Factors associated with community based essential newborn care practice among mothers who delivered at home in Fogera district, North West, Ethiopia

Abstract

Background Almost all (99%) neonatal deaths ascend in developing countries and three quarters of them occurred in their first 1 week of life. Promotion of essential newborn care practices regardless of gestational age, where it is born, or its size is one of the strategies; however, little is known about essential newborn care practice in Ethiopia. Methods A community based cross-sectional study was carried out in 2018 from 814 mothers who delivered in the last six months and a multi-stage sampling was applied. Data was collected by nurses and midwives, and cleaned by EPI INFO software version 7. Data was analyzed using SPSS software version 21. Bivariable and multivariable logistic analyses were deployed to identify the association. Results In this study 373 (45.8%) with 95% CI (42.1-49.4) had good essential newborn care practice. Having one under five children AOR =1.37; 95% CI (1.10-1.85), mothers who gained training about community-based essential newborn care AOR = 1.97; 95% CI (1.44-2.68) and women whose spouse involved AOR = 3.95; 95% CI (2.75-5.65) were the independent predictors of good essential newborn care practice. Conclusions and Recommendations In this study greater than half of the mothers were not practicing the recommended essential newborn care practice. The numbers of under-five children, Health extension workers give training about community-based newborn care practice and Spousal involvement were variables which are significantly associated factors with beneficiary newborn care practice. Therefore, routine counseling to all mothers, refreshment training to HEWS and spousal involvement is important to increase utilization of essential newborn care practice in the community

Keywords

• Essential Newborn Care Practice, Newborn, Associated Factors