Ayenew Asteray, Abebe Mahlet, Ewnetu Mesafint
Department of Midwifery, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Midwifery, School of Health Sciences, College of Medicine and Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia.
Pediatric Health Med Ther. 2020 Nov 11;11:449-458. doi: 10.2147/PHMT.S276698. eCollection 2020.
Each year, millions of newborns die as a result of birth asphyxia, infections, and complications of preterm birth. This burden of death is disproportionately concentrated in low-income countries including Ethiopia. As a result, the care given immediately after birth is crucial for making a successful transition from intrauterine to extrauterine function and to reduce neonatal mortality.
Facility-based cross-sectional study design was carried out on a sample size of 208 obstetrical care providers. A simple random sampling technique was used to select the study subjects. The data were collected through Interview-administered questionnaires and observational checklists. The data were entered into Epi-info version 7 and exported to SPSS 23 for analysis.
A total of 201 obstetric care providers participated in the study, making a response rate of (96.6%). This study revealed that 62.7% of obstetric care providers practiced essential newborn care properly. The factors significantly associated were received in-service training (AOR = 2.7, 95% CI: 1.35, 5.51), level of education (AOR = 0.46, 95% CI: 0.22, 0.96), midwifery profession (AOR = 3.1, 95% CI: 1.35, 7.39), having good knowledge of essential newborn care (AOR = 2.1, 95% CI: 1.03, 4.49), availability of drugs for essential newborn care (AOR = 2.3, 95% CI: 1.16, 4.72), and availability of medical equipment to perform essential newborn care (AOR = 2, 95% CI: 1.01, 3.96).
The practice of essential newborn care was generally low. Having in-service training, midwifery profession, a good knowledge of essential newborn care, availability of drugs, level of education, and availability of medical equipment for essential newborn care were the determinant factors for essential newborn care practice. Improvement in essential newborn care practices could be attained through modifiable proven interventions like provision of in-service training, availed drugs, and medical equipment for essential newborn care.
每年，数百万新生儿死于出生窒息、感染和早产并发症。这种死亡负担不成比例地集中在包括埃塞俄比亚在内的低收入国家。因此，出生后立即给予的护理对于成功从宫内功能过渡到宫外功能以及降低新生儿死亡率至关重要。
对208名产科护理人员进行了基于机构的横断面研究设计。采用简单随机抽样技术选择研究对象。通过访谈问卷和观察清单收集数据。数据录入Epi-info 7版本并导出到SPSS 23进行分析。
共有201名产科护理人员参与了研究，回复率为（96.6%）。本研究表明，62.7%的产科护理人员正确实施了基本新生儿护理。与之显著相关的因素包括接受在职培训（比值比=2.7，95%置信区间：1.35，5.51）、教育水平（比值比=0.46，95%置信区间：0.22，0.96）、助产专业（比值比=3.1，95%置信区间：1.35，7.39）、对基本新生儿护理有良好知识（比值比=2.1，95%置信区间：1.03，4.49）、有基本新生儿护理药物（比值比=2.3，95%置信区间：1.16，4.72）以及有进行基本新生儿护理的医疗设备（比值比=2，95%置信区间：1.01，3.96）。
基本新生儿护理的实施情况总体较低。接受在职培训、助产专业、对基本新生儿护理有良好知识、有药物、教育水平以及有基本新生儿护理的医疗设备是基本新生儿护理实施的决定因素。通过提供在职培训、基本新生儿护理药物和医疗设备等可改变的经证实干预措施，可以改善基本新生儿护理实践。
