Background: Child rearing practices and family environment determine the health of newborn. Harmful newborn care practices are the risk factors for late onset neonatal sepsis. The objective was to identify newborn practices related to breast feeding, cord care, hygiene of newborn and thermal care practice at home of admitted neonates with diagnosis Late Onset Neonatal Sepsis in pediatric unit of B.P. Koirala Institute of Health Sciences tertiary center in eastern Nepal.Methods: Descriptive cross sectional study was carried out from December 2014 to January 2015 using consecutive sampling. Semi structured, pretested questionnaire was used to interview 40 mothers. Data were analyzed using SPSS 20, descriptive and inferential statistics were used.Results: Initiation of breastfeeding within one hour of delivery was practiced by only 40% of mother. Among neonates, 65% were given colostrum, 25% were given pre lacteal feed, and 45% were given formula milk and animal milk. Mustard oil was used to care umbilical cord by 72.5 %. Hand washing was practiced by 62.5 % before touching the baby. Application of kajal (52.5%) in eyes and use of mustard oil (95%) for massaging newborn was common. For thermal care, burning charcoal (75%) was mostly used. The study revealed association between newborn care and mother education, per capita income of family and family type (p =0.012, p= 0.012, p=0.039) respectively. Conclusions: Majority of practices in breast feeding and thermal care were good however in cord care and newborn hygiene practices was poor which stresses the need for the promotion of health education program to mothers by health care facilities. Keywords: LONS; newborn care; practice

Background: Birth weight is the single most important factor determining a newborn’s survival chance. Recent development in neonatal care demands nurses to have updated knowledge regarding the care of low birth weight (LBW) babies. We aimed to assess the knowledge regarding care of LBW babies among nurses. Methods: In this descriptive cross-sectional study, we enrolled 54 nurses working in pediatric wards of BPKIHS. To assess their knowledge regarding the care of LBW babies, a pre-tested self- response questionnaire was administered with focus on six domains: knowledge about care of LBW babies, the kangaroo mother care, adequacy of breast feeding, vaccination, bathing of LBW babies, and prevention of infection. The chi-square test was used to examine the association between different categorical variables and their knowledge. Results: The majority (83%) had a Proficiency Certificate in nursing education, 11% had a Bachelor of Science in nursing education and only 6% had completed Bachelor in general nursing. More than half (55.6%) of the nurses had a job experience of 1-5 years. The overall knowledge score (mean ± SD) among the nurses on care of LBW babies was 86.5 ± 2.3. Nurses with Bachelor level of education had better knowledge score (85.5 ± 15.4) compared to those with proficiency level of education (75.1 ± 15.9) (p = 0.003). Conclusion: The knowledge regarding the care of LBW babies among the nurses working in pediatric wards of BPKIHS seemed excellent. Knowledge was better in nurses with higher educational level.

IntroductionAimTo develop a physical health care policy within the Rotherham Doncaster and South Humber NHS Foundation Trust (RDASH NHS FT) and shared care policy with Primary care, for adult psychiatric patients. To carry out a physical health care pilot in community mental health team of adult psychiatric patients.ObjectivesTo achieve a baseline of physical health status of the patients.To present the findings to the trust governance committee.Plan further pilot in Primary care to ensure action plan.Arrange systems in place within IT to store and share information.MethodPilot was carried out in Ferham clinic in Rotherham.Number of patients: 247A physical health pro-forma was devised which was completed by patients.Time period: May2013-September2013ResultsPatients identified: 247, Respondents: 225Type of pre-existing physical illnessSide effect profileConclusionThe results were presented at Trust Governance Committee and the pro-forma has been agreed as a trust wide minimum standard.Pilot in primary care has been agreed with Kivetonpark Medical practice.A system has been agreed with IT to store and share information in electronic case notes.Pending the results of primary care pilot, a policy for physical health care will be agreed.