The neonatal mortality and its determinants in rural communities of Eastern Uganda

Kananura, Rornald Muhumuza; Tetui, Moses; Mutebi, Aloysius; Bua, John; Waiswa, Peter; Kiwanuka, Suzanne N; Ekirapa-Kiracho, Elizabeth; Makumbi, Fredrick

doi:10.1186/s12978-016-0119-y

Cited by 80 publications

(79 citation statements)

References 26 publications

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“…Newborns that experienced danger signs after delivery were two times more likely to die compared to those who never experienced any danger sign [4]. The study result which was conducted in Indonesia stated that neonatal illness during the first month of life and knowledge of neonatal danger signs were identified as the second major risk factors for neonatal death [5].…”

Section: Introductionmentioning

confidence: 97%

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

Mersha¹

2017

AJNS

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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.

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Section: Introductionmentioning

confidence: 97%

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

Mersha¹

2017

AJNS

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“…Globally, about one-quarter of all neonatal deaths are caused by birth asphyxia and is among of the leading cause of those neonatal deaths, which account 23%( Lawn et al) as cited by (5). The neonatal resuscitation has the potential to prevent perinatal mortality caused by birth asphyxia for almost two million babies annually (Lawn et al) as cited by (5),and it is estimated that 8. (5).…”

Section: Introductionmentioning

confidence: 99%

“…The neonatal resuscitation has the potential to prevent perinatal mortality caused by birth asphyxia for almost two million babies annually (Lawn et al) as cited by (5),and it is estimated that 8. (5).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing knowledge and practice on helping babies breathe among Skilled Birth Attendants in rural areas in Lake Zone in Tanzania

Mzurikwao

Ng’weshemi

Ernest

2018

Preprint

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Background: It is estimated that 1 million babies die each year due to birth asphyxia. Globally, it is approximated that 10 million babies cannot do it by themselves and need assistance. Helping babies breathe is a key component in reducing neonatal mortality due to birth asphyxia. Methods:A cross-sectional design was used, A total of 330 respondents included in the study.Simple random sampling by lottery was used to select the 2 regions and health facilities. The participants were selected through convenient. Data were collected using standard semistructured questionnaire. Chi-square and Binary logistic regression were used to analyse the data.Results: Out of 330 participants, Those who working in hospital and were more likely to have adequate knowledge (AOR= 3.227, P< 0.001) and practice (AOR= 43.807, P<0.001) than those working in Health Centers; Enlored nurses were more likely to have adequate knowledge (AOR= 3.118,P<0.05) than AMO/MD;Those with 1 year and above of experience in labor ward were more likely to have adequate practice(AOR=15.418,P<0.001) than those with less than 1 year of experience in labor ward; those who attended once on neonatal resuscitation training were adequate knowledge (AOR=1.778,P<0.05) than those who had never attended.Those with Enough equipment of neonatal resuscitation had adequate practice (AOR=4.355, P<0.001) than with no enough equipment. Conclusion:Regarding the findings of the current study, it was revealed that working facility, Professional/ qualification, and training was significant predictor of knowledge while working facility, experience, and equipment was significant predictor of practice. There is a need to find effective measures on how to reduce those factors which affect knowledge and practice on helping babies breathe.

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“…These danger signs in newborns are nonspecific and each danger sign can be a sign of almost any disease or illness (12). Lack of knowledge about these neonatal danger signs is also a major barrier to treatment seeking (13–16), which may ultimately lead to neonatal death(12,17).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of neonatal danger signs in northwest Ethiopia: a multilevel analysis

Nigatu

Gebeyehu

Worku

et al. 2019

Preprint

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19Background: There is association between neonatal danger signs and neonatal deaths. 20 Hence, understanding the factors associated with the occurrence of neonatal danger signs 21 help reduce the stagnating neonatal mortality in countries like Ethiopia. 22 Method: A cross sectional community and facility linked study was conducted in 39 kebeles 23 in Amhara region, North Gondar Zone of Ethiopia from March 3-18, 2016. A representative 24 sample of 1,150 mother-newborn pairs were included in the study. Percentage was used to 25 calculate the prevalence. Multilevel analysis was used to identify individual and kebele level 26 characteristics associated with the occurrence of neonatal danger signs. 27 Result: The result showed that around a quarter, 286 (24.9%), of the newborns experienced 28 one or more danger signs during the neonatal period. Significant differences were found 29 between groups/kebeles in the occurrence of danger signs. At individual level, having low 30 birth weight (AOR= 0.65; 95% CI: 0.48-0.88) and maternal danger signs during pregnancy 31 and delivery (AOR= 1.93; 95% CI: 1.41-2.65) were found to be significantly associated with 32 the occurrence of neonatal danger signs. At group/kebele level, antenatal care coverage 33 (AOR= 0.35; 95% CI: 0.13-0.93) and year of health extension workers experience (AOR= 34 0.91; 95 % CI: 0.84-0.99) were significantly associated with the occurrence of neonatal 35 danger signs.36 Conclusion: The prevalence of neonatal danger signs is high. There are individual and 37 kebele level characteristics associated with occurrence of danger signs in newborns. 38 Expanding maternal health services and strengthening the health extension program is 39 critical. Key Words: neonatal danger signs, newborn danger signs, newborn illnesses 3 40

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The neonatal mortality and its determinants in rural communities of Eastern Uganda

Cited by 80 publications

References 26 publications

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

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

Factors influencing knowledge and practice on helping babies breathe among Skilled Birth Attendants in rural areas in Lake Zone in Tanzania

Prevalence and determinants of neonatal danger signs in northwest Ethiopia: a multilevel analysis

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