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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Newborn care practices at home and in health facilities in 4 regions of Ethiopia
BMC Pediatrics, Volume 13, No. 1, Article 198, Year 2013
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Description
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.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.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.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. © 2013 Callaghan-Koru et al.; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC4219496/bin/1471-2431-13-198-S1.docx
Authors & Co-Authors
Callaghan-Koru, Jennifer A.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Estifanos, Abiy Seifu
Ethiopia, Addis Ababa
Haset Maternal and Child Health Research Program
Tholandi, Maya
United States, Baltimore
Jhpiego Corporation
de Graft-Johnson, Joseph E.
United States, Washington
Maternal and Child Health Integrated Program Mchip
Daniel, Ephrem
Ethiopia, Addis Ababa
Haset Maternal and Child Health Research Program
Rawlins, Barbara J.
United States, Baltimore
Jhpiego Corporation
Worku, Bogale
Ethiopia, Addis Ababa
School of Medicine
Baqui, Abdullah Hel
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 108
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1186/1471-2431-13-198
e-ISSN:
14712431
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Grounded Theory
Study Approach
Quantitative
Study Locations
Ethiopia
Participants Gender
Female