Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Curtin School of Population Health, Curtin University, Perth, WA, Australia.
Sci Rep. 2023 Dec 20;13(1):22690. doi: 10.1038/s41598-023-49812-9.
Early newborn care provided in the first 2 days of life is critical in reducing neonatal morbidity and mortality. This care can be used to monitor and evaluate the content and quality of neonatal postnatal care. This study aimed to identify determinants and geographic distributions of early newborn care uptake in Ethiopia. We used data from the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). We conducted a multilevel binary logistic regression model and geographic analysis to identify the determinants of receiving early newborn care. A total of 2105 children were included in the study. Of the included children, 39.6% (95% confidence interval (CI) 38%, 42%) received at least two components of early newborn care services in the first 2 days after birth. Greater odds of receiving early newborn care were experienced by infants to mothers with secondary or above education (adjusted odds ratio (AOR) = 1.72; 95% CI 1.44, 2.18), from households with highest wealth quantiles (AOR = 1.47; 95% CI 1.16, 1.79), with at least one antenatal care contact (AOR = 2.73; 95% CI 1.79, 4.16), with birth at health facility (AOR = 25.63; 95% CI 17.02, 38.60), and those births through cesarean section (AOR = 2.64; 95% CI 1.48, 4.71). Substantial geographic variation was observed in the uptake of early newborn care in Ethiopia. Several individual- and community-level factors were associated with newborn postnatal care. Policymakers should prioritise these areas and the enhancement of postnatal healthcare provisions for mothers with low socioeconomic status.
新生儿在生命的头两天接受早期护理对于降低新生儿发病率和死亡率至关重要。这种护理可以用来监测和评估新生儿产后护理的内容和质量。本研究旨在确定埃塞俄比亚接受早期新生儿护理的决定因素和地理分布。我们使用了 2019 年埃塞俄比亚迷你人口与健康调查（EMDHS）的数据。我们进行了多水平二元逻辑回归模型和地理分析，以确定接受早期新生儿护理的决定因素。共有 2105 名儿童纳入研究。在所纳入的儿童中，39.6%（95%置信区间（CI）38%，42%）在出生后头两天内接受了至少两项早期新生儿护理服务。接受早期新生儿护理的可能性更大的是母亲受过中等或高等教育的婴儿（调整后的优势比（AOR）=1.72；95%置信区间（CI）1.44，2.18）、来自最高财富等级的家庭（AOR=1.47；95%置信区间（CI）1.16，1.79）、至少有一次产前保健接触（AOR=2.73；95%置信区间（CI）1.79，4.16）、在医疗设施分娩（AOR=25.63；95%置信区间（CI）17.02，38.60），以及通过剖腹产分娩的婴儿（AOR=2.64；95%置信区间（CI）1.48，4.71）。在埃塞俄比亚，早期新生儿护理的接受情况存在很大的地理差异。一些个人和社区层面的因素与新生儿产后护理有关。政策制定者应优先考虑这些领域，并加强为社会经济地位较低的母亲提供产后保健服务。
