College of Public Health, Kent State University, Kent, OH, USA.
Department of Health Science, Cavendish University, Kampala, Uganda.
BMC Public Health. 2020 Aug 17;20(1):1245. doi: 10.1186/s12889-020-09310-3.
Despite concerted global efforts towards achieving infant-survival, infant mortality lingers as a problem in developing countries. Environmental and personal-level factors are assumed to account for this situation. This study was undertaken to provide better understanding of the dynamics of predictors of infant-survival practices among mothers with infants attending paediatric clinics.
A cross-sectional survey design was adopted. Data was collected from 386 nursing mothers selected by convenience sampling. Interviewer-administered questionnaires were used for data collection. The questionnaire consisted of 38-items including demographic information of respondents, health-literacy counsels received during antenatal care, social-support from significant others, and self-efficacy to carry-out infant-survival instructions. Responses were transformed into rating scales for each variable and data analysis was conducted by linear regression analysis with test of hypotheses at 5% level of significance.
The mean age of respondents was 29.8 ± 5.8 years. Majority (81.6%) were married. Yorubas (83.90%) were predominant. Participants had mean scores of 10.50 ± 3.83, 10.56 ± 3.70 and 16.61 ± 4.56 respectively computed for levels of health-literacy, social-support, and self-efficacy. The dependent variable measured level of infant-survival practices and respondents scored 16.53 ± 4.71. The study found a significant association among variables. Self-efficacy was the major predictor variable of self-reported infant-survival practices (R = 0.466; R = 0.217; P<0.05).
We conclude that participants had average levels of health-literacy, social-support, self-efficacy, and infant-survival practices. Healthcare providers should make efforts to empower pregnant women on activities essential for infant-survival. Family members of nursing mothers should as well be knowledgeable about the advantages of supporting them.
尽管全球为实现婴儿生存而做出了共同努力，但婴儿死亡率在发展中国家仍然是一个问题。人们认为环境和个人层面的因素是造成这种情况的原因。本研究旨在更好地了解在儿科诊所就诊的婴儿母亲的婴儿生存实践的预测因素的动态。
采用横断面调查设计。通过方便抽样选择了 386 名哺乳期母亲进行数据收集。采用访谈者管理的问卷进行数据收集。问卷包括 38 个项目，包括受访者的人口统计学信息、产前护理期间接受的健康素养咨询、来自重要他人的社会支持以及实施婴儿生存指导的自我效能。将每个变量的反应转换为评分量表，并通过线性回归分析进行数据分析，并在 5%的显著性水平上进行假设检验。
受访者的平均年龄为 29.8±5.8 岁。大多数（81.6%）已婚。约鲁巴人（83.90%）居多。参与者的健康素养、社会支持和自我效能水平的平均得分为 10.50±3.83、10.56±3.70 和 16.61±4.56。因变量测量婴儿生存实践的水平，受访者得分为 16.53±4.71。研究发现各变量之间存在显著关联。自我效能是自我报告婴儿生存实践的主要预测变量（R=0.466；R=0.217；P<0.05）。
我们得出结论，参与者的健康素养、社会支持、自我效能和婴儿生存实践水平均处于平均水平。医疗保健提供者应努力使孕妇掌握对婴儿生存至关重要的活动。哺乳期母亲的家庭成员也应该了解支持她们的好处。
