A community based approach to improve health care seeking for newborn danger signs in rural wardha, India

Dongre, Amol R; Deshmukh, Pradeep; Bs, Garg

doi:10.1007/s12098-009-0028-y

Cited by 46 publications

(73 citation statements)

References 7 publications

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“…This finding is consistent with the findings in peri urban Wardha, India (2008) [16] which was reported by 76.4%, Luck know City India (2006) [17] which was reported by 76.9%, Ghana (2013) [18], and in the previous study in 4 regions of Ethiopia (2012) [15] which was reported by 83.6% of the mothers. "Poor sucking" is also found to be among the three most commonly reported neonatal danger signs in this study, which is reported by 42.0% of mothers which is in agreement with findings in the study conducted in Lucknow city, India (2006) [17] which was reported by 68.9%, rural Waldha, India (2007) [19] which was responded with 61.6%, Bangladesh (2007) [20] which was responded with 56%, and Ghana (2013) [21] and Ethiopia (2012) [22] which was responded by 39.5%. This study also found that "umbilical redness", "eye redness or discharge" and "yellow palms/sole, eye" are the least known neonatal danger signs which was responded by Ç 5% of mothers.…”

Section: Discussionsupporting

confidence: 90%

Awareness and Associated Factors towards Neonatal Danger Signs among Mothers Attending Public Health Institutions of Mekelle City, Tigray, Ethiopia, 2015

Adem¹,

Berhe²,

Tesfay³

2017

J Child Adolesc Behav

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Background: Neonatal mortality and morbidity are the greatest challenges in the current health care scenario. Majority of newborns die because mothers fail to identify danger signs of illness, and inappropriate/delayed care seeking. The most common identified newborn danger signs are fever, lethargy, inability to feed, low temperature, fast breathing, persistent vomiting, convulsions, pus draining/bleeding from umbilical area, lack of consciousness, yellow palm/sole/eye and eye discharge/redness. Objective was to assess the awareness level and factors associated towards neonatal danger sign among mothers who attend public health institutions of Mekelle City, Tigray, Ethiopia, 2015.

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Section: Discussionsupporting

confidence: 90%

Awareness and Associated Factors towards Neonatal Danger Signs among Mothers Attending Public Health Institutions of Mekelle City, Tigray, Ethiopia, 2015

Adem¹,

Berhe²,

Tesfay³

2017

J Child Adolesc Behav

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“…[17] Community mobilization and participatory, need based health education strategy based on local epidemiology and caregivers perspectives could improve health care seeking for newborn danger signs in rural Wardha. [18] Hence, along with the initial two components of IMCI strategy (improving the skills of health workers and improving health system), the third component of IMCI strategy i.e. household and community IMCI (HH/C IMCI) strategy should be implemented through community participation.…”

Section: Discussionmentioning

confidence: 99%

Childhood morbidity, household practices and health care seeking for sick children in a tribal district of Maharashtra, India

Dongre¹,

Deshmukh²,

Bs³

2010

Indian J Med Sci

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“…Thus, we need to enhance homebased newborn care, which has been shown to improve mothers' knowledge regarding danger signs and subsequent healthcare seeking. 58 Nevertheless, narratives available in VA forms showed the presence of vague symptoms rather than clearcut danger signs before neonatal deaths in many cases, which highlights the importance of routine preventive care of all neonates rather than care of only sick neonates.…”

Section: Open Accessmentioning

confidence: 99%

Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy

Kumar

Kant

Srivastava³

et al. 2017

BMJ Open

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ObjectiveTo identify the medical causes of death and contribution of non-biological factors towards infant mortality by a retrospective analysis of routinely collected data using verbal and social autopsy tools.SettingThe study site was Health and Demographic Surveillance System (HDSS), Ballabgarh, North IndiaParticipantsAll infant deaths during the years 2008–2012 were included for verbal autopsy and infant deaths from July 2012 to December 2012 were included for social autopsy.Outcome measuresCause of death ascertained by a validated verbal autopsy tool and level of delay based on a three-delay model using the INDEPTH social autopsy tool were the main outcome measures. The level of delay was defined as follows: level 1, delay in identification of danger signs and decision making to seek care; level 2, delay in reaching a health facility from home; level 3, delay in getting healthcare at the health facility.ResultsThe infant mortality rate during the study period was 46.5/1000 live births. Neonatal deaths contributed to 54.3% of infant deaths and 39% occurred on the first day of life. Birth asphyxia (31.5%) followed by low birth weight (LBW)/prematurity (26.5%) were the most common causes of neonatal death, while infection (57.8%) was the most common cause of post-neonatal death. Care-seeking was delayed among 50% of neonatal deaths and 41.2% of post-neonatal deaths. Delay at level 1 was most common and occurred in 32.4% of neonatal deaths and 29.4% of post-neonatal deaths. Deaths due to LBW/prematurity were mostly followed by delay at level 1.ConclusionA high proportion of preventable infant mortality still exists in an area which is under continuous health and demographic surveillance. There is a need to enhance home-based preventive care to enable the mother to identify and respond to danger signs. Verbal autopsy and social autopsy could be routinely done to guide policy interventions aimed at reduction of infant mortality.

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A community based approach to improve health care seeking for newborn danger signs in rural wardha, India

Abstract: The present approach improved mothers' knowledge regarding newborn danger signs and improved their health care seeking behavior for newborn danger signs at community level. Due to lack of faith in government health services, women preferred to seek care from private providers.

Cited by 46 publications

References 7 publications

Awareness and Associated Factors towards Neonatal Danger Signs among Mothers Attending Public Health Institutions of Mekelle City, Tigray, Ethiopia, 2015

Awareness and Associated Factors towards Neonatal Danger Signs among Mothers Attending Public Health Institutions of Mekelle City, Tigray, Ethiopia, 2015

Childhood morbidity, household practices and health care seeking for sick children in a tribal district of Maharashtra, India

Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy

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