Healthcare Professionals’ Knowledge of Neonatal Resuscitation in Ethiopia: Analysis from 2016 National Emergency Obstetric and Newborn Care Survey

Abstract

Background. Birth asphyxia, which accounts for 31.6% of all neonatal deaths, is one of the principal causes of neonatal mortality in Ethiopia. Adequate knowledge of newborn resuscitative procedures plays an important role in early diagnoses and suitable management. However, there are limited data on healthcare professionals’ knowledge about neonatal resuscitation. Thus, this study aimed to determine the knowledge of healthcare professionals about neonatal resuscitation and factors affecting it. Methods. Data from the Ethiopian 2016 national Emergency Obstetric and Newborn Care survey of 3,804 health facilities that provided maternal and newborn health services were analyzed. We have included 3804 healthcare providers, who attended the largest number of deliveries in the last month prior to the survey, and assessed their knowledge of neonatal resuscitation. It was also determined whether certain factors were associated with healthcare providers’ knowledge through linear regression method. Result. The overall knowledge score of the healthcare providers about neonatal resuscitation ranged from 12 to 24 out of 37 items (with mean score of 18.4 (±5.47) and mean score percentage of 49%). The findings showed that providers trained on neonatal resuscitation (β=2.65, 95% CI: 0.65, 4.62; p <0.00), facilities that had guideline of neonatal resuscitation (β=2.50, 95% CI: 0.60, 3.52; p =0.01), and availability of essential equipment (β=0.95, 95% CI: 0.44, 1.45; p =0.02) were significantly associated with sufficient knowledge of neonatal resuscitation in Ethiopia. Conclusion. Overall knowledge of neonatal resuscitation was insufficient. Trained healthcare providers, having guideline on neonatal resuscitation, and availability of essential equipment were significantly associated with knowledge of neonatal resuscitation. Competency and simulation-based in-service training and refresher training complemented by supportive supervision and mentorship are helpful ways to put up providers capability to perform neonatal resuscitation.

<p>Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses in Public Health Institutions in Eastern Ethiopia</p>

“…2 But lower than the studies in Pune City, India, Northern Ethiopia, Kenya, Nigeria, Afghanistan, Poland, India, central Ethiopia, and Uganda. 1,10,[19][20][21][22][23][24][25][26][27][28][29] The difference might be due to the fact that most of the listed studies were conducted in a single facility and single urban town facilities. However, this finding was from a multi-facility level including the rural area which had no access to updated neonatal resuscitation information, had a shortage of supplies due to transportation problems, even no internet access.…”

“…Eventually, participants were then grouped into two categories based on their total score on the knowledge scale: good knowledge (score 80% or higher) and poor knowledge (score less than 80%), which have been used in different studies. 11,[20][21][22][23] after the overall cumulative mean score and the cumulative mean percentage score were calculated.…”

Basic neonatal resuscitation skills of midwives and nurses in Eastern Ethiopia are not well retained: An observational study

“…Questions not answered were considered incorrect answers. Eventually, participants were then grouped into two categories based on their total score on the knowledge scale: good knowledge (score 80% or higher) and poor knowledge (score less than 80%), which have been used in different studies after the overall cumulative mean score and the cumulative mean percentage score were calculated [ 37 , 41 – 44 ].…”

“…A structured questionnaire was adapted and modified from similar literatures. The knowledge questionnaire was based on model assessment forms in the Needs Assessment Toolkit (the Averting Maternal Death and Disability Program's Needs Assessment toolkit) regarding steps providers should take during newborn resuscitation [23,[35][36][37][38]. Each knowledge question was designed to elicit multiple responses (25 expected responses).…”

Influence of communication, collaboration, and decision-making skills on the efficacy of nurses in conducting neonatal resuscitation

“…The influence of communication, collaboration, and decision-making skills on the… (Ika Rizki Anggraini) 299 the action [3]. Stressful conditions will occur to nurses in the clinic who have the complexity of their actions and clinical environmental factors [4].…”