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Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers

Received: 4 September 2021    Accepted: 29 September 2021    Published: 15 October 2021
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Abstract

The aim of this work was to analyze the organization and execution of immediate essential care for newborns in referral hospitals in Conakry. Immediate essential newborn care is a key component for a maternity hospital. lower risk, but often overlooked by health providers. Methodology: This was a descriptive and analytical cross-sectional study carried out through an observation of the practices of immediate care for newborns and the individual interview of providers in six referral hospitals in urban areas of Conakry, from April 1 to June 30, 2020. We have carried out an exhaustive recruitment of all providers working in the delivery room and meeting the inclusion criteria. We used the checklist, the written questionnaire for individual interviews and the provider observation grid. Provider knowledge and practice was observed during immediate neonatal care. The independent variables were socio-demographic factors and personal and institutional factors. Statistical comparisons were made using the chi-square test. the differences were considered significant for p<0.05. Results: In this study 69 providers agreed to participate in the study, with a response rate of 100%, the largest proportion 61/69 (88.4%) were midwives, In terms of knowledge: 56, 5% of providers cited all the equipment and consumables to be prepared at the time of childbirth, 94.2% on thermal protection, 82.6% on the components of immediate newborn care, In terms of skills: 84.1% of our providers recognized newborns needing resuscitation and 15.9% were competent on this procedure, skin-to-skin contact was achieved in 68.1%. On the other hand, thermal protection is statistically linked to knowledge of the normal temperature of the newborn p=0.015. For the prevention of infection, there is a significant relationship with the training of providers p=0.001. Conclusion: Globally, newborn care providers have gaps in the knowledge and practice of the immediate care they offer newborns, this situation can only be improved by close monitoring of providers.

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 5)
DOI 10.11648/j.jgo.20210905.17
Page(s) 172-177
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knowledge, Practices, New-borns, Immediate Care

References
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[2] OMS. Statistiques sanitaires mondiales 2013. http://apps.who.int/iris/bitstream/10665/82056/1/9789242564587_fre.pdf, consulté le 30 juillet 2014.
[3] Lawn, J., and K. Kerber. "Donnons sa chance à chaque nouveau-né de l’Afrique: données pratiques, soutien programmatique et de politiques pour les soins du nouveau-né en Afrique, éds." Partenariat pour la santé maternelle, néonatale et infantile, Cape Town (2006). P: 5, 16.
[4] EDS-MICS GUINEE 2012.
[5] USAID, BASICS, MSP, DRS. Guide du formateur des prestataires. Soins essentiels aux nouveau-nés 2008 (Sénégal). http://www.basics.org/documents/Guide_du_formateur_des_prestataires_Soins_Essential_aux_Nouveaus-ne.pdf consulté le 2 août 2014.
[6] OMS. Une chance pour les nouveau-nés d’Afrique. 22 Novembre 2006. http://www.who.int/mediacentre/news/releases/2006/pr70/fr/ consulté le 5 août 2014.
[7] Darmstadt, Gary L, Zulfiqar A Bhutta, Simon Cousens, Taghreed Adam, Neff Walker, Luc de Bernis, "Evidence-based, cost-effective interventions: how many newborn babies can we save? The Lancet 365. 9463 (2005): 977-988.
[8] OMS. Les soins du nouveau-né. 2014 http://www.who.int/maternal_child_adolescent/topics/newborn/care_at_birth/fr/ consulté le 2 août 2014.
[9] République du Mali, Ministère de la Santé. MANUEL DE REFERENCE Soins Essentiels du Nouveau-Né, 2009. http://www.basics.org/documents/15-Reference-Manual-for-ENC-at-Facility-Level.pdf consulté le 27 septembre 2014.
[10] Hagos Tasew, Tsega Teshale, Degena Bahrey, Teklewoini Mariye, Girmay Teklay, Soins immédiats du savoir, des pratiques et des facteurs associés chez le nouveau-né parmi les prestataires de soins de santé dans les établissements de santé de la zone nord-ouest Tigray, Ethiopie 2018 BMC Res Notes. 2019; 12: 427, doi: 10.1186/s13104-019-4465-z [PubMed].
[11] Faridullah Atiqzai, Partamin Manalai, Sher Shah Amin, Karen M. Edmond, Malalai Naziri, Mohammad Samim Soroush, Sharmina Sultana, Khaksar Yousufi, Thomas Van den Akker, Jelle Stekelenburg, et Hanna Tappis. Qualité des soins essentiels au nouveau-né et de la réanimation néonatale dans les établissements de santé en Afghanistan: évaluation transversale. BMJ Open 2019; 9 (8): e030496, doi: 10.1136/bmjopen-2019-030496 [PubMed].
[12] Joseph de Graft-Johson, Linda Vesel, Heather E Rosen, Barbara Rawlins, Stella Abwao, Goldy Mazia, Robert Bozsa, Winifrede Mwebesa, Neena Khadka, Rsemary Kamunya, Ashebir Getachew, Gaudiosa Tbejuka, Jean Pierre Rakotovao et Alemnesh Tekleberhan. Evaluation observationnelle transversale de la qualité des soins du nouveau-né immédiatement après la naissance dans les établissements de santé de six pays d’Afrique Subsaharienne BMJ Open 2017; 7 (3): e014680 doi: 10.1136/bmjopen-2016-014680.
[13] Ribka Amsalu, Catherine N. Morris, Kingsley Chukwumalu, Michelle Hynes, Shehryar Janjua, Alexia Couture, Aimee Summers, Amy Cannon, Erin N. Hulland et Sabine Baunach. Pratique de soins essentiels au nouveau-né dans quatre centres de soins de santé primaires dans la les zones touchées par le conflit de Bossaso, en Somalie: une Etude transversale Confl Santé 2019; 13: 27 doi 10.1186/s13031-019-0202-4 [PubMed].
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  • APA Style

