Newborn Care among Tribes of Central India

Sharma, Rimple

doi:10.1177/004908571004000202

Cited by 9 publications

(7 citation statements)

References 15 publications

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“…prelacteal feeds were given for all home and institutional births. Many studies from India and other South Asian countries have indicated that women commonly wait for several days after birth to begin breast-feeding, avoid giving colostrum, or supplement breast-feeding with other food or liquids [28,29]. However findings from present study compare poorly with recent studies from Nepal, Pakistan and Bangladesh which shows early breast-feeding initiation rates of 91 percent, 73 percent and more than 90 percent respectively [25,30,31].…”

Section: Discussioncontrasting

confidence: 97%

Newborn care practices: A case study of tribal women, Gujarat

Shah¹,

Dwivedi²

2013

Health

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Plateaued rate of decline in neonatal mortality rate is one of the major obstacles in achieving Millennium Development Goal 4 especially in developing countries. Even in India, nationwide interventions targeting safe mother and newborn care have not yielded the desired impact, indicating the necessity to combat neonatal mortality rate at population specific level. The objective of this study is to identify the newborn care practices and beliefs, analyze their harmful or beneficial characteristics, describe the deviations from the essential newborn care practices during hospital/home delivery, explain barriers to care seeking and identify areas of potential resistance for behavior change; and utilize study findings to tailor-make cost-effective essential newborn care package. The study uses qualitative data from in-depth interview of mothers who had experienced neonatal death and key-informant interviews with healthcare personnel and birth attendants. 33 cases were randomly selected from the registered neonatal deaths across Bharuch district of Gujarat, India. Key finding of this study is less prevalent practice of essential newborn care among all cases irrespective of place of delivery and the health-care personnel facilitating delivery. Habitual traditional/tribal newborn care methods challenge the practice of prescribed essential newborn care. Clustering of deaths in few households added significantly to the existing burden of neonatal deaths, attributed to superstition “Ratewa” by tribal. Study has concluded that the introduction and implementation of essential newborn care at hospital and community/ household level are the need of the hour. Quality home based neonatal care through cost effective interventions is deemed necessary where accessing institutional care is not possible in the immediate term. Community health workers can contribute to the eradication of harmful newborn care practices and the sustenance of essential practices through community education and behavior change communication.

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Section: Discussioncontrasting

confidence: 97%

Newborn care practices: A case study of tribal women, Gujarat

Shah¹,

Dwivedi²

2013

Health

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“…These spatial or geographic differentials in infant mortality may be due to the differences in their socio-economic development and/or cultural factors. These findings are in accordance with previous studies (Dhar, 2013;Marwar and Jain, 1997;NSSO, NSO, and MOSPI, 2011;Pandey, 1988;Pandey and Tiwari, 2001;Sahu, Nair, Singh et al, 2015;Sharma, 2010;van Dillen, 2006).…”

Section: Discussionsupporting

confidence: 93%

“…Women from villages near the health centers utilize primary health centers only in case of emergency (Marwar and Jain, 1997). One study demonstrated that the utilization of maternal and child healthcare services is very limited among the tribes of Madhya Pradesh (Sharma, 2010).…”

Section: Literature Reviewmentioning

confidence: 99%

Infant mortality differentials among the tribal and non-tribal populations of Central and Eastern India

Ranjan¹,

Dwivedi²,

Mishra³

et al. 2016

IJPS

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Higher infant mortality among tribal populations in India is well-documented. However, it is rare to compare factors associated with infant mortality in tribal populations with those in non-tribal populations. In the present paper, Cox proportional hazards models were employed to examine factors influencing infant mortality in tribal and non-tribal populations in the Central and Eastern Indian states using data from the District Level Household Survey-III in [2007][2008]. Characteristics of mothers, infants, and households/communities plus a program variable reflecting the place of pregnancy registration were included in the analyses. We found that the gap in infant mortality between tribal and non-tribal populations was substantial in the early months after birth, narrowed between the fourth and eighth months, and enlarged mildly afterwards. Cox regression models show that while some factors were similarly associated with infant mortality in tribes and non-tribes, distinctive differences between tribal and non-tribal populations were striking. Sex of infants, breastfeeding with colostrum, and age of mother at birth acted similarly between tribes and non-tribes, yet factors such as state of residence, wealth, religion, place of residence, mother's education, and birth order behaved differently. The program factor was non-significant in both tribal and non-tribal populations.

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“…Oil massage of newborn is a common practice in Asian region. [ 23 , 24 ] It is believed to help in the physical development of the baby. In our study, nearly one-fourth of newborns were given bath on the day of birth.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 , 32 , 33 ] Traditional healers are preferred because of easy availability, poor access to health facility, and financial barriers. [ 23 , 34 , 35 ] At times, such traditional and household-level constraints cause delay in utilization of appropriate medical care thereby increasing the risk of neonatal mortality.…”

Section: Discussionmentioning

confidence: 99%

Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study

Srinivasan¹,

Arumugam²,

Kamala³

et al. 2023

Indian Journal of Community Medicine

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Background and Objectives: Traditional newborn rearing practices play a vital role in neonatal morbidity and mortality. In this context, a concurrent mixed method study was conducted to identify the traditional practices in newborn care in tribal villages of Sittilingi Panchayat of Tamil Nadu, South India. Methods: The quantitative data were collected by a community-based cross-sectional study among 59 mothers of infants. Qualitative component included two focus group discussions (FGD) each with seven mothers and one traditional dai. Results: About 38.9% of newborns received colostrum, and 61.1% had prelacteal feeds. Majority (84.7%) of newborns had received appropriate thermal care. More than two-thirds (71.2%) of newborns were given bath before umbilical cord dropped off. During bathing, 83.1% were massaged and 67.8% had their vernix removed. Practice of blowing into nostrils (45.7%), substance application on the cord (94.9%), tepid sponging during fever (28.8%), sweet flag application over umbilicus for colic (8.5%), herbal medications during diarrhea (40.6%) and cold (25.4%), exposure to sunlight (67.8%) during jaundice, oil instillation in nostrils (76.3%), and ears (32.2%) to protect against infection were reported. Majority reported approaching traditional health practitioners during illness. Similar practices were reported in the FGDs. The beliefs related to these practices were explored. Conclusion: Both beneficial and harmful practices in newborn care were identified. Primary health care workers like ASHAs could be trained to recognize traditional newborn practices in their field areas to deliver appropriate behavior change communication to preserve safe practices and avoid harmful practices to improve newborn health.

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Newborn Care among Tribes of Central India

Cited by 9 publications

References 15 publications

Newborn care practices: A case study of tribal women, Gujarat

Newborn care practices: A case study of tribal women, Gujarat

Infant mortality differentials among the tribal and non-tribal populations of Central and Eastern India

Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study

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