 46%，超过 80%的新生儿死亡是可预防和可治疗的。在埃塞俄比亚，关于基本新生儿护理利用的流行情况和相关因素的发现差异很大且不一致。因此，本系统评价和荟萃分析旨在估计埃塞俄比亚基本新生儿护理利用的综合流行率和相关因素。
本研究检索了国际数据库，包括 MEDLINE/PubMed、EMBASE、Web of Sciences、Scopus 和灰色文献数据库、Google Scholar、Science Direct 和 Cochrane 图书馆。我们考虑了所有报告埃塞俄比亚基本新生儿护理利用和相关因素流行率的原始研究。我们使用标准化的数据提取格式电子表格检索了所有必要的数据。STATA 14 统计软件用于分析数据，Cochrane Q 检验统计量和 I 检验用于评估研究之间的异质性。研究之间存在显著的异质性，因此采用了随机效应模型。
来自埃塞俄比亚 11 项研究的基本新生儿护理利用的综合估计值为 48.77%（95%CI：27.89，69.65）。居住地[OR=2.50（95%CI：1.64，3.88）]、产后护理[OR=5.53，95%CI=（3.02，10.13）]、妊娠和分娩期间的咨询[OR=4.39，95%CI=（2.99，6.45）]、产前护理随访[OR=6.84；95%CI：1.15，4.70）]和产妇教育程度[OR=1.63（95%CI：1.12，2.37）]是基本新生儿护理利用的相关因素。
根据目前的研究，与目前全球基本新生儿护理利用建议相比，埃塞俄比亚的基本新生儿护理利用明显较低。居住地、产后护理、妊娠和分娩期间的咨询、产前护理随访以及产妇教育程度是相关的危险因素。因此，根据研究结果，建议特别注意确保在产前和产后随访期间，对妇女进行教育应侧重于妊娠和分娩期间的咨询以及农村和文盲母亲。最后，在卫生机构提供适当的新生儿服务和提高母亲对新生儿护理实践的认识，对于解决埃塞俄比亚基本新生儿护理利用差距至关重要。