    Soumah Aboubacar Fode Momo, Keita Massa, Conte Ibrahima, Camara Soriba Naby, Diallo Abdourahamane, et al. (2021). Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers. Journal of Gynecology and Obstetrics, 9(5), 172-177. https://doi.org/10.11648/j.jgo.20210905.17

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    ACS Style

    Soumah Aboubacar Fode Momo; Keita Massa; Conte Ibrahima; Camara Soriba Naby; Diallo Abdourahamane, et al. Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers. J. Gynecol. Obstet. 2021, 9(5), 172-177. doi: 10.11648/j.jgo.20210905.17

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    AMA Style

    Soumah Aboubacar Fode Momo, Keita Massa, Conte Ibrahima, Camara Soriba Naby, Diallo Abdourahamane, et al. Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers. J Gynecol Obstet. 2021;9(5):172-177. doi: 10.11648/j.jgo.20210905.17

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  • @article{10.11648/j.jgo.20210905.17,
      author = {Soumah Aboubacar Fode Momo and Keita Massa and Conte Ibrahima and Camara Soriba Naby and Diallo Abdourahamane and Leino Watanasse and Balde Ibrahima Sory and Sy Telly},
      title = {Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {9},
      number = {5},
      pages = {172-177},
      doi = {10.11648/j.jgo.20210905.17},
      url = {https://doi.org/10.11648/j.jgo.20210905.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210905.17},
      abstract = {The aim of this work was to analyze the organization and execution of immediate essential care for newborns in referral hospitals in Conakry. Immediate essential newborn care is a key component for a maternity hospital. lower risk, but often overlooked by health providers. Methodology: This was a descriptive and analytical cross-sectional study carried out through an observation of the practices of immediate care for newborns and the individual interview of providers in six referral hospitals in urban areas of Conakry, from April 1 to June 30, 2020. We have carried out an exhaustive recruitment of all providers working in the delivery room and meeting the inclusion criteria. We used the checklist, the written questionnaire for individual interviews and the provider observation grid. Provider knowledge and practice was observed during immediate neonatal care. The independent variables were socio-demographic factors and personal and institutional factors. Statistical comparisons were made using the chi-square test. the differences were considered significant for p<0.05. Results: In this study 69 providers agreed to participate in the study, with a response rate of 100%, the largest proportion 61/69 (88.4%) were midwives, In terms of knowledge: 56, 5% of providers cited all the equipment and consumables to be prepared at the time of childbirth, 94.2% on thermal protection, 82.6% on the components of immediate newborn care, In terms of skills: 84.1% of our providers recognized newborns needing resuscitation and 15.9% were competent on this procedure, skin-to-skin contact was achieved in 68.1%. On the other hand, thermal protection is statistically linked to knowledge of the normal temperature of the newborn p=0.015. For the prevention of infection, there is a significant relationship with the training of providers p=0.001. Conclusion: Globally, newborn care providers have gaps in the knowledge and practice of the immediate care they offer newborns, this situation can only be improved by close monitoring of providers.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Immediate Essential Care for New-borns in the Six Hospitals of Conakry: Knowledge and Practices of Providers
    AU  - Soumah Aboubacar Fode Momo
    AU  - Keita Massa
    AU  - Conte Ibrahima
    AU  - Camara Soriba Naby
    AU  - Diallo Abdourahamane
    AU  - Leino Watanasse
    AU  - Balde Ibrahima Sory
    AU  - Sy Telly
    Y1  - 2021/10/15
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jgo.20210905.17
    DO  - 10.11648/j.jgo.20210905.17
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 172
    EP  - 177
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20210905.17
    AB  - The aim of this work was to analyze the organization and execution of immediate essential care for newborns in referral hospitals in Conakry. Immediate essential newborn care is a key component for a maternity hospital. lower risk, but often overlooked by health providers. Methodology: This was a descriptive and analytical cross-sectional study carried out through an observation of the practices of immediate care for newborns and the individual interview of providers in six referral hospitals in urban areas of Conakry, from April 1 to June 30, 2020. We have carried out an exhaustive recruitment of all providers working in the delivery room and meeting the inclusion criteria. We used the checklist, the written questionnaire for individual interviews and the provider observation grid. Provider knowledge and practice was observed during immediate neonatal care. The independent variables were socio-demographic factors and personal and institutional factors. Statistical comparisons were made using the chi-square test. the differences were considered significant for p<0.05. Results: In this study 69 providers agreed to participate in the study, with a response rate of 100%, the largest proportion 61/69 (88.4%) were midwives, In terms of knowledge: 56, 5% of providers cited all the equipment and consumables to be prepared at the time of childbirth, 94.2% on thermal protection, 82.6% on the components of immediate newborn care, In terms of skills: 84.1% of our providers recognized newborns needing resuscitation and 15.9% were competent on this procedure, skin-to-skin contact was achieved in 68.1%. On the other hand, thermal protection is statistically linked to knowledge of the normal temperature of the newborn p=0.015. For the prevention of infection, there is a significant relationship with the training of providers p=0.001. Conclusion: Globally, newborn care providers have gaps in the knowledge and practice of the immediate care they offer newborns, this situation can only be improved by close monitoring of providers.
    VL  - 9
    IS  - 5
    ER  - 

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Author Information
  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Friendship Hospital Sino Guinean, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynecology and Obstetrics, Donka National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Gynaecology and Obstetrics, Ignace Deen National Hospital, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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