Neonatal danger signs and healthcare seeking behaviours: A cross-sectional study in Karachi amongst pregnant females

Nusrat, Khushboo; Khan, Muhammad Zia Ullah; Waseem, Zaiya; Siddiqui, Omer Mustafa; Mahmood, Samar; Hassan, Syeda Zuhaa; Imtiaz, Fauzia

doi:10.5455/jpma.3145

Cited by 5 publications

(9 citation statements)

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“…Similarly, the fact that younger mothers had lower knowledge of neonatal danger signs was also reported by another study conducted by Jemberia et al, which showed that caregivers older than 18 years old were 33% more aware of the neonatal danger signs than those younger than 18 [22]. Another study found that all women aged < 18 years had poor knowledge about neonatal danger signs [38]. In our study, 62% of mothers younger than 25 were primiparous, whom might be less experienced in caring for newborns.…”

Section: Discussionsupporting

confidence: 61%

Knowledge about neonatal danger signs and associated factors among mothers of children aged 0–12 months in a rural county, Southwest of China: a cross-sectional study

Zhou

Hua

Zheng

et al. 2022

BMC Pregnancy Childbirth

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Background Delay in care seeking is one of the causes for neonatal death. Mothers’ knowledge of neonatal danger signs is imperative to promote early recognition of neonatal illness and reduce the delay in care seeking. Currently, no study has been conducted on the knowledge about neonatal danger signs in China, especially in economically less developed areas. This study aimed to examine the knowledge of neonatal danger signs and risk factors of poor knowledge among mothers in a rural county of southwest of China. Methods A cross-sectional study was conducted in Wenshan, a rural county of southwest of China. A total of 112 respondents were included from November 2020 to February 2021 among women who had babies aged 0–12 months and brought their babies to health care centers for immunization within the study period. A questionnaire with 18-item key neonatal danger signs was used to measure their knowledge about these signs. Mothers who scored above average were considered to have relatively good knowledge whereas those who scored below average were considered to have relatively poor knowledge. Independent predictors of mothers’ knowledge were identified by multivariable logistic regression analysis. Results The mean knowledge score of neonatal danger signs of mothers was 18.1 (SD = 8.6). Fifty-eight percentage of mothers (65/112) had poor knowledge of neonatal danger signs. Danger signs of “bluish or pale skin”, “chest indrawing”, and “convulsion” were mostly recognized, whereas danger signs of “not able to feed since birth, or stopped feeding well”, “excessive crying” and “eyes draining pus” were recognized poorly. Less than four antenatal visits [AOR = 4.348], younger than 25 years old [AOR = 3.839], ethnic minority [AOR = 3.956] and family financial difficulty [AOR = 4.944] were significant indicators of relatively poor knowledge. Conclusions Mothers’ knowledge about neonatal danger signs in rural China is poor even though the coverage of maternal and child health care services are expanded. Existing efforts should be enhanced for antenatal care visits, avoiding early marriage as well as early childbearing. More attention should be paid to low-income ethnic minority mothers. Educating and training should be strengthened for danger signs, especially those who are predicted to have insufficient knowledge.

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Section: Discussionsupporting

confidence: 61%

Knowledge about neonatal danger signs and associated factors among mothers of children aged 0–12 months in a rural county, Southwest of China: a cross-sectional study

Zhou

Hua

Zheng

et al. 2022

BMC Pregnancy Childbirth

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“…These variations might be attributed to differences in the study setting as well as socio-cultural factors. Lower results were reported from studies in Southwest Ethiopia (39%) [ 15 ], Dire Dawa Ethiopia (40.8%) [ 21 ], Northwest Ethiopia (36.5%) [ 18 ], Ethiopia (meta-analysis) (40.7%) [ 19 ], Sudan (18%) [ 31 ], Kenya (15.5%) [ 25 ], Pakistan (15%) [ 13 ], and Saudi Arabia (37%) [ 24 ]. The high literacy rate and ANC follow-up in this study, as well as greater access to health care services and television/radio, could explain these differences.…”

Section: Discussionmentioning

confidence: 97%

“…Additionally, various factors that had a significant association with maternal knowledge of neonatal danger signs were also identified. Of these, age, occupation, maternal level of education, fathers' educational level, residence, availability of Radio or Television (TV), antenatal care (ANC) follow-up, spousal involvement during ANC, place of delivery, postnatal care (PNC) follow-up, higher decision-making ability, birth preparedness, information about neonatal danger signs, gravidity, previous experience of neonatal danger signs (NDSs), and counseling on newborn care are among them [9,10,11,12,13,14,15,16,17,18,19,20,21]. Early identification of neonatal danger signs is an important step toward improving newborn survival [15].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, various studies indicated that knowledge of neonatal danger signs had a significant association with the treatment-seeking behavior of the mothers [ 18 , 22 ]. However, in Ethiopia, besides the attempts made to scale-up the maternal and child health services, maternal knowledge of neonatal danger signs remains low [ 10 , 11 , 12 , 13 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 23 ]. Therefore, this study aimed to assess the knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan district health centers, North Wollo, Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan District Health Centers, North Wollo, Ethiopia

