Abebe Haimanot, Adane Daniel, Shitu Solomon
Department of Public health in Reproductive Health, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.
Department of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.
Arch Public Health. 2021 Mar 31;79(1):42. doi: 10.1186/s13690-021-00568-6.
Essential newborn care is a wide-ranging strategy intended to improve the health of newborns by implementing appropriate interventions. Approximately in 2018, an estimated 2.5 million children died in their first month of life, which is approximately 7000, newborns every day, with about a third of all neonatal deaths occurring within the first day after birth. Even though the most cause of death is preventable the burden of neonatal death is a still high in developing countries including Ethiopia. Therefore this study is aimed to assess the level of essential newborn care practice among mothers who gave birth within the past six months in Gurage Zone, Southwest Ethiopia.
A community-based cross-sectional study was conducted among mothers who gave birth within the past six months in Gurage Zone, Southwest Ethiopia. For the quantitative part, 624 study participants were involved by using a multi-stage sampling method. A systematic random sampling technique was to reach the study subjects. Data entry was carried out by Epi data version 4.0.0 and analysis was done by SPSS window version 24. Binary and multivariate logistic regressions were used to identify associated factors. For the qualitative part, three focus group discussions (FGD) with purposively selected 30 mothers were involved. The data were analyzed deductively by using the thematic framework analysis approach by using Open code version 4.02.
Overall good essential newborn care practice was found to be 41.0% [95%CI, 36.6-44.7]. Being urban residence [AOR 1.70, 95%CI: 1.03-2.79], attending antenatal care visit [AOR = 3.53, 95%CI: 2.14-5.83], attending pregnant mothers meeting [AOR = 1.86, 95%CI: 1.21-2.86], had immediate postnatal care [AOR = 3.92, 95% CI: 2.65-5.78], and having good knowledge about ENC [AOR = 2.13, 95% CI: 1.47-3.10] were significantly associated with good essential newborn care practice.
This study indicated that the magnitude of essential newborn care practice was low. Thus, a primary health care provider should regularly provide ENC for newborns and take opportunities to counsel the mothers about ENC during pregnant mothers meeting and MCH services sessions.
基本新生儿护理是一项广泛的策略，旨在通过实施适当的干预措施来改善新生儿的健康状况。2018年前后，估计有250万儿童在出生后的第一个月内死亡，即每天约7000名新生儿，其中约三分之一的新生儿死亡发生在出生后的第一天。尽管大多数死亡原因是可以预防的，但在包括埃塞俄比亚在内的发展中国家，新生儿死亡的负担仍然很高。因此，本研究旨在评估埃塞俄比亚西南部古拉格地区在过去六个月内分娩的母亲中基本新生儿护理措施的实施水平。
在埃塞俄比亚西南部古拉格地区对过去六个月内分娩的母亲进行了一项基于社区的横断面研究。在定量研究部分，采用多阶段抽样方法纳入了624名研究参与者。采用系统随机抽样技术选取研究对象。数据录入使用Epi data 4.0.0版本，分析使用SPSS 24.0窗口版本。采用二元和多变量逻辑回归来确定相关因素。在定性研究部分，组织了三次焦点小组讨论（FGD），有目的地选取了30名母亲参与。使用Open code 4.02版本，采用主题框架分析方法对数据进行演绎分析。
总体而言，基本新生儿护理措施的良好实施率为41.0%[95%置信区间，36.6 - 44.7]。居住在城市地区[AOR = 1.70，95%置信区间：1.03 - 2.79]、参加产前检查[AOR = 3.53，95%置信区间：2.14 - 5.83]、参加孕妇会议[AOR = 1.86，95%置信区间：1.21 - 2.86]、接受产后即时护理[AOR = 3.92，95%置信区间：2.65 - 5.78]以及对基本新生儿护理有良好的认知[AOR = 2.13，95%置信区间：1.47 - 3.10]与基本新生儿护理措施的良好实施显著相关。
本研究表明基本新生儿护理措施的实施程度较低。因此，初级卫生保健提供者应定期为新生儿提供基本新生儿护理，并利用孕妇会议和妇幼保健服务环节的机会为母亲们提供有关基本新生儿护理的咨询。
