Department of Pediatrics, Bayero University, Kano & Aminu Kano Teaching Hospital, Kano, Nigeria.
Department of Community Medicine, Bayero University, Kano & Aminu Kano Teaching Hospital, Kano Nigeria.
PLoS One. 2022 Jan 7;17(1):e0262446. doi: 10.1371/journal.pone.0262446. eCollection 2022.
The knowledge, attitude, and practice of emergency neonatal resuscitation are critical requirements in any facility that offers obstetric and neonatal services. This study aims to conduct a needs assessment survey and obtain individual and facility-level data on expertise and readiness for neonatal resuscitation. We hypothesize that neonatal emergency preparedness among healthcare providers in Kano, Nigeria is associated with the level of knowledge, attitudinal disposition, practice and equipment availability at the facility level.
A semi-structured, self-administered questionnaire was administered to a cross-section of health providers directly involved with neonatal care (n = 112) and attending a neonatal resuscitation workshop in Kano state. Information regarding knowledge, attitude, practice and facility preparedness for neonatal resuscitation was obtained. Bloom's cut-off score and a validated basic emergency obstetric and neonatal care assessment tool were adopted to categorize outcomes. Multivariable logistic regression was employed to determine independent predictors of knowledge and practice.
Almost half (48% and 42% respectively) of the respondents reported average level of self-assessed knowledge and comfort during resuscitation. Only 7% (95% CI:3.2-13.7) and 5% (95% CI:2.0-11.4) of health providers demonstrated good knowledge and practice scores respectively, with an overall facility preparedness of 46%. Respondents' profession as a physician compared to nurses and midwives predicted good knowledge (aOR = 0.08, 95% CI: 0.01-0.69; p = 0.01), but not practice.
Healthcare provider's knowledge and practice including facility preparedness for emergency neonatal resuscitation were suboptimal, despite the respondents' relatively high self-assessed attitudinal perception. Physicians demonstrated higher knowledge compared to other health professionals. The low level of respondents' awareness, practice, and facility readiness suggest the current weak state of secondary health systems in Kano.
在提供产科和新生儿服务的任何机构中，掌握急救新生儿复苏的知识、态度和实践都是至关重要的要求。本研究旨在进行需求评估调查，并获取个人和机构层面的专业知识和新生儿复苏准备情况的数据。我们假设，尼日利亚卡诺州的医疗保健提供者对新生儿急救的准备情况与他们的知识水平、态度倾向、实践技能以及设施设备的可用性有关。
我们对直接参与新生儿护理的卫生保健提供者（n = 112）进行了横断面调查，他们参加了在卡诺州举办的新生儿复苏研讨会，采用半结构式自填式问卷收集了有关知识、态度、实践和新生儿复苏设施准备情况的信息。采用 Bloom 截断评分和经过验证的基本产科和新生儿急救评估工具对结果进行分类。采用多变量逻辑回归确定知识和实践的独立预测因素。
近一半（分别为 48%和 42%）的受访者报告在复苏过程中自我评估的知识和舒适度处于中等水平。只有 7%（95%CI：3.2-13.7）和 5%（95%CI：2.0-11.4）的卫生保健提供者表现出良好的知识和实践评分，整体设施准备率为 46%。与护士和助产士相比，医生的职业更能预测良好的知识（aOR = 0.08，95%CI：0.01-0.69；p = 0.01），但不能预测实践。
尽管受访者的态度感知相对较高，但医疗保健提供者的知识和实践，包括紧急新生儿复苏的设施准备情况，仍不理想。与其他卫生专业人员相比，医生表现出更高的知识水平。受访者的意识、实践和设施准备水平较低表明，卡诺州的二级卫生系统目前处于弱势状态。
