Cargando…

A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania

Despite recent improvements in child survival in sub-Saharan Africa, neonatal mortality rates remain largely unchanged. This study aimed to determine the frequency of delivery and newborn-care practices in southern Tanzania, where neonatal mortality is higher than the national average. All household...

Descripción completa

Detalles Bibliográficos
Autores principales: Penfold, Suzanne, Hill, Zelee, Mrisho, Mwifadhi, Manzi, Fatuma, Tanner, Marcel, Mshinda, Hassan, Schellenberg, David, Armstrong Schellenberg, Joanna R. M.
Formato: Texto
Lenguaje:English
Publicado: Public Library of Science 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006340/
https://www.ncbi.nlm.nih.gov/pubmed/21203574
http://dx.doi.org/10.1371/journal.pone.0015593
_version_ 1782194173599809536
author Penfold, Suzanne
Hill, Zelee
Mrisho, Mwifadhi
Manzi, Fatuma
Tanner, Marcel
Mshinda, Hassan
Schellenberg, David
Armstrong Schellenberg, Joanna R. M.
author_facet Penfold, Suzanne
Hill, Zelee
Mrisho, Mwifadhi
Manzi, Fatuma
Tanner, Marcel
Mshinda, Hassan
Schellenberg, David
Armstrong Schellenberg, Joanna R. M.
author_sort Penfold, Suzanne
collection PubMed
description Despite recent improvements in child survival in sub-Saharan Africa, neonatal mortality rates remain largely unchanged. This study aimed to determine the frequency of delivery and newborn-care practices in southern Tanzania, where neonatal mortality is higher than the national average. All households in five districts of Southern Tanzania were approached to participate. Of 213,220 female residents aged 13–49 years, 92% participated. Cross-sectional, retrospective data on childbirth and newborn care practices were collected from 22,243 female respondents who had delivered a live baby in the preceding year. Health facility deliveries accounted for 41% of births, with nearly all non-facility deliveries occurring at home (57% of deliveries). Skilled attendants assisted 40% of births. Over half of women reported drying the baby and over a third reported wrapping the baby within 5 minutes of delivery. The majority of mothers delivering at home reported that they had made preparations for delivery, including buying soap (84%) and preparing a cloth for drying the child (85%). Although 95% of these women reported that the cord was cut with a clean razor blade, only half reported that it was tied with a clean thread. Furthermore, out of all respondents 10% reported that their baby was dipped in cold water immediately after delivery, around two-thirds reported bathing their babies within 6 hours of delivery, and 28% reported putting something on the cord to help it dry. Skin-to-skin contact between mother and baby after delivery was rarely practiced. Although 83% of women breastfed within 24 hours of delivery, only 18% did so within an hour. Fewer than half of women exclusively breastfed in the three days after delivery. The findings suggest a need to promote and facilitate health facility deliveries, hygienic delivery practices for home births, delayed bathing and immediate and exclusive breastfeeding in Southern Tanzania to improve newborn health.
format Text
id pubmed-3006340
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-30063402011-01-03 A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania Penfold, Suzanne Hill, Zelee Mrisho, Mwifadhi Manzi, Fatuma Tanner, Marcel Mshinda, Hassan Schellenberg, David Armstrong Schellenberg, Joanna R. M. PLoS One Research Article Despite recent improvements in child survival in sub-Saharan Africa, neonatal mortality rates remain largely unchanged. This study aimed to determine the frequency of delivery and newborn-care practices in southern Tanzania, where neonatal mortality is higher than the national average. All households in five districts of Southern Tanzania were approached to participate. Of 213,220 female residents aged 13–49 years, 92% participated. Cross-sectional, retrospective data on childbirth and newborn care practices were collected from 22,243 female respondents who had delivered a live baby in the preceding year. Health facility deliveries accounted for 41% of births, with nearly all non-facility deliveries occurring at home (57% of deliveries). Skilled attendants assisted 40% of births. Over half of women reported drying the baby and over a third reported wrapping the baby within 5 minutes of delivery. The majority of mothers delivering at home reported that they had made preparations for delivery, including buying soap (84%) and preparing a cloth for drying the child (85%). Although 95% of these women reported that the cord was cut with a clean razor blade, only half reported that it was tied with a clean thread. Furthermore, out of all respondents 10% reported that their baby was dipped in cold water immediately after delivery, around two-thirds reported bathing their babies within 6 hours of delivery, and 28% reported putting something on the cord to help it dry. Skin-to-skin contact between mother and baby after delivery was rarely practiced. Although 83% of women breastfed within 24 hours of delivery, only 18% did so within an hour. Fewer than half of women exclusively breastfed in the three days after delivery. The findings suggest a need to promote and facilitate health facility deliveries, hygienic delivery practices for home births, delayed bathing and immediate and exclusive breastfeeding in Southern Tanzania to improve newborn health. Public Library of Science 2010-12-21 /pmc/articles/PMC3006340/ /pubmed/21203574 http://dx.doi.org/10.1371/journal.pone.0015593 Text en Penfold et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Penfold, Suzanne
Hill, Zelee
Mrisho, Mwifadhi
Manzi, Fatuma
Tanner, Marcel
Mshinda, Hassan
Schellenberg, David
Armstrong Schellenberg, Joanna R. M.
A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title_full A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title_fullStr A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title_full_unstemmed A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title_short A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania
title_sort large cross-sectional community-based study of newborn care practices in southern tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006340/
https://www.ncbi.nlm.nih.gov/pubmed/21203574
http://dx.doi.org/10.1371/journal.pone.0015593
work_keys_str_mv AT penfoldsuzanne alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT hillzelee alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT mrishomwifadhi alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT manzifatuma alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT tannermarcel alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT mshindahassan alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT schellenbergdavid alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT armstrongschellenbergjoannarm alargecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT penfoldsuzanne largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT hillzelee largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT mrishomwifadhi largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT manzifatuma largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT tannermarcel largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT mshindahassan largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT schellenbergdavid largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania
AT armstrongschellenbergjoannarm largecrosssectionalcommunitybasedstudyofnewborncarepracticesinsoutherntanzania