Community Based Essential Newborn Care Practices and Associated Factors among Women Who Gave Birth at Home in Last 12 Months in Amaro Woreda, Southern Ethiopia, 2019

Abstract

Community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, the practice is challenging within the Ethiopian health system. The aim of this study was to assess prevalence of community based newborn care practices and associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Across-sectional study design and simple random sampling technique was employed to select study participants. Data was collected through face-to-face interview; EpiData version 3.1 and SPSS version 20 software were used for analysis. Bi-variable and multivariable logistic regression was employed to analyze the associated factors. In this study 29% practiced community based essential newborn care. Educational status of father (AOR = 2.28; 95% CI: 1.07-4.84), last delivery assisted by relative (AOR = 3.58; 95% CI: 1.66-7.73), having awareness about community based newborn care (AOR = 3.49; 95% CI: 2.11-5.77), awareness about newborn danger sign (AOR = 2.18; 95% CI: 1.29-3.68) were some of identified factors associated with community based newborn care practice. In conclusion, community based newborn care practice was low. Therefore, promotion of information at community level, women empowerment, and strengthening health extension program were recommending.

Intrapartum care intervention fidelity and factors associated with it in South Wollo Administrative Zone, Northeast Ethiopia.

“…The weighted average intrapartum care intervention fidelity in non-institutionally delivered mother in this study (44.7%) is greater than other studies in Ethiopian (2.9 -40.7%), Nepal's (0.9%) and Ghana's (15.8%). [27][28][29][30][31][32][33][34] In contrast, this finding is lower than other Ethiopian Awi (62.7%) study. 35 The difference might be due to measurement difference in that other studies used only three domains (cord care, thermal care, and neonatal feeding) while this study uses wider intrapartum care intervention contents as mentioned in method above.…”

The level of Community-Based Essential Newborn Care utilization and associated factors among rural women in Southern Ethiopia, 2020: Based on the updated Community-Based Essential Newborn Care guideline

“…On the contrary, the figure was higher than two studies conducted in Northern and Southern Ethiopia, in which the service was accessed by 23.1% and 29.0% of respondents and their newborns, respectively. 25,26 The possible reason for this disparity may be the variation in the adoption of maternal and child health services, where most of those services were higher in the current study area than in the two studies mentioned above. 25,26 Besides, one of the above studies conducted in Southern Ethiopia 26 was conducted among women who gave birth at home and this could lead to lower CBENC program practice, as certain components of CBENC may be missed by those mothers.…”

“…25,26 The possible reason for this disparity may be the variation in the adoption of maternal and child health services, where most of those services were higher in the current study area than in the two studies mentioned above. 25,26 Besides, one of the above studies conducted in Southern Ethiopia 26 was conducted among women who gave birth at home and this could lead to lower CBENC program practice, as certain components of CBENC may be missed by those mothers. Moreover, stronger and more resilient health systems focused on community-based service provisions, such as the health extension program in Ethiopia, may clarify some of the discrepancies in current and other results.…”

“…Studies showed that having a good BPCR plan results in a good uptake of maternal newborn and child health (MNCH) services. 25,26 This could be because those women with a good BPCR plan are less likely to be exposed to delays in seeking, reaching, and accessing MNCH services and this may lead to good compliance with the CBENC service items. This result may have a policy effect as BPCR is one of the 12 basic WHO recommendations for increasing the use of skilled maternity care and minimizing serious obstetric and neonatal complications by the well-timed use of facility care.…”

“…6 According to studies conducted elsewhere in Ethiopia, the level of CBENC uptake is between 23% and 40.7%, suggesting that the government needs to put in more effort. [23][24][25][26] Educational status, postpartum visits (PPVs), knowledge of newborn danger signs, ANC usage, and place of delivery were all found to be predictors of CBENC service utilization. [23][24][25][26] However, most of the previously conducted studies have failed to thoroughly investigate the influence of some of the health system-related factors such as attending a pregnant women conference (PWC) and birth preparedness and complication readiness (BPCR) plan on CBENC uptake.…”