Yogesh M, Bhavana B M, Padhiyar Nanveet, Gandhi Rohankumar, Misra Swati
Department of Community Medicine, Shri M P Shah Government Medical College, Jamnagar, Gujarat, India.
Department of Community Medicine Jamnagar, Gujarat, India.
J Educ Health Promot. 2024 Jul 5;13:201. doi: 10.4103/jehp.jehp_66_24. eCollection 2024.
Knowledge of neonatal danger signs is crucial for timely care-seeking and improved newborn survival. This study assessed this knowledge among pregnant women in rural western Gujarat.
A mixed methods study was conducted among 390 pregnant women selected through a two-stage sampling procedure. Quantitative data were collected using a structured questionnaire. Qualitative data were gathered via in-depth interviews with 20 purposively sampled women. Logistic regression identified determinants of knowledge. Thematic analysis was done for qualitative data.
The majority of women were young (220, 56.5% ≤25 years), literate (333, 85%), and from rural backgrounds (320, 82%). Overall, 232 (59.5%) knew about cord care, and 301 (77.2%) correctly identified breastfeeding initiation time. Recognition of key danger signs such as fever (311, 79.7%), vomiting (292, 74.8%), and jaundice (275, 70.5%) was high, but only 70 (18%) identified chest in-drawing. Multiparity (adjusted odds ratio (AOR): 1.4, 95% confidence interval (95% CI): 1.2-3.9), lower age (AOR: 3.8, 95% CI: 2.4-5.8), education (AOR: 3.1, 95% CI: 1.5-6.4), inadequate counseling (AOR: 2.2, 95% CI: 1.82-5.190), and normative delivery (AOR: 2.4, 95% CI: 1.16-5.006) were associated with poor knowledge. Qualitative findings revealed reliance on informal sources, family elders, and financial constraints as key barriers along with limited comprehension of some danger signs.
Focused interventions via health workers, family members, and community platforms are needed to increase neonatal danger signs awareness among vulnerable women in the region to enable timely care-seeking.
了解新生儿危险信号对于及时就医和提高新生儿存活率至关重要。本研究评估了古吉拉特邦西部农村地区孕妇对这些信号的了解情况。
采用两阶段抽样程序选取390名孕妇进行混合方法研究。通过结构化问卷收集定量数据。通过对20名有目的抽样的妇女进行深入访谈收集定性数据。逻辑回归确定了知识的决定因素。对定性数据进行了主题分析。
大多数妇女年轻（220名，56.5%≤25岁）、识字（333名，85%）且来自农村背景（320名，82%）。总体而言，232名（59.5%）了解脐带护理，301名（77.2%）正确识别了开始母乳喂养的时间。对发烧（311名，79.7%）、呕吐（292名，74.8%）和黄疸（275名，70.5%）等关键危险信号的识别率较高，但只有70名（18%）识别出胸部凹陷。多产（调整后的优势比（AOR）：1.4，95%置信区间（95%CI）：1.2 - 3.9）、年龄较小（AOR：3.8，95%CI：2.4 - 5.8）、教育程度（AOR：3.1，95%CI：1.5 - 6.4）、咨询不足（AOR：2.2，95%CI：1.82 - 5.190）和规范分娩（AOR：2.4，95%CI：1.16 - 5.006）与知识水平低有关。定性研究结果表明，依赖非正式来源、家庭长辈以及经济限制是主要障碍，同时对一些危险信号的理解有限。
需要通过卫生工作者、家庭成员和社区平台进行有针对性的干预，以提高该地区弱势妇女对新生儿危险信号的认识，以便能够及时就医。
