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Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh

BACKGROUND: Thermal care of newborns is one of the recommended strategies to reduce hypothermia, which contributes to neonatal morbidity and mortality. However, data on these two topics have not been collected at the national level in many surveys. In this study, we examine two elements of thermal c...

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Autores principales: Khan, Shane M, Kim, Eunsoo Timothy, Singh, Kavita, Amouzou, Agbessi, Carvajal-Aguirre, Liliana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Edinburgh University Global Health Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943716/
https://www.ncbi.nlm.nih.gov/pubmed/29862028
http://dx.doi.org/10.7189/jogh.08.010901
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author Khan, Shane M
Kim, Eunsoo Timothy
Singh, Kavita
Amouzou, Agbessi
Carvajal-Aguirre, Liliana
author_facet Khan, Shane M
Kim, Eunsoo Timothy
Singh, Kavita
Amouzou, Agbessi
Carvajal-Aguirre, Liliana
author_sort Khan, Shane M
collection PubMed
description BACKGROUND: Thermal care of newborns is one of the recommended strategies to reduce hypothermia, which contributes to neonatal morbidity and mortality. However, data on these two topics have not been collected at the national level in many surveys. In this study, we examine two elements of thermal care: drying and delayed bathing of newborns after birth with the objectives of examining how two countries collected such data and then looking at various associations of these outcomes with key characteristics. Further, we examine the data for potential data quality issues as this is one of the first times that such data are available at the national level. METHODS: We use data from two nationally-representative household surveys: the Malawi Multiple Indicator Cluster Survey 2014 and the Bangladesh Demographic and Health Survey 2014. We conduct descriptive analysis of the prevalence of these two newborn practices by various socio-demographic, economic and health indicators. RESULTS: Our results indicate high levels of immediate drying/drying within 1 hour in Malawi (87%). In Bangladesh, 84% were dried within the first 10 minutes of birth. Bathing practices varied in the two settings; in Malawi, only 26% were bathed after 24 hours but in Bangladesh, 87% were bathed after the same period. While in Bangladesh there were few newborns who were never bathed (less than 5%), in Malawi, over 10% were never bathed. Newborns delivered by a skilled provider tended to have better thermal care than those delivered by unskilled providers. CONCLUSION: These findings reveal gaps in coverage of thermal care and indicate the need to further develop the role of unskilled providers who can give unspecialized care as a means to improve thermal care for newborns. Further work to harmonize data collection methods on these topics is needed to ensure comparable data across countries.
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spelling pubmed-59437162018-06-01 Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh Khan, Shane M Kim, Eunsoo Timothy Singh, Kavita Amouzou, Agbessi Carvajal-Aguirre, Liliana J Glob Health Research Theme 5: Measuring coverage of essential maternal and newborn care interventions: an unfinished agenda BACKGROUND: Thermal care of newborns is one of the recommended strategies to reduce hypothermia, which contributes to neonatal morbidity and mortality. However, data on these two topics have not been collected at the national level in many surveys. In this study, we examine two elements of thermal care: drying and delayed bathing of newborns after birth with the objectives of examining how two countries collected such data and then looking at various associations of these outcomes with key characteristics. Further, we examine the data for potential data quality issues as this is one of the first times that such data are available at the national level. METHODS: We use data from two nationally-representative household surveys: the Malawi Multiple Indicator Cluster Survey 2014 and the Bangladesh Demographic and Health Survey 2014. We conduct descriptive analysis of the prevalence of these two newborn practices by various socio-demographic, economic and health indicators. RESULTS: Our results indicate high levels of immediate drying/drying within 1 hour in Malawi (87%). In Bangladesh, 84% were dried within the first 10 minutes of birth. Bathing practices varied in the two settings; in Malawi, only 26% were bathed after 24 hours but in Bangladesh, 87% were bathed after the same period. While in Bangladesh there were few newborns who were never bathed (less than 5%), in Malawi, over 10% were never bathed. Newborns delivered by a skilled provider tended to have better thermal care than those delivered by unskilled providers. CONCLUSION: These findings reveal gaps in coverage of thermal care and indicate the need to further develop the role of unskilled providers who can give unspecialized care as a means to improve thermal care for newborns. Further work to harmonize data collection methods on these topics is needed to ensure comparable data across countries. Edinburgh University Global Health Society 2018-06 2018-05-08 /pmc/articles/PMC5943716/ /pubmed/29862028 http://dx.doi.org/10.7189/jogh.08.010901 Text en Copyright © 2018 by the Journal of Global Health. All rights reserved. http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Research Theme 5: Measuring coverage of essential maternal and newborn care interventions: an unfinished agenda
Khan, Shane M
Kim, Eunsoo Timothy
Singh, Kavita
Amouzou, Agbessi
Carvajal-Aguirre, Liliana
Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title_full Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title_fullStr Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title_full_unstemmed Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title_short Thermal care of newborns: drying and bathing practices in Malawi and Bangladesh
title_sort thermal care of newborns: drying and bathing practices in malawi and bangladesh
topic Research Theme 5: Measuring coverage of essential maternal and newborn care interventions: an unfinished agenda
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943716/
https://www.ncbi.nlm.nih.gov/pubmed/29862028
http://dx.doi.org/10.7189/jogh.08.010901
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