Daka Dawit Tesfaye, Wakuma Bizuneh, Etafa Werku, Temesgen Chewaka Dereje, Zewdie Ashenafi, Birhanu Ayele Mekdelawit, Midekso Beriso Yohannis, Legesse Bruck Tesfaye, Mekonen Wandimu Muche
Department of Pediatrics and Neonatal Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Department of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
BMC Pediatr. 2025 Jan 6;25(1):4. doi: 10.1186/s12887-024-05337-2.
Community-Based Newborn Care [CBNC] program aims to improve the health of the newborns. Despite management improvements, many young infants with serious bacterial infections [PSBI] in resource-limited settings are not receiving recommended inpatient treatment due to accessibility, affordability, or family acceptance issues. Therefore, this study aimed to assess the level of CBNC utilization and associated factors among women who delivered recently their newborns in Nekemte city, West Oromia, Ethiopia.
A community-based cross-sectional study design was carried out. A two-month infants' mother interview was conducted from March 1 to April 30, 2023, using data from 556 mothers in Nekemte city. Nurses trained and working in this city collected the data. Data were collected using Kobo Toolbox software and exported to STATA Version 14 for analysis. A binary logistic regression analysis was carried out. In the multivariable logistic regression analysis, a p value of < 0.05 and adjusted OR [AOR] with a 95% CI were used to identify factors statistically associated with CBNC service utilization.
The overall level of community based care utilization was 35.25% [95% CI: 33.85-44.60]. While time of first anti natal care contacts [AOR: 0.14; 95% CI: 0.08-0.25], maternal age [AOR: 3.36; 95% CI: 1.35-8.31], marital status [AOR: 0.24; 95% CI: 0.08-0.75], and estimated wealth level [AOR: 6.54; 95% CI: 2.24-19.11] were significantly associated factors with the level of community-based utilization of newborn care.
Community-based newborn care utilization was low from the study area in related to the previous studies and national recommendation. Therefore, creating awareness for mothers to start their antenatal contacts early or at the first trimester, giving information about community-based utilization of newborn care services to teenagers, and supporting mothers who are widowed and of medium or high income to use the community-based utilization of newborn care services.
基于社区的新生儿护理（CBNC）项目旨在改善新生儿健康。尽管管理有所改进，但在资源有限的环境中，许多患有严重细菌感染（PSBI）的幼儿由于可及性、可负担性或家庭接受度问题，未得到推荐的住院治疗。因此，本研究旨在评估埃塞俄比亚奥罗米亚西部内克梅特市近期分娩新生儿的妇女中CBNC的利用水平及相关因素。
采用基于社区的横断面研究设计。于2023年3月1日至4月30日，对556名内克梅特市母亲的数据进行了为期两个月的婴儿母亲访谈。在该市接受培训并工作的护士收集了数据。使用Kobo Toolbox软件收集数据，并导出到STATA 14版本进行分析。进行二元逻辑回归分析。在多变量逻辑回归分析中，p值<0.05且调整后的比值比（AOR）及95%置信区间（CI）用于确定与CBNC服务利用有统计学关联的因素。
基于社区的护理利用总体水平为35.25%[95%CI：33.85 - 44.60]。首次产前检查时间（AOR：0.14；95%CI：0.08 - 0.25）、产妇年龄（AOR：3.36；95%CI：1.35 - 8.31）、婚姻状况（AOR：0.24；95%CI：0.08 - 0.75）和估计财富水平（AOR：6.54；95%CI：2.24 - 19.11）是与基于社区的新生儿护理利用水平显著相关的因素。
与先前研究和国家建议相比，研究区域内基于社区的新生儿护理利用率较低。因此，提高母亲意识，使其尽早或在孕早期开始产前检查，向青少年提供基于社区的新生儿护理服务信息，并支持丧偶以及中等或高收入的母亲使用基于社区的新生儿护理服务。
