Mother’s Level of Knowledge on Neonatal Danger Signs and Its Predictors in Chencha District, Southern Ethiopia
American Journal of Nursing Science
Volume 6, Issue 5, October 2017, Pages: 426-432
Received: Jul. 30, 2017;
Accepted: Aug. 14, 2017;
Published: Oct. 29, 2017
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Abera Mersha, Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
Nega Assefa, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
Kedir Teji, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia
Agegnehu Bante, Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
Shitaye Shibiru, Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
Introduction: Neonates and young infants often present with non-specific symptoms and signs of severe illness that indicate presence of severe infection which may require immediate care. So, mother’s knowledge is very important to recognize those symptoms to prevent further complications even dealth. But there is a gap in assessing mothers knowledge in neonatal danger signs. Because, almost all studies in Ethiopia assessed mother’s knowledge based on only one danger sign out of nine WHO recognized danger signs. So, the main aim of this study was to assess level of knowledge about neonatal danger signs based on 10 WHO recognized danger signs in Chencha District, Southern Ethiopia. Methods: Community based cross sectional study was conducted in 630 mothers from February 8- 28, 2017 by using one-stage cluster sampling method. Structured interviewer administered pre-tested questionnaire was used to collect the data. The collected data were entered into Epi data version 3.1 and then exported into SPSS window version 22 for analysis. Bivariate and multivariate analysis was done by using binary logistic regression to see the association between each independent variable and the outcome variable. The goodness of fit was tested by Hosmer-Lemeshow statistic and Omnibus tests. Multi co-linearity test was carried out to see the correlation between independent variables using standard error and collinearity statistics. Variables with P<0.2 in the bivariate analysis were included in to final model and statistical significance were declared at P< 0.05. Result: In this study 50.3% (95%CI: 46.4%, 54.2%) of mothers had good level of knowledge who knows three or more neonatal danger signs out of WHO stated 10 neonatal danger signs. Place of residence, presence of radio in the household and knowledge about essential newborn care were statistically significant association with knowledge about neonatal danger signs with odds (AOR=1.58, 95%CI: 1.05, 2.37), (AOR=1.67, 95%CI: 1.13, 2.49) and (AOR=5.29, 95%CI: 3.61, 7.78) respectively. Conclusion/recommendations: This study revealed that mothers level of knowledge about neonatal danger signs were low. Therefore, strengthening the provision of health information and ENC by designing appropriate strategies like Information Education Communication and Behavioural Change Communications both at facility and community level and advocate to use media as source of information should be promoted.
Mother’s Level of Knowledge on Neonatal Danger Signs and Its Predictors in Chencha District, Southern Ethiopia, American Journal of Nursing Science.
Vol. 6, No. 5,
2017, pp. 426-432.
Hospital Care for Children. Global resource for addressing the quality of care. Danger signs in newborns and young infants. 2016; Available from: http://www.ichrc.org/chapter-36-danger-signs-newborns-and-young-infant.
Baqui, A., et al., Population-based study of hospital admission incidence rate and bacterial etiology of acute lower respiratory infections in children aged less than five years in Bangladesh. Journal of health, population and nutrition, 2007. 25(2): p. 179-188.
Coutin, A., Essential Obestritic and Newborn Care: Practical guide for midwives, doctors with obestetrics training and health care personnel who deal with obstetrics emergencies. 2015 ed. 2015.
Kananura, R. M., et al., The neonatal mortality and its determinants in rural communities of Eastern Uganda. Reproductive Health, 2016. 13: p. 13.
Abdullah, A., et al., Risk factors associated with neonatal deaths: a matched case-control study in Indonesia. Global Health Action, 2016.
Anwar-ul-Haq, et al., Recognizing the Danger Signs and Health Seeking Behaviour of Mothers in Childhood Illness in Karachi, Pakistan. Universal Journal of Public Health, 2015. 3(2): p. 49-54.
Alex-Hart, B. A., D. A. Dotimi, and P. I. Opara, Mothers’ recognition of newborn danger signs and health seeking behaviour. Niger J Paed, 2014. 41(3): p. 199 -203.
Callaghan-Koru, J., et al., Newborn care practices at home and in health facilities in 4 regions of Ethiopia. BMC Pediatrics 2013.
Nigatu, S. G., A. G. Worku, and A. F. Dadi, Level of mother’s knowledge about neonatal danger signs and associated factors in North West of Ethiopia: a community based study. BMC Research Notes 2015. 8: p. 309.
Yadav, S. P., et al., Knowledge, attitude and practices on the care of the newborn in postnatal mothers delivering at a tertiary care centre in Nepal. Sri Lanka Journal of Child Health, 2016. 45(3): p. 189-192.
Ekwochi, U., et al., Knowledge of danger signs in newborns and health seeking practices of mothers and care givers in Enugu state, South-East Nigeria. Italian Journal of Pediatrics, 2015. 41: p. 18.
Kibaru, G. E. and M. A. Otara, Knowledge of neonatal danger signs among mothers attending well baby clinic in Nakuru Central District, Kenya: cross sectional descriptive study. BMC Res Notes, 2016. 9: p. 481.
Assefa, F. M., Assessment of Knowledge and Health Care Seeking Behavior about Neonatal Danger Signs among Mothers Visiting Immunization Unit Inselected Governmental Health Centers, Addis Ababa, Ethiopia. Msc Thesis, Addis Ababa University, Addis Ababa. 2014.
Eshetu, Y., Assessment of Level of Knowledge and Practice of Essential Newborn Care and Its Determinants among Recently Delivered Women in Ficthe Town, North Shewa Zone, Oromia Region, Ethiopia. 2015.
Feyisso, M., et al., Assessment of Knowledge of mother on danger signs of Neonatal and postnatal illness and health seeking behaviour among pregnant and postpartum mother in Gedeo Zone, 2014/15. International Journal of Current Research, 2016. 8(01): p. 25466-25471.
Chencha District Health Office Annual Report. 2016.
Lancet, Young Infants Clinical Signs Study Group. Clinical signs that predict severe illness in children under age 2 months, a multicentre study 371(9607) 2008: p. 135-142.
WHO, Handbook, in Integrated Management of Childhood Illnesses (IMCI). WHO and UNICEF: Geneva and New York. 2005.
WHO, Caring for the newborn at home. A training course for community health workers; community health workers manual. Geneva. 2012.
Kibaru, E. G. and A. M. Otara, Knowledge of neonatal danger signs among mothers attending well baby clinic in Nakuru Central District, Kenya: cross sectional descriptive study. BMC Res Notes. 9(1): p. 481.
Gathoni, A., Mother’s Knowledge, Attitude and Practice Regarding Neonatal Illness and Assessment of Neonates at Kenyatta National Hospital, Msc Thesis, University of Nairobi, Nairobi. 2013.
Mamta, K., A study to assess the knowledge, practices and attitude of Prim gravid mothers onnewborn care at JJR maternity Centre Bangalore, Karnataka March. 2013.
Rasha, M., O. Essa, and M. Heba, Factors associated with maternal knowledge of newborn care among postnatal mothers attending a rural and an urban hospital in Egypt Bulletin of High Institute of Public Health 2010. 40: p. 2.
Senarath, U., et al., Factors associated with maternal knowledge of newborn care among hospital-delivered mothers in Sri -Lanka. Trans R soc Trop Med Hyg 2011. 53(4): p. 121-122.
Aliyie, A. H., Effect of planned teaching on Essential Newborn Care practice and Identification of Neonatal Danger Signs among mothers in Chewaka resettilement 2014.