Mother’s Level of Knowledge on Neonatal Danger Signs and Its Predictors in Chencha District, Southern Ethiopia

Abstract

Abstract: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.

Effect of Place of Birth on Knowledge of Neonatal Danger Signs and Associated Factors among Mother's in Meicha District, Northwest Ethiopia: A Community-based Comparative Cross-Sectional Study

“…The overall mother knowledge of neonatal danger sign this study, is lower than the study conduct in Egipt and Ghana were (68-70%), 71.9% respectively [23,27]. but this result was in line with the study conducted in Bangladesh, Mekele Ethiopia and Chincha district southern Ethiopia which showed mothers knowledge neonatal danger sign of 51, 50.6 and 50.3% respectively [17,20,25][ However, this finding is higher than the study conducted in Nigeria (30.3), Uganda (poor), Kenya (15), Gonder Northwest Ethiopia (18.2), For region of Ethiopia was (29.3), Gedio zone (32.4), Welkite(31.3%) [15,19,26,28]. The possible reason for the observed difference might be due to the extensive work of HEWs in the community and different health care institutions in awareness creation on neonatal danger signs.…”

“…For health institution delivered mothers, urban women were 3 times more likely to know neonatal danger signs when compared to rural mothers. In agreement with this, studies revealed that the mother's residence determines their level of knowledge of neonatal danger signs [17,29]. For example, the study conducted in Chincha towards mother knowledge neonatal danger sign with residence showed that mothers who lived in urban were two times more likely known as compared to mothers who lived in a rural area.…”

<p>Neonatal sepsis and associated factors among newborns in hospitals of Wolaita Sodo Town, Southern Ethiopia</p>

“…We followed the methods of Mersha 23 and to ensure quality of data, the questionnaire and checklists were initially drafted in English, and then translated into a local language, "Amharic" by verified translators. Lastly, before data collection, the questionnaire was back translated into English to ensure accuracy.…”

“…All variables with P<0.25 in the bivariate analysis were included in the final model of multivariate analysis in order to control all possible confounders. We followed the methods of Mersha 23 that variables which were significant in previous studies and from context point of view were included in the final model even if the above criteria were not meet. Collinearity statistics was carried out to determine the correlation between the independent variables.…”

Knowledge on Neonatal Danger Sign and Associated Factors among Mothers who Give Birth in Arerti General Hospital, Ethiopia from September, 2017- September 2018

“…The postnatal mothers level of knowledge (47.8%) was lower than from Community based cross sectional study conducted in Chencha District, Southern Ethiopia where 50.3% of mothers had good level of knowledge who knows three or more neonatal danger signs. This might be due to the research study design difference [12].…”