<p>Essential Newborn Care and Associated Factors Among Obstetrical Care Providers in Awi Zone Health Facilities, Northwest Ethiopia: An Institutional-Based Cross-Sectional Study</p>

Abstract

Background Each year, millions of newborns die as a result of birth asphyxia, infections, and complications of preterm birth. This burden of death is disproportionately concentrated in low-income countries including Ethiopia. As a result, the care given immediately after birth is crucial for making a successful transition from intrauterine to extrauterine function and to reduce neonatal mortality. Methods Facility-based cross-sectional study design was carried out on a sample size of 208 obstetrical care providers. A simple random sampling technique was used to select the study subjects. The data were collected through Interview-administered questionnaires and observational checklists. The data were entered into Epi-info version 7 and exported to SPSS 23 for analysis. Results A total of 201 obstetric care providers participated in the study, making a response rate of (96.6%). This study revealed that 62.7% of obstetric care providers practiced essential newborn care properly. The factors significantly associated were received in-service training (AOR = 2.7, 95% CI: 1.35, 5.51), level of education (AOR = 0.46, 95% CI: 0.22, 0.96), midwifery profession (AOR = 3.1, 95% CI: 1.35, 7.39), having good knowledge of essential newborn care (AOR = 2.1, 95% CI: 1.03, 4.49), availability of drugs for essential newborn care (AOR = 2.3, 95% CI: 1.16, 4.72), and availability of medical equipment to perform essential newborn care (AOR = 2, 95% CI: 1.01, 3.96). Conclusion The practice of essential newborn care was generally low. Having in-service training, midwifery profession, a good knowledge of essential newborn care, availability of drugs, level of education, and availability of medical equipment for essential newborn care were the determinant factors for essential newborn care practice. Improvement in essential newborn care practices could be attained through modifiable proven interventions like provision of in-service training, availed drugs, and medical equipment for essential newborn care.

The shadow challenges to improve the state essential newborn care practices in healthcare providers: evidence from a multicentre cross-sectional study in Ethiopia

“…The odds of poor practice essential newborn care among diploma healthcare providers were 3.0 times higher as compared to degree or above healthcare providers. This finding is consistent with another setting in Ethiopia [ 5 , 9 ]. This can be explained by the healthcare provider having a higher level of education status can be recognized and manage more common health problems in newborns.…”

“…The healthcare providers who were working on unavailability of drugs and vaccines were 5.5 times higher for the poor practice of essential newborn care than the healthcare providers who were working on availability drugs and vaccines. This finding is supported in another setting [ 6 , 9 , 10 ]. Even if the healthcare providers have adequate knowledge and skills regarding essential newborn care practice, they might be unable to provide the service due to lack of materials.…”

“…Nevertheless, poor essential newborn care practice among healthcare providers, mainly in the resource-limited setting, is a great challenge to achieving the goal [ 5 , 7 , 8 ]. In addition, most healthcare providers give little attention, mainly in resource-limited settings [ 5 , 9 , 10 ].…”

Early Newborn Bath Practice and Its Associated Factors in Jimma, South West Ethiopia, 2021

“…This result is higher than the study conducted in Nigeria where the prevalence was 22∙8%. 19 The possible reason for the difference might be due to the variations in study design, since a study in Nigeria was conducted from direct observations to report on neonatal care practices up to 2 hours after birth but our study was based on the memory and recall ability of the mother, which may overestimate findings. Additionally a study in Nigeria was conducted in community level but our study was institutional based which may overestimate the result since the study population included only women who came for newborn immunization.…”

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.

“…Our nding is nearly similar to a study conducted in Gurage zone Southwest of Ethiopia (41%) [27] and Nekemte city 44.1%[28], western Ethiopia. However less than the study done in Afar North East Ethiopia in which good practice of ENC is 62.7% [29] and in Tigray Northwestern Ethiopia 59.8% [30]. These differences could largely due to the different educational levels of participants and access to essential neonatal care training for healthcare providers.…”