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Newborn care practices at home and in health facilities in 4 regions of Ethiopia.
- Source :
-
BMC pediatrics [BMC Pediatr] 2013 Dec 01; Vol. 13, pp. 198. Date of Electronic Publication: 2013 Dec 01. - Publication Year :
- 2013
-
Abstract
- Background: Ethiopia is one of the ten countries with the highest number of neonatal deaths globally, and only 1 in 10 women deliver with a skilled attendant. Promotion of essential newborn care practices is one strategy for improving newborn health outcomes that can be delivered in communities as well as facilities. This article describes newborn care practices reported by recently-delivered women (RDWs) in four regions of Ethiopia.<br />Methods: We conducted a household survey with two-stage cluster sampling to assess newborn care practices among women who delivered a live baby in the period 1 to 7 months prior to data collection.<br />Results: The majority of women made one antenatal care (ANC) visit to a health facility, although less than half made four or more visits and women were most likely to deliver their babies at home. About one-fifth of RDWs in this survey had contact with Health Extension Workers (HEWS) during ANC, but nurse/midwives were the most common providers, and few women had postnatal contact with any health provider. Common beneficial newborn care practices included exclusive breastfeeding (87.6%), wrapping the baby before delivery of the placenta (82.3%), and dry cord care (65.2%). Practices contrary to WHO recommendations that were reported in this population of recent mothers include bathing during the first 24 hours of life (74.7%), application of butter and other substances to the cord (19.9%), and discarding of colostrum milk (44.5%). The results suggest that there are not large differences for most essential newborn care indicators between facility and home deliveries, with the exception of delayed bathing and skin-to-skin care.<br />Conclusions: Improving newborn care and newborn health outcomes in Ethiopia will likely require a multifaceted approach. Given low facility delivery rates, community-based promotion of preventive newborn care practices, which has been effective in other settings, is an important strategy. For this strategy to be successful, the coverage of counseling delivered by HEWs and other community volunteers should be increased.
- Subjects :
- Adult
Allied Health Personnel
Breast Feeding statistics & numerical data
Culture
Delivery, Obstetric methods
Ethiopia
Female
Health Care Surveys
Health Services Accessibility
Humans
Infant Care statistics & numerical data
Infant Mortality
Infant, Newborn
Kangaroo-Mother Care Method statistics & numerical data
Midwifery
Mothers psychology
Patient Acceptance of Health Care psychology
Patient Acceptance of Health Care statistics & numerical data
Pregnancy
Prenatal Care statistics & numerical data
Socioeconomic Factors
Surveys and Questionnaires
Young Adult
Home Childbirth statistics & numerical data
Home Nursing methods
Home Nursing statistics & numerical data
Infant Care methods
Maternal Health Services statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2431
- Volume :
- 13
- Database :
- MEDLINE
- Journal :
- BMC pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 24289501
- Full Text :
- https://doi.org/10.1186/1471-2431-13-198