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Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda

BACKGROUND: Despite recent improvements in child survival, neonatal mortality remains high in most developing countries. Countries affected by humanitarian emergencies continue to report the highest neonatal mortality rates. OBJECTIVE: To assess essential newborn care practices and its determinants...

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Detalles Bibliográficos
Autores principales: Komakech, Henry, Lubogo, David, Nabiwemba, Elizabeth, Orach, Christopher Garