Patterns And Associated Factors Of Selected Essential Newborn Care Practices Among Mothers 15-49 Years Of Age Who Gave Birth At Home In Damot Pulasa District Southern Ethiopia2016

Background – Great efforts have been made to improve health of children around the world butrnmortality rates in neonates are still high. Neonatal mortality, accounting for an estimated 4 millionrndeaths worldwide each year, constitutes 40% of under-5 mortality and approximately 57% ofrninfant mortality. In Ethiopia neonatal morbidity and mortality rates are among the highest in thernworld and around 122,000 newborns die every year and the neonatal mortality rate is 37 per 1000rnlive births. Currently 1 in every 27 Ethiopian children dies within his or her first month of life.rnNationally, neonatal deaths account for 42% of under-five deaths and the neonatal mortality ratesrnin the study region is 38 per1, 000 live births.rnObjectives - To assess the patterns and associated factors of selected essential newborn carernpractices among mothers 15-49 years of age who gave birth at home.rnMethodology – A community based cross – sectional study design was employed from March-rnApril, 2016. A total of 450Women of reproductive age 15-49 years who delivered at home in thernlast one year prior to the study period were selected by using systematic random samplingrntechnique. Data were checked manually for completeness and then coded and entered in to EpirnInfo version 3.5.1 and then exported in to SPSS version 20 software for analysis. Descriptivernanalyses such, percentages, cross tabulation, frequency distribution were conducted. Thenrnbivariate analyses between dependent and independent variables were performed using binaryrnlogistic regression. Multiple logistic analyses were done to control possible confounding variable.rnP-value less than 0.05 were taken as significant association.rnResult: The study revealed that the prevalence of essential newborn care was 24%. ANCrnvisit(AORrn=0.264,P=rn0.015,CI(0.09-0.773))rn,advicernaboutrnENBC(AOR=rn0.114,P=rn0.0001,CI(0.058-0.221)), PNC visit(AOR = 0.209, P= 0.0001,CI(0.110-0.399) were found to havernstatistically significant association with ENBC practice.rnConclusion and Recommendation: The coverage of essential newborn care practice wasrngenerally low. Community based behavioral change communication, health facilities shouldrnincrease the service coverage of ANC and PNC and health extension workers should giverneducation on pre lacteal feeding, bathing time and application of material on the newborn stump.rnKeywords: Essential newborn care practice, Newborn.

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