Determinants of maternal knowledge of neonatal danger signs among postpartum mothers in Southern Ethiopia: institutional-based cross-sectional study

Abstract

Objective The main aim of this study was to assess knowledge of neonatal danger signs and associated factors among postpartum mothers in Southern Ethiopia. Setting Gurage zone, Southern Ethiopia. Study participants A total of 608 postpartum mothers were involved in this study. Methods An institutional-based cross-sectional study design was conducted among postpartum mothers attending Gurage zone public health facilities of Southern Ethiopia from 1 January 2020 to 30 January 2020. Results Knowledge of neonatal danger signs among postpartum mothers was 48.2% (95% CI 44.4% to 52.3%). Mothers resided in an urban area (adjusted OR, AOR=1.67, 95% CI 1.11 to 2.50), having antenatal follow-up (AOR=1.49, 95% CI 1.02 to 2.18), mothers who had got breastfeeding counselling (AOR=3.43, 95% CI 1.89 to 4.75), mothers who had got postnatal care counselling (AOR=1.53, 95% CI 1.08 to 2.18), multiparous mothers (AOR=1.37, 95% CI 1.24 to 2.19) and mothers who had good practice of essential newborn care (AOR=1.53, 95% CI 1.06 to 2.21) were factors significantly associated with maternal knowledge of neonatal danger signs. Conclusions Knowledge of neonatal danger signs was low in the study area. Mothers resided in an urban area, having antenatal follow-up, mothers who had got breastfeeding counselling, mothers who had got postnatal care counselling, multiparous mothers and good practice of essential neonatal care were factors associated with maternal knowledge of neonatal danger signs. Therefore, healthcare workers should encourage mothers to have antenatal follow-up and provide postnatal care counselling regarding key neonatal danger signs before discharge from the health facilities.

The receipt of health information on neonatal dangers signs during the immediate postpartum period and its determinants in Ethiopia: a multilevel mixed-effects logistic regression analysis of the 2016 Ethiopian demographic health survey report

“…Similarly, the uptake of postnatal care is also identified as a significant predictor of receiving health information on NDSs, in tandem with studies conducted in China [ 29 ], Kenya [ 51 ], Ghana [ 52 ], and Ethiopia [ 19 , 26 , 48 , 53 ]. One possible explanation is that mothers who received postnatal care may have received health education about NDSs from healthcare providers, which is one of the essential components of postpartum visits [ 54 ].…”

Mapping Evidence on the Determinants of Postnatal Care Knowledge among Postpartum Women in sub-Saharan Africa: A Literature Review

“…All the articles reported on quantitative cross-sectional studies. Sixteen of the articles were from studies conducted in Ethiopia (Beraki et al, 2020;Yaya Tessema et al, 2023;Leta, 2022;Berhan & Gulema, 2018;Getachew et al, 2022;Berhea et al, 2018;Mose et al, 2021;Hassen & Lelisho, 2022;Mekonnen et al, 2021;Seifu et al, 2020;Guta et al, 2020;Kebede et al, 2020;Tesfaye et al, 2022;Yitayew et al, 2021;Bulto et al, 2019;Degefa, et al, 2019), two each in Kenya (Kiragu et al, 2021;Roney et al, 2021), Tanzania (Msiba et al, 2022;Nchimbi & Joho, 2022), and Rwanda (Batamuriza & Uwingabire, 2020;Deynu & Nutor, 2023), and one each in Sierra Leone (Kanu et al, 2014), Zambia (Chembe & Siziya, 2017), and South Sudan (Meseka et al, 2017). Eight of the articles (Mose et al, 2021;Guta et al, 2020;Kebede et al, 2020;Tesfaye et al, 2022;Yitayew et al, 2021;Bulto et al, 2019;Degefa, et al, 2019;Roney et al, 2021) reported on studies that researched on knowledge of neonatal danger signs (NDS), seven (Leta, 2022;Berhan & Gulema, 2018;Getachew et al, 2022;Berhea, et al, 2018;Msiba, et al, 2022;…”

