Level of Knowledge About Neonatal Danger Signs and Associated Factors Among Mothers Who Delivered at Home in Fogera District, South West, Ethiopia
Biomedical Statistics and Informatics
Volume 3, Issue 4, December 2018, Pages: 53-60
Received: Jan. 2, 2019;
Accepted: Jan. 25, 2019;
Published: Mar. 13, 2019
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Desalegn Tesfa Asnakew, Public Health Department, College of Health Sciences, Debre Tabor University, Debra Tabor, Ethiopia
Melaku Tadege Engidaw, Public Health Department, College of Health Sciences, Debre Tabor University, Debra Tabor, Ethiopia
Alemayehu Digssie Gebremariam, Public Health Department, College of Health Sciences, Debre Tabor University, Debra Tabor, Ethiopia
Introduction: Due to little recognition of families about neonatal danger sign in many developing countries like Ethiopia, almost all of the neonates are not taken to health institutions early when they are sick and the majority of the newborn death occurred at their home. Therefore mother's health-seeking behavior in neonatal care extremely relies on their knowledge of neonatal danger signs: however, little is known about the mother’s knowledge and associated factors on neonatal ganger signs in Ethiopia. So, the main aim of this study was to assess the level of mother's knowledge about neonatal danger signs and its associated factors. Methods: A community-based cross-sectional study was carried out in 2018 from 845 mothers who delivered in the last six months and a multi-stage sampling was applied. Data were collected by nurses and midwives, and cleaned by EPI INFO software version 7. Data were analyzed using SPSS software version 21. Bivariable and multivariable logistic analyses were deployed to identify the associations. Results: In this study 542 (64.1%) with 95% CI (60.8-67.5) of mothers had good knowledge about newborn danger sign. Spousal involvement during ANC AOR= 1.77; 95% CI (1.28-2.46), assisted with traditional birth attendant AOR=1.39; 95% CI (1.00-1.93), had mass-media AOR= 1.53 95% CI (1.11-2.10), women who went to postnatal care /visited by health extension workers after delivery AOR= 1.35; 95% CI (1.00-1.81) were the independent predictors of mother's good knowledge of neonatal danger signs. Conclusions: In this study, greater than one-third of the respondents had no enough knowledge of WHO recognition newly born danger signs. Spousal involvement during ANC, delivery attendants, went for PNC/ visited by HEWS after delivery and availability of mass media were variables which are significantly associated with knowledge of good newborn danger signs. Routine counseling to pregnant mothers about the importance of PNC, ANC, and spousal involvement during PNC and ANC is essential. Refresher training to Health extension workers and counseling of traditional birth attendants to link pregnant mothers to Health institutions must be a great issue.
Desalegn Tesfa Asnakew,
Melaku Tadege Engidaw,
Alemayehu Digssie Gebremariam,
Level of Knowledge About Neonatal Danger Signs and Associated Factors Among Mothers Who Delivered at Home in Fogera District, South West, Ethiopia, Biomedical Statistics and Informatics.
Vol. 3, No. 4,
2018, pp. 53-60.
The executive summary of the lancet neonatal survival series.
Lawn, j. e., s. cousens, and j. zupan, neonatal survival 1, 4 million neonatal deaths: when? where? why. for the lancet neonatal survival steering team. 2005. 365: p. 891–900.
Levels & trends in child mortality, report 2014 estimates developed by the un inter-agency group for child mortality estimation.
lassi, z. s., et al., essential interventions for maternal, newborn and child health: background and methodology. reproductive health, 2014. 11 (suppl 1): s1.
Joy e. lawn, m., mrcp (paeds), mph, phd, et al., 3.6 million neonatal deaths—what is progressing and what is not? 2010.
Black, r. e., s. s. morris, and j. bryce, where and why are 10 million children dying every year?. 2003. lancet 361: p. 2226–34.
Awasthi, s., t. verma, and m. agarwal, danger signs of neonatal illnesses: perceptions of caregivers and health workers in northern india bulletin of the world health organization, 2006. 84 (10): p. 819-826.
