Knowledge, practice and associated factors of essential newborn care at home among mothers in Gulomekada District, Eastern Tigray, Ethiopia, 2014

Abstract

BackgroundAround the world, more than three million newborns die in their first months of life every year. In Ethiopia during the last five years period; neonatal mortality is 37 deaths per 1000 live births. Even though there is an improvement compared to the past five years, there is still high home delivery 90 %, and high neonatal mortality about the Millennium Development Goal, which aims to be less than 32/1000 live births in Ethiopia. The purpose of this study is to assess maternal knowledge, practice and associated factors of essential newborn care at home in Gulomekada District Eastern Tigray, Ethiopia.MethodsA community-based cross-sectional study is conducted in 296 mothers from Gulomekada District by using simple random sampling technique. Data entry and analysis is carried out by using Statistical Package for Social Sciences-20. The magnitude of the association between different variables about the outcome variable is measured by odds ratio with 95 % confidence interval. A binary logistic regression analysis is made to obtain odds ratio and the confidence interval of statistical associations. The goodness of fit had tested by Hosmer-Lemeshow statistic and all variables with P-value greater than 0.05 are fitted to the multivariate model. Variables with P < 0.2 in the bivariate analysis are included in the final model, and statistical significance is declared at P < 0.05.ResultEighty percent (80.4 %) study participants had good knowledge on essential new born care and 92.9 % had the good practice of essential new born care. About 60 % of mothers applied butter or oil on the cord stump for their last baby. Marital status and education are significantly associated with knowledge, whereas urban residence mothers with good knowledge on essential newborn care and employed mothers are significantly associated with mothers’ practice of essential newborn care.ConclusionAlmost all mothers know and practice essential newborn care correctly except oil or butter application to the cord stump is highly practiced which should be avoided. Only marital status and educational status are significantly associated with mothers’ knowledge.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-0931-y) contains supplementary material, which is available to authorized users.

Knowledge, attitude and practice of mothers and prospective mothers in neonatal care and utilization of perinatal care services

“…There are considerable deficiencies in practice in the number of ANC's in the present study and in other studies. [7][8][9] Very small proportion of mothers are giving first feed to their babies within one hour after birth in the present study as well as other studies by Hajela and Gul et al except the study done by Misgna et al [10][11][12] This is a very important deficiency in feeding the baby which needs to be corrected by proper health education. There is a deficiency in the study in practicing the breast feeding of the baby on demand.…”

<p>Newborn Care Practices and Associated Factors Among Lactating Mothers at Home in the Rural Districts of Gedeo Zone, Southern Ethiopia</p>

“…The finding of this study was comparable with Ethiopian Demographic Health Survey results 7 and other studies conducted in Tigray, Ethiopia, Uganda, Ghana, and India. 25,28,[30][31][32][33][34][35][36] This findings consistency might be due to educating women being a community and political concern in developing and developed countries in comparable commitment. Women's education is a universal agenda to be implemented as a prospective countries program and is playing a great role to have good newborn care practice among lactating mothers.…”

“…This finding corresponds with study findings in Tigray and North Ethiopia. 31,34 This might be that maternal employment helps mothers to improve their status in the community which means it empowers mothers to access education, health service care, decision-making, and economic independence. This directly and indirectly contributes to mothers having good newborn care at home.…”

“…This study result corresponds with previously conducted studies in Ethiopia, Northern Ghana, and Nepal. 11,22,33,34 However, a community-based study conducted in Uganda showed that antenatal care follow-up was not significantly associated with good newborn care among lactating mothers at home. 25 These findings inconsistencies might be due to the difference in study participants, socio-demographic characteristics, and period.…”

Essential Newborn Care Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

“…A total of 5416 Study participants included in his systematic review with a range of 296 in Tigray [24] to 845 in Amhara [25] in individual studies, and studies were carried out from 2015 to 2019.…”