Yitayew Yibeltal Asmamaw, Tadele Anteneh Shumet, Yalew Zemen Mengesha, Mamuye Shiferaw Abeway, Jember Desalegn Abebaw
Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Muja Health Center, Gidan District, North Wollo, Ethiopia.
Heliyon. 2021 Jul 12;7(7):e07553. doi: 10.1016/j.heliyon.2021.e07553. eCollection 2021 Jul.
The majority of neonatal deaths in developing countries occurred at home due to late recognition of the signs of serious illness by parents or caregivers. In Ethiopia, besides the attempts made to scale-up the maternal and child health services, maternal knowledge of neonatal danger signs is low. Therefore, this study aimed to assess the knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan district health centers, North Wollo, Ethiopia.
An institution-based cross-sectional study was conducted from September 1-30, 2020, among 399 mothers attending pediatric immunization clinics in Gidan district health centers. The data were collected using a pretested, structured, and interviewer-administered questionnaire. Epidata version 4.4.2.0 was used for data entry, and Statistical Package for Social Sciences version 22 was used for analysis. Descriptive statistics, bivariate and multivariate logistic regression were computed. Finally, an adjusted odds ratio along with 95% CI was calculated, and variables that had a P-value <0.05 were declared statistically significant.
The level of good maternal knowledge of neonatal danger signs in the study area was 48.1% (95% CI, 43.6%-52.9%). Maternal education level (AOR: 3.58, 95% CI, 1.22-10.55), parity (AOR: 2.10, 95% CI 1.18-3.71), having postnatal care follow-up (AOR: 2.05, 95% CI, 1.21-3.49), receiving health education about neonatal danger signs (AOR: 4.87, 95% CI, 2.73-8.68), and previous experience of neonatal danger signs (AOR: 2.35, 95% CI, 1.33-4.15) were significantly associated variables with the maternal knowledge of neonatal danger signs.
This study revealed that maternal knowledge of neonatal danger signs was low. Maternal educational level, parity, postnatal care follow-up, health education about neonatal danger signs, and previous experience of neonatal danger signs were significantly associated variables. Therefore, maternal knowledge of neonatal danger signs needs to be enhanced through improving postnatal care services utilization and providing adequate health education about newborn health problems.
在发展中国家，大多数新生儿死亡发生在家中，原因是父母或照顾者对严重疾病迹象的识别较晚。在埃塞俄比亚，除了努力扩大母婴健康服务外，母亲对新生儿危险信号的了解程度较低。因此，本研究旨在评估埃塞俄比亚北沃洛吉丹区卫生中心儿科免疫诊所母亲们对新生儿危险信号的了解情况及相关因素。
2020年9月1日至30日，在吉丹区卫生中心的儿科免疫诊所对399名母亲进行了一项基于机构的横断面研究。数据通过预先测试、结构化且由访谈员实施的问卷收集。使用Epidata 4.4.2.0进行数据录入，使用社会科学统计软件包22进行分析。计算描述性统计、双变量和多变量逻辑回归。最后，计算调整后的比值比及95%置信区间，P值<0.05的变量被宣布具有统计学意义。
研究区域内母亲对新生儿危险信号的良好了解水平为48.1%（95%置信区间，43.6%-52.9%）。母亲的教育水平（调整后的比值比：3.58，95%置信区间，1.22-10.55）、产次（调整后的比值比：2.10，95%置信区间1.18-3.71）、接受产后护理随访（调整后的比值比：2.05，95%置信区间，1.21-3.49）、接受关于新生儿危险信号的健康教育（调整后的比值比：4.87，95%置信区间，2.73-8.68）以及以前有新生儿危险信号的经历（调整后的比值比：2.35，95%置信区间，1.33-4.15）是与母亲对新生儿危险信号的了解显著相关的变量。
本研究表明母亲对新生儿危险信号的了解程度较低。母亲的教育水平、产次、产后护理随访、关于新生儿危险信号的健康教育以及以前有新生儿危险信号的经历是显著相关的变量。因此，需要通过提高产后护理服务利用率和提供关于新生儿健康问题的充分健康教育来提高母亲对新生儿危险信号的了解。
