Newborn Care Practices among Adolescent Mothers in Hoima District, Western Uganda

Kabwijamu, Lydia; Waiswa, Peter; Kawooya, Vincent; Nalwadda, Christine; Okuga, Monica; Nabiwemba, Elizabeth

doi:10.1371/journal.pone.0166405

Cited by 36 publications

(38 citation statements)

References 28 publications

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“…The few studies that have been conducted on postnatal care utilization in Uganda have concentrated on postnatal care beyond 2 days of delivery [20,21], with no attention to factors influencing early postnatal care attendance-the period when maternal deaths are most common. Other studies on Uganda have focused on postnatal care checkups among newborns [20,22,23].…”

Section: Introductionmentioning

confidence: 99%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Ndugga

Namiyonga²,

Sebuwufu

2020

BMC Pregnancy Childbirth

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Background: The first 2 days after childbirth present the highest risk of dying for a mother. Providing postnatal care within the first 2 days after childbirth can help avert maternal mortality because it allows early detection of problems that could result in adverse maternal health outcomes. Unfortunately, knowledge of the uptake of early postnatal care (EPNC), which is imperative for informing policies aimed at reducing maternal mortality, remains low in Uganda. Therefore, the purpose of this study is to investigate the determinants of early postnatal care attendance among Ugandan women. Methods: This study was based on nationally representative data from the 2016 Uganda Demographic and Health Survey. The study sample comprised 5471 women (age 15-49) who delivered a child in the 2 years preceding the survey. We used logistic regression to identify factors associated with use of early postnatal care. Results: Our findings showed that 50% of mothers used EPNC services for their most recent delivery in the 2 years preceding the survey. Women's residence, education level, religion, wealth status, marital status, occupation, antenatal care attendance, place of delivery, birth order, perceived accessibility of health facilities, and access to mass media messages were associated with greater use of EPNC. The percentage of women receiving EPNC was much higher among women who delivered at a health facility, either a public facility (63%) or private facility (65%), versus only 9% among women who delivered at home. Multivariate analysis showed that delivery at a health facility was the most important determinant of early postnatal care attendance. Conclusions: To increase mothers' use of EPNC services and improve maternal survival in Uganda, programs could promote and strengthen health facility delivery and ensure that EPNC services are provided to all women before discharge. Even so, the fact that only about two-thirds of women who delivered at a health facility received early postpartum care shows substantial room for improvement. Interventions should target women who deliver at home, women who attend fewer than four antenatal care visits, and women with a primary education.

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Section: Introductionmentioning

confidence: 99%

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Ndugga

Namiyonga²,

Sebuwufu

2020

BMC Pregnancy Childbirth

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“…Coverage of bathing after 6 hours, varied widely by study location and delivery types [ 10 ]. Another study in Bangladesh reports that only 5.1% of newborns received complete thermal protection, defined as drying and wrapping within 10 minutes and bathing after 72 hours of birth [ 11 ].A study in western Uganda had higher proportions of wrapping the newborn (85.1%) and delaying bathing until after 24 hours (66.3%) [ 12 ]. Key findings from qualitative and mixed-method studies have also shown that newborn bathing practices varied across studies but were mostly favouring early bathing due to strong cultural and traditional beliefs [ 13 - 16 ].…”

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confidence: 99%

Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh

Khan

Kim

Singh

et al. 2018

Journal of Global Health

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BackgroundThermal care of newborns is one of the recommended strategies to reduce hypothermia, which contributes to neonatal morbidity and mortality. However, data on these two topics have not been collected at the national level in many surveys. In this study, we examine two elements of thermal care: drying and delayed bathing of newborns after birth with the objectives of examining how two countries collected such data and then looking at various associations of these outcomes with key characteristics. Further, we examine the data for potential data quality issues as this is one of the first times that such data are available at the national level.MethodsWe use data from two nationally-representative household surveys: the Malawi Multiple Indicator Cluster Survey 2014 and the Bangladesh Demographic and Health Survey 2014. We conduct descriptive analysis of the prevalence of these two newborn practices by various socio-demographic, economic and health indicators.ResultsOur results indicate high levels of immediate drying/drying within 1 hour in Malawi (87%). In Bangladesh, 84% were dried within the first 10 minutes of birth. Bathing practices varied in the two settings; in Malawi, only 26% were bathed after 24 hours but in Bangladesh, 87% were bathed after the same period. While in Bangladesh there were few newborns who were never bathed (less than 5%), in Malawi, over 10% were never bathed. Newborns delivered by a skilled provider tended to have better thermal care than those delivered by unskilled providers.ConclusionThese findings reveal gaps in coverage of thermal care and indicate the need to further develop the role of unskilled providers who can give unspecialized care as a means to improve thermal care for newborns. Further work to harmonize data collection methods on these topics is needed to ensure comparable data across countries.

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“…Provision of antenatal and post -natal care by a skilled attendant have been identified as key facility based clinical care strategies to deliver some of the cause specific effective interventions for the prevention of newborn deaths and poor community mobilization and health promotion activities have resulted in poor maternal and child health outcomes (Kabwijamu et al, 2016). The individualized counseling sessions during ANC and PNC provide important opportunities for the health care providers to disseminate key messages on neonatal danger signs and newborn care to the mother or care giver to ensure preparedness, informed decision making and appropriate prompt action to seek health care for the newborn illnesses.…”

Section: Discussionmentioning

confidence: 99%

“…This result clearly point to a weak health system at both community and facility level. Poor community mobilization structures keep care-givers disempowerment in maternal and child care resulting in the perpetuation of harmful newborn care practices such as applying potential harmful substances to the cord stump, early bathing and giving prelacteal feeds (Kabwijamu et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Service-Related Factors Associated With Newborn Care Practices by Mothers in Mutare, Zimbabwe: A Cross-Sectional Study

Chiwawa¹,

Mhlanga²,

Munodawafa³

et al. 2020

GJHS

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Neonatal mortality remains very high in Zimbabwe (29/1,000 live births). Service-related factors have been linked to the care-giver knowledge and newborn care practices. In Manicaland Province, care-seeking behaviors for fever (the main symptom for childhood infections) and knowledge levels of neonatal danger signs remains unacceptably lower than the national averages. A cross-sectional descriptive and analytic design was carried out to determine service-related factors to newborn care practices and their association with neonatal outcomes in Mutare District. Purposive sampling was used to select health facilities and systematic random sampling was used to select participants. A structured interviewer administered questionnaire was used to collect data which was then entered and analyzed using Epi-Info version 7.2. Descriptive and multivariate analysis were performed on data collected from 349 participants. Practice of the five assessed recommended newborn care practices was high. Exclusive breastfeeding (62%), early initiation of breastfeeding (74%), good cord care (73%), care-seeking for neonatal illness within 24hrs of onset of fever (82%) and keeping baby warm was at 58%. Statistically significant independent factors associated with the recommended newborn care practices were post-natal stay for more than 72 hours at the clinic (AOR=0.56; 95%CI: 0.12-0.87, p=0.000), and delivery at the health facility (AOR=0.43; 95%CI: 0.21-0.77; p=0.000). Service delivery had a substantial influence on newborn care practices in Mutare district and influenced neonatal outcomes. Improving newborn care outcomes requires both effective service delivery and community health system strengthening to promote good newborn care.

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Newborn Care Practices among Adolescent Mothers in Hoima District, Western Uganda

Cited by 36 publications

References 28 publications

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Determinants of early postnatal care attendance: analysis of the 2016 Uganda demographic and health survey

Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh

Service-Related Factors Associated With Newborn Care Practices by Mothers in Mutare, Zimbabwe: A Cross-Sectional Study

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