Essential new-born care practices and associated factors among post natal mothers in Nekemte City, Western Ethiopia

Abstract

Background Newborn survival is a prominent goal on the global health agenda and an important area of focus for programs seeking to ensure child survival. Geographically, neonatal deaths are most prevalent in Sub-Saharan Africa and southern Asia, accounting for 39% and 38% of all neonatal deaths respectively while Ethiopia in particular has 28% neonatal death. Promotion of essential newborn care practice is one of a cheap approach to improve health outcomes of newborn babies. Thus, this study was aimed to assess the magnitude of essential newborn care practices and associated factors among postnatal mothers in Nekemte city, Western Ethiopia. Methods An institution-based cross-sectional study was conducted from February to March, 2017, in Nekemte city, East Wollega Zone. Data was collected from 417 randomly selected mothers who have less than six months infants by face to face interview in three public health institutions of Nekemte City, Ethiopia. Women who were not biological mother to the newborn were excluded from the study. The collected data were coded, cleaned and entered using Epi-Data version 3.1 and analysed using Statistical Package for Social Science (SPSS) version 21.0. Both bivariable and multivariable logistic regression analysis were computed to identify associated factors. The strength of association was measured by odds ratios with 95% confidence interval (CI) at a p-value of < 0.05 and finally obtained results were presented by using simple frequency tables, graphs, and charts. Results The study revealed that the level of essential newborn care practice was 184(44.1%). The overall safe cord care practice of the respondents was 285 (68.3%) while the optimal thermal care practices and good neonatal feeding were 328 (78.7%) and 322 (77.2%) respectively. Having visit to Antenatal Care (ANC) [Adjusted Odds Ratio (AOR) = 4.38, 95% CI =

Assessment of Health and Health Related Problems in the Community of Mettu Town, South Western, Ethiopia, 2021: A Community Based Descriptive Cross Sectional Study

“…Our survey showed that most of the women 81 (51.59%) gave birth in health institution and 94 (59.87%) attained ANC services at least one times reguraly was less than the study done in Nekemte City, Western Ethiopia which showed 93.04% of participants have attended ANC for their previous or last pregnancy [17]. This variation was due to site of study.…”

The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

“…For example in Uganda early bathing and spread over materials on cord stump is a custom [21][22][23] . Similarly, studies done in different parts of Ethiopia also demonstrated the low level of utilization of essential new-born care 6,[24][25][26][27][28] .…”

“…In developing countries, neonatal mortality has remained resistant to change 3 , 4 . About three-fourths of deaths among new-born occur in the first week of life, and 25–40% occurs in the first 24 h 5 , 6 .…”

“…Essential Newborn Care (ENBC) utilization is one of the recommended strategies by World Health Organization (WHO) to reduce neonatal mortality and morbidity in both community and facility delivery 11 . ENBC practices include clean cord care, thermal care and initiating breast feeding immediately or within the first hour after birth 3 , 6 , 12 , 13 .…”

“…Various studies have assessed factors affecting essential newborn care utilization in East Africa 6,[24][25][26][27][28] . But none of them identified the pooled effect of ANC on essential new born care use in East Africa.…”