Centre for Injury Prevention and Research Bangladesh, Dhaka, Bangladesh.
Department of Public Health Science, School of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
BMC Pediatr. 2021 Apr 9;21(1):168. doi: 10.1186/s12887-021-02633-z.
Community misperception on newborn care and poor treatment of sick newborn attributes to neonatal death and illness severity. Misperceptions and malpractices regarding neonatal care and neonatal complications are the leading causes of neonatal deaths in Bangladesh. The study was conducted to explore neonatal care's perceptions and practices and manage complications among Bangladesh's rural communities.
A qualitative study was conducted in Netrakona district of Bangladesh from April to June 2015. Three sub-districts (Upazilas) including Purbadhala, Durgapur and Atpara of Netrakona district were selected purposively. Five focus group discussions (FGDs) and twenty in-depth interviews (IDIs) were conducted in the rural community. Themes were identified through reading and re-reading the qualitative data and thematic analysis was performed.
Community people were far behind, regarding the knowledge of neonatal complications. Most of them felt that the complications occurred due to lack of care by the parents. Some believed that mothers did not follow the religious customs after delivery, which affected the newborns. Many of them followed the practice of bathing the newborns and cutting their hair immediately after birth. The community still preferred to receive traditional treatment from their community, usually from Kabiraj (traditional healer), village doctor, or traditional birth attendant. Families also refrained from seeking treatment from the health facilities during neonatal complications. Instead, they preferred to wait until the traditional healers or village doctors recommended transferring the newborn.
Poor knowledge, beliefs and practices are the key barriers to ensure the quality of care for the newborns during complications. The communities still depend on traditional practices and the level of demand for facility care is low. Appropriate interventions focusing on these issues might improve the overall neonatal mortality in Bangladesh.
社区对新生儿护理的误解以及对患病新生儿的不良处理是导致新生儿死亡和病情加重的原因。在孟加拉国，对新生儿护理的误解和不当做法以及新生儿并发症是导致新生儿死亡的主要原因。本研究旨在探讨孟加拉国农村社区对新生儿护理的认知和实践情况，以及如何处理新生儿并发症。
本研究于 2015 年 4 月至 6 月在孟加拉国诺塔卡纳区进行。诺塔卡纳区选择了普巴达拉、杜尔加布尔和阿托拉三个分区（Upazilas）进行了有针对性的选择。在农村社区进行了 5 次焦点小组讨论（FGD）和 20 次深入访谈（IDI）。通过阅读和反复阅读定性数据来确定主题，并进行主题分析。
社区对新生儿并发症的认识还远远不够。他们中的大多数人认为并发症是由于父母照顾不周造成的。有些人认为母亲在分娩后没有遵守宗教习俗，这影响了新生儿。他们中的许多人在新生儿出生后立即给他们洗澡和理发。社区仍然倾向于从他们的社区中接受传统治疗，通常是从卡比拉吉（传统治疗师）、乡村医生或传统助产士那里接受治疗。在新生儿并发症期间，家庭也不愿到保健设施接受治疗。相反，他们更愿意等待传统治疗师或乡村医生建议将新生儿转移。
知识匮乏、信念和做法是确保新生儿在并发症期间得到高质量护理的关键障碍。社区仍然依赖传统做法，对设施护理的需求水平较低。针对这些问题的适当干预措施可能会降低孟加拉国的整体新生儿死亡率。