Hill, z., et al., recognizing childhood illnesses and their traditional explanations: exploring options for care-seeking interventions in the context of the imci strategy in rural ghana. tropical medicine and international health, 2003. 8 (7): p. pp 668–676
Callaghan-koru, j. a., et al., newborn care practices at home and in health facilities in 4 regions of ethiopia. bmc pediatrics, 2013. 13: p. 198.
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 res notes 2015. 8: p. 309.
Federal democratic republic of ethiopiaethiopia demographic and health survey 2016 central statistical agency addis ababa, ethiopia.
National technical guidance for maternal and perinatal death surveillance and response ethiopian public health institue 2017.
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 research notes, 2016. 9: p. 481.
Mersha, a., et al., mother’s level of knowledge on neonatal danger signs and its predictors in chencha district, southern ethiopia. american journal of nursing science, 2017. 6 (5): p. 426-432.
Jemberia, m. m., et al., low level of knowledge about neonatal danger signs and its associated factors among postnatal mothers attending at woldia general hospital, ethiopia. maternal health, Neonatology, and perinatology, 2018. 4 (5).
Dongre, a. r., p. r. deshmukh, and b. s. garg, awareness and health care seeking for newborn danger signs among mothers in peri-urban wardha amol r dongre, pradeep r deshmukh and bishan s garg. indian j pediatr, 2009. 76 (7): p. 691-693.
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: 18, 2015. 41 (18).
Zaman, s. b., et al., husband’s involvement with mother’s awareness and knowledge of newborn danger signs in facility‑based childbirth settings: a cross‑sectional study from rural bangladesh. bmc res notes, 2018. 11 (286).
Sandberg j, odberg pettersson k, asp g, kabakyenga j, agardh a (2014) inadequate knowledge of neonatal danger signs among recently delivered women in southwestern rural uganda: a community survey. plos one 9 (5): e97253. doi: 10.1371/journal.pone.0097253.
Okuga, m., et al., illness recognition and care-seeking for maternal and newborn complications in rural eastern uganda. journal of health, population, and nutrition, 2017. 36 (suppl 1): p. 47-47.
Pell, c., et al., factors affecting antenatal care attendance: results from qualitative studies in ghana, kenya and malawi. plos one, 2013. 8 (1).
Anmut, w., b. fekecha, and t. demeke, mother’s knowledge and practice about neonatal danger signs and associated factors in wolkite town, gurage zone, snnpr, ethiopia, walellign anmut, bekana fekecha and tigist demeke. journal of biomedical sciences, 2017. 6 (5): p. 4: 33.
Zaman, s. b., et al., husband’s involvement with mother’s awareness and knowledge of newborn danger signs in facility‑based childbirth settings: a cross‑sectional study from rural bangladesh bmc research notes, 2018. 11: 218.
Center for national health development in ethiopia, columbia university. 2011. ethiopia health extension program evaluation study, 2010, volume-iii. model-family and voluntary community health promoters study. addis ababa, ethiopia: center for national health development in ethiopia, columbia university.
Technical working group on essential newborn care, world health organization, essential newborn care: a report of a technical working group, who, geneva, switzerland.
N, a., b. kk, and t. y, awareness and associated factors towards neonatal danger signs among mothers attending public health institutions of mekelle city, tigray, ethiopia, 2015. j child adolesc behav, 2017. 5 (6).
The federal democratic republic of ethiopia, ministry of health, health sector transformation plan 2015/16 - 2019/20 (2008-2012 efy), october 2015.
N. thatte, l. c. m., j. k. s. k. khatry, j. m. tielsch, and g. l. darmstadt, traditional birth attendants in rural nepal: knowledge, attitudes, and practices about maternal and newborn health. glob public health, 2009. 4 (6): p. 600-617.
Tina y. falle, l. c. m., nandita thatte, subarna k. khatry, steven c. leclerq, gary l. darmstadt 1, joanne katz, and james m. tielsch, potential role of traditional birth attendants in neonatal healthcare in rural southern nepal. j health popul nutr 2009. 27 (1): p. 53-61.
Onyo, m. r. p., et al., knowledge, attitudes and practices of traditional birth attendants in pastoralist communities of laikipia and samburu counties, kenya: a cross-sectional survey. the pan african medical journal, 2016. 25 (supp 2): 13.