Thermal care for newborn babies in rural southern Tanzania: a mixed-method study of barriers, facilitators and potential for behaviour change

Shamba, Donat; Schellenberg, Joanna; Hildon, Zoe; Mashasi, Irene; Penfold, Suzanne; Tanner, Marcel; Marchant, Tanya; Hill, Zelee

doi:10.1186/1471-2393-14-267

Cited by 50 publications

(71 citation statements)

References 33 publications

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“…In the study area, the practice of wrapping the baby immediately after birth in the same cloth used for drying is a practice likely to increase the risk of hypothermia and infection in newborns. Barriers and facilitators to appropriate care in this area are similar to those found in other settings [16,29,30]. …”

Section: Discussionsupporting

confidence: 72%

Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

et al. 2016

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Global coverage and scale up of interventions to reduce newborn mortality remains low, though progress has been achieved in improving newborn survival in many low-income settings. An important factor in the success of newborn health interventions, and moving to scale, is appropriate design of community-based programs and strategies for local implementation. We report the results of formative research undertaken to inform the design of a newborn health intervention in Cambodia. Information was gathered on newborn care practices over a period of three months using multiple qualitative methods of data collection in the primary health facility and home setting. Analysis of the data indicated important gaps, both at home and facility level, between recommended newborn care practices and those typical in the study area. The results of this formative research have informed strategies for behavior change and improving referral of sick infants in the subsequent implementation study. Collection and dissemination of data on newborn care practices from settings such as these can contribute to efforts to advance survival, growth and development of newborns for intervention research, and for future newborn health programming.

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Section: Discussionsupporting

confidence: 72%

Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

et al. 2016

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“…Previously, Mangwi et al and Byaruhanga et al have reported sub optimal thermal care among women of the general reproductive age [27,34]. Among adolescent mothers and some health workers, poor knowledge and poor acceptance of simple methods to maintain a warm chain from birth till the end of the neonatal period have been documented as risk factors for poor neonatal thermal care [25,27,31,34,35]. …”

Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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IntroductionAdolescent childbearing remains a major challenge to improving neonatal mortality especially in Sub Saharan countries which are still struggling with high neonatal mortality rates. We explored essential newborn care practices and associated factors among adolescent mothers in Western Uganda.MethodsData were collected among 410 adolescent mothers with children aged one to six months in Hoima district. Three composite variables (appropriate neonatal breastfeeding, cord care and thermal protection) were derived by combining related practices from a list of recommended newborn care practices. Logistic regression analysis was conducted to identify factors independently associated with practice of essential newborn care.ResultsAppropriate newborn feeding, optimal thermal protection and dry cord care were practiced by 60.5%, 67.2% and 31% of adolescent mothers respectively. Independent predictors’ of cord care were: knowledge of cord care (AOR 5.34, 95% CI (1.51–18.84) and having delivered twins (AOR 0.04, 95% CI (0.01–0.22). The only predictor of thermal care was knowledge (AOR 25.15, 95% CI (7.01–90.20). Staying in a hospital for more than one day postpartum (AOR 2.45, 95%CI (1.23–4.86), knowledge of the correct time of breastfeeding initiation (AOR 14.71, 95% CI (5.20–41.58), predicted appropriate neonatal feeding, whereas; adolescent mothers who had had a caesarean delivery (AOR 0.19, 95% CI (I 0.04–0.96) and a male caretaker in the postnatal period (AOR 0.18, 95% CI (0.07–0.49) were less likely to practice the recommended newborn feeding.ConclusionSub optimal essential newborn care practice was noted especially suboptimal cord care. Adolescent mothers should be a focus of strategies to improve maternal and neonatal health.

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“…Other studies have established poor SSC practices by mothers in various rural African settings [47,48]. [49]. According to the WHO, SSC is a highimpact intervention that supports the establishment of exclusive breastfeeding, assists with appropriate thermal care and promotes bonding between mother and newborn [50].…”

Section: Plos Onementioning

confidence: 99%

Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda

et al. 2020

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Background Despite recent improvements in child survival, neonatal mortality remains high in most developing countries. Countries affected by humanitarian emergencies continue to report the highest neonatal mortality rates. Objective To assess essential newborn care practices and its determinants amongst mothers of infants aged 0-6 months in refugee settlements in Adjumani district. Methods A cross-sectional study was conducted among mothers of infants aged 0-6 months in refugee settlements, Adjumani district. A total of 561 mothers of infants were selected using systematic sampling technique from households. Data were collected using a semi-structured questionnaire. A composite outcome variable, Essential Newborn Care practices was created by merging different care practices (neonatal feeding, thermal care, and cord care). Multiple logistic regression analysis was used to determine predictors of Essential Newborn Care. Results and conclusions Over half (57%) of the mothers breastfed their newborns within one hour. Half (50.1%) of mothers cleaned the umbilical cord of their newborns. Only 17% of the newborns received optimal thermal care immediately after birth. Mothers aged 20-24 years (OR 0.38, CI 0.17-0.96) and those involved in subsistence farming (OR 0.67, CI 0.38-1.45) were less likely to practice good newborn care compared to those in other occupations. Newborn care practices were sub-optimal in this refugee setting. To improve newborn care

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Thermal care for newborn babies in rural southern Tanzania: a mixed-method study of barriers, facilitators and potential for behaviour change

Cited by 50 publications

References 33 publications

Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

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

Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda

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