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