Yitayew

Tadele²,

Yalew

et al. 2021

Heliyon

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Background: The majority of neonatal deaths in developing countries occurred at home due to late recognition of the signs of serious illness by parents or caregivers. In Ethiopia, besides the attempts made to scale-up the maternal and child health services, maternal knowledge of neonatal danger signs is low. Therefore, this study aimed to assess the knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan district health centers, North Wollo, Ethiopia. Method: An institution-based cross-sectional study was conducted from September 1-30, 2020, among 399 mothers attending pediatric immunization clinics in Gidan district health centers. The data were collected using a pretested, structured, and interviewer-administered questionnaire. Epidata version 4.4.2.0 was used for data entry, and Statistical Package for Social Sciences version 22 was used for analysis. Descriptive statistics, bivariate and multivariate logistic regression were computed. Finally, an adjusted odds ratio along with 95% CI was calculated, and variables that had a P-value <0.05 were declared statistically significant. Result: The level of good maternal knowledge of neonatal danger signs in the study area was 48.1% (95% CI, 43.6%-52.9%). Maternal education level (AOR: 3.58, 95% CI, 1.22-10.55), parity (AOR: 2.10, 95% CI 1.18-3.71), having postnatal care follow-up (AOR: 2.05, 95% CI, 1.21-3.49), receiving health education about neonatal danger signs (AOR: 4.87, 95% CI, 2.73-8.68), and previous experience of neonatal danger signs (AOR: 2.35, 95% CI, 1.33-4.15) were significantly associated variables with the maternal knowledge of neonatal danger signs. Conclusion:This study revealed that maternal knowledge of neonatal danger signs was low. Maternal educational level, parity, postnatal care follow-up, health education about neonatal danger signs, and previous experience of neonatal danger signs were significantly associated variables. Therefore, maternal knowledge of neonatal danger signs needs to be enhanced through improving postnatal care services utilization and providing adequate health education about newborn health problems.

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“…Neonatal danger signs are signs of serious illness that affects neonates during their neonatal period and that neonatal periods mark the rst 28 days of neonatal life. Globally, neonatal danger signs are known to be associated health complications among neonates and among these complications are decreased neonatal growth and mental development, cerebral palsy and others among the noti able cause of neonatal danger signs are neonatal jaundice, vomiting, cord sepsis, inability to suck breast milk, convulsions, hyperthermia, hypothermia, etc [4].…”

Section: Introductionmentioning

confidence: 99%

Health Seeking Behaviour and Knowledge on Neonatal Danger Signs Among Neonatal Caregivers in Upper Denkyira East Municipality, Ghana

Gyaase,

Aduse-Poku,

Lanquaye

et al. 2023

Preprint

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Background: The purpose of the project was to assess the health seeking behaviour and knowledge on neonatal danger signs among lactating mothers in the Upper Denkyira East Municipality. Methods: The study used quantitative and employed a descriptive cross sectional survey to recruit mothers and neonatal care takers visiting postnatal clinic. The target population was mothers and neonatal care takers above 18 years visiting the facility and were willing to be part of the study. Total population for the study was 387 however, 381 responded to the questionnaire. Structured questionnaire was the main data collection tool for the study. Data were analysed with SPSS version 23.0. Logistic regression with Pearson Chi square, p-value and odd ratio were the main statistical methods for the data analysis. Results: The results showed that almost half of the respondents 138 (36.2%) stated that diarrhoea and vomiting constituted the major danger signs that sent their neonates to the hospital. Also the health seeking behaviour of the mothers showed positive results as most of the mothers (77.2%) attended hospital on their own volition. Finally, the association between mothers’ socio-demographic characteristics and recognition of neonatal danger signs showed that mothers educational level and occupation were statistically significant (p-value=0.000). Conclusion: The study concluded that mothers’ knowledge on neonatal danger signs was high and good health seeking behaviour. It is recommended that community health nurses and midwives should embark on home visits to encourage mothers to practice the knowledge and skills acquired during counselling at the hospital.

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Neonatal danger signs and healthcare seeking behaviours: A cross-sectional study in Karachi amongst pregnant females

Cited by 5 publications

References 0 publications

Knowledge about neonatal danger signs and associated factors among mothers of children aged 0–12 months in a rural county, Southwest of China: a cross-sectional study

Knowledge about neonatal danger signs and associated factors among mothers of children aged 0–12 months in a rural county, Southwest of China: a cross-sectional study

Knowledge of neonatal danger signs and associated factors among mothers attending pediatric immunization clinics in Gidan District Health Centers, North Wollo, Ethiopia

Health Seeking Behaviour and Knowledge on Neonatal Danger Signs Among Neonatal Caregivers in Upper Denkyira East Municipality, Ghana

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