“…The individual-level determinants of PNC knowledge include place of residence (Beraki et al, 2020;Mose et al, 2021;Mekonnen et al, 2021;Yitayew, et al, 2021;Deynu & Nutor, 2023), age of the mother (Beraki et al, 2020;Batamuriza & Uwingabire, 2020), age at first pregnancy, marital status (Beraki et al, 2020;Deynu & Nutor, 2023), educational level of the mother (Beraki et al, 2020;Yaya Tessema et al, 2023;Leta, 2022;Getachew et al, 2022;Berhea et al, 2018;Hassen & Lelisho, 2022;Seifu et al, 2020;Yitayew et al, 2021;Bulto et al, 2019;Degefa et al, 2019;Roney et al, 2021;Nchimbi & Joho, 2022;Kanu et al, 2014;Chembe & Siziya, 2017), educational level of the father (Hassen & Lelisho, 2022;Yitayew et al, 2021), and religion of the mother (Getachew et al, 2022). All articles that reported on place of residence as a determinant of PNC knowledge (Beraki et al, 2020;Mose et al, 2021;Mekonnen et al, 2021;Yitayew et al, 2021;Deynu & Nutor, 2023) revealed that those who stayed in urban areas were more likely to have good PNC knowledge compared to those who stayed in rural areas. Two articles (Beraki et al, 2020;Batamuriza & Uwingabire, 2020) revealed that an increase in maternal age was associated with an improvement in PNC knowledge among them.…”

“…The other determinants of PNC knowledge reported in this review include the number of previous pregnancies (Beraki et al, 2020;Yaya Tessema, et al, 2023;Leta, 2022;Berhan & Gulema, 2018;Mose et al, 2021;Kebede et al, 2020;Yitayew et al, 2021;Roney et al, 2021;Kanu et al, 2014;Meseka et al, 2017), whether the pregnancy was planned or not (Hassen & Lelisho, 2022;Kebede et al, 2020), family size (Tesfaye et al, 2022), whether the woman stayed with the father of the baby (Tesfaye et al, 2022;Nchimbi & Joho, 2022), involvement of the father of the baby in PNC activities (Kebede et al, 2020;Roney, et al, 2021), and whether the woman had self-decision making power to seek care for herself and her baby (Yaya Tessema et al, 2023). All the studies that reported on the number of pregnancies as a determinant of PNC knowledge (Beraki et al, 2020;Yaya Tessema et al, 2023;Leta, 2022;Berhan & Gulema, 2018;Mose et al, 2021;Kebede et al, 2020;Yitayew et al, 2021;Roney et al, 2021;Kanu et al, 2014) revealed that women who had more children were more likely to have PNC knowledge compared to those who had fewer, except for one (Meseka et al, 2017) that revealed that primiparous women were more likely to have good PNC knowledge compared to multiparous women. The two studies that reported on the influence of pregnancy planning on PNC knowledge (Hassen & Lelisho, 2022;Kebede et al, 2020) revealed that women who had planned their pregnancies were more likely to have good PNC knowledge compared to those whose pregnancies were not planned.…”

“…The health system-level determinants of PNC knowledge reported include distance to a healthcare facility (Berhea et al, 2018;Kiragu et al, 2021), source of PNC information (Nchimbi & Joho, 2022;Meseka et al, 2017), place of delivery (Getachew et al, 2022;Mekonnen et al, 2021;Yitayew et al, 2021;Roney et al, 2021), and previous PNC experience (Mekonnen et al, 2021;Seifu et al, 2020;Guta et al, 2020;Kebede et al, 2020;Yitayew et al, 2021;Bulto et al, 2019). In addition, the other determinants include ANC attendance (Yaya Tessema et al, 2023;Getachew et al, 2022;Mose et al, 2021;Hassen & Lelisho, 2022;Seifu et al, 2020;Guta et al, 2020;Tesfaye et al, 2022;Roney et al, 2021;Leta, 2022;Berhan & Gulema, 2018), whether the women attended PNC (Tesfaye et al, 2022;Yitayew et al, 2021;Bulto et al, 2019;Degefa et al, 2019), whether women received education and counseling about PNC services during ANC or PNC attendance (Getachew et al, 2022;Berhea et al, 2018;Mose et al, 2021;Mekonnen et al, 2021;Guta et al, 2020;Yitayew et al, 2021;Bulto et al, 2019;Msiba et al, 2022;Batamuriza & Uwingabire, 2020;…”