Knowledge and practices of immediate newborn care among midwives in selected health care facilities in Ekiti State, Nigeria

Esan, Deborah Tolulope; Adedeji, Opeyemi Adeniyi; Bello, Cecilia Bukola; Omolafe, Modupe Christianah

doi:10.11604/pamj.2020.37.263.24628

Cited by 15 publications

(14 citation statements)

References 10 publications

(13 reference statements)

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“…The availability of drugs for ENC was also signi cant factors for knowledge of Essential new born care in which the health care providers those who were working in faculty with availability drugs for ENC were 2.25 time more likely have knowledge of essential newborn care than those responded no availability of drugs for ENC in the facility where they were working. This result is supported by the study conducted in Northern Ethiopia in Tigray region [34] and the study done in Nigeria [35].…”

Section: Discussionsupporting

confidence: 70%

Assessment of Factors Associated With Practice and Knowledge of Essential Newborn Care Among Nurse and Midwives in Assosa Zone Governmental Health Facilities, Western Ethiopia, 2021.

Bayisa

Teklay

Demissie

et al. 2022

Preprint

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Introduction: Promoting basic newborn care skills and practices is a cost-effective approach to improving newborn health outcomes. Therefore, this study aimed to assess the essence of the essential knowledge about newborn care, practices and related factors among nurse and midwives in western Ethiopia.Objective: This study intended to assess factors associated with Practice and knowledge of Essential newborn care among nurse and midwives working in Assosa Zone governmental health facility, western Ethiopia, 2021. Methods: Institutional based cross-sectional study design was conducted among nurses and Midwives those engaged in newborn care services in selected public health facilities in Assosa Zone western Ethiopia. A Convenient sampling technique was applied. Data was collected by interviewer administered structured questionnaires.Data processing and analysis: The collected data was entered into Epi data 3.1version and analyzed by using SPSS version 26. The strength of association between independent and dependent variables was measured by odd ratios with 95% CI at p-value of < 0.05. Result: 98% nurses and midwives w. Mean value of good knowledge and good practice of essential newborn care were 61.7% [95% CI (56.4, 69.8)] and 41.5% [95% CI (38.3, 48.5)] respectively. Being trained, educational qualification, availability of newborn care materials and work experience were significantly associated with knowledge practice of essential newborn care.Conclusion: This study identified that knowledge of essential newborn care was average among Nurse and Midwifes; however, the practice of essential newborn care was very low compared to other studies in Ethiopia. Therefore factors identified; in service training, improving educational qualification and increasing accessibility of new born care materials at all facility level are interventional areas to bring required knowledge and practice of Essential new born care.

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Section: Discussionsupporting

confidence: 70%

Assessment of Factors Associated With Practice and Knowledge of Essential Newborn Care Among Nurse and Midwives in Assosa Zone Governmental Health Facilities, Western Ethiopia, 2021.

Bayisa

Teklay

Demissie

et al. 2022

Preprint

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show abstract

“…A study done in Uganda showed that the reason of neonatal death in was the low levels of knowledge among health workers regarding newborn care (19). The prevalence of poor knowledge in essential newborn care is consistent in other Afriacan countries as well with a level as high as 56.2% in Ekiti, Nigeria (17) and 65.1% in Rwanda (18).…”

Section: )mentioning

confidence: 78%

Assessment of knowledge and practice of gynecology/obstetrics residents and midwives towards essential newborn care At Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia

Debie¹,

Belay²,

Tesfaye³

2022

Ethiop. j. pediatr. child health

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Background: A time-bound and chronologically ordered series of medical interventions that a baby receives at birth are referred to as the "essential newborn protocol." This period of immediate care is critical for the babies' subsequent well-being and adaptation. However, there are still reports of health workers lacking good knowledge and practice with newborn care, which was not investigated in our hospital. Methods: A hospital-based cross-sectional study was conducted in TASH with 114 selected gynecology and obstetrics residents and midwives. Using the SPSS version 25 software package, continuous data were described using the mean and standard deviation, while categorical data were de-scribed using frequency and percentage. To identify factors related to knowledge and practice, multivariable binary logistic regression analyses were used. Result: Eighty-eight residents and 26 midwives were included. Nearly a quarter (24.6%) of participants had good knowledge about essential newborn care. Regarding knowledge level by profession, 31.8% of the residents had good knowledge of essential newborn care, and all the midwives had poor knowledge. The odds of having good knowledge of ENC were 96.3% lower for first-year residents and 90.5% lower for second-year residents as compared to year four. Untrained participants had an 84 percent lower chance of having good knowledge of essential newborn care than trained participants. Regarding practice level by profession, more than two-thirds of 68 (77.3%) residents and 21 (80.8%) midwives had sufficient skill in essential newborn care. Conclusion: A substantial number of healthcare providers lacked essential newborn care knowledge and practice. The availability of service or on-the-job training, as well as the year of residency, were factors influencing newborn care knowledge. In-service training, encouraging supervision, and provisions should be reinforced to improve newborn care activities.

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“…The mean total knowledge score for all obstetric care providers was 62%, and only 14 providers (4%) scored as ‘competent’ (a score ≥ 80%) [ 38 ]. Underprovided immediate newborn care practices were also acknowledged in a study conducted in health care facilities in Ekiti State, Nigeria essentially due to inadequate knowledge and adherence to evidence-based practices [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Midwifery care providers’ childbirth and immediate newborn care competencies: A cross-sectional study in Benin, Malawi, Tanzania and Uganda

Moller

Welsh

Agossou³

et al. 2023

PLOS Glob Public Health

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Evidence-based quality care is essential for reducing sub-Saharan Africa’s high burden of maternal and newborn mortality and morbidity. Provision of quality care results from interaction between several components of the health system including competent midwifery care providers and the working environment. We assessed midwifery care providers’ ability to provide quality intrapartum and newborn care and selected aspects of the working environment as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity (ALERT) project in Benin, Malawi, Tanzania, and Uganda. We used a self-administered questionnaire to assess provider knowledge and their working environment and skills drills simulations to assess skills and behaviours. All midwifery care providers including doctors providing midwifery care in the maternity units were invited to take part in the knowledge assessment and one third of the midwifery care providers who took part in the knowledge assessment were randomly selected and invited to take part in the skills and behaviour simulation assessment. Descriptive statistics of interest were calculated. A total of 302 participants took part in the knowledge assessment and 113 skills drills simulations were conducted. The assessments revealed knowledge gaps in frequency of fetal heart rate monitoring and timing of umbilical cord clamping. Over half of the participants scored poorly on aspects related to routine admission tasks, clinical history-taking and rapid and initial assessment of the newborn, while higher scores were achieved in active management of the third stage of labour. The assessment also identified a lack of involvement of women in clinical decision-making. Inadequate competency level of the midwifery care providers may be due to gaps in pre-service training but possibly related to the structural and operational facility characteristics including continuing professional development. Investment and action on these findings are needed when developing and designing pre-service and in-service training. Trial registration: PACTR202006793783148—June 17th, 2020.

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Knowledge and practices of immediate newborn care among midwives in selected health care facilities in Ekiti State, Nigeria

Cited by 15 publications

References 10 publications

Assessment of Factors Associated With Practice and Knowledge of Essential Newborn Care Among Nurse and Midwives in Assosa Zone Governmental Health Facilities, Western Ethiopia, 2021.

Assessment of Factors Associated With Practice and Knowledge of Essential Newborn Care Among Nurse and Midwives in Assosa Zone Governmental Health Facilities, Western Ethiopia, 2021.

Assessment of knowledge and practice of gynecology/obstetrics residents and midwives towards essential newborn care At Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia

Midwifery care providers’ childbirth and immediate newborn care competencies: A cross-sectional study in Benin, Malawi, Tanzania and Uganda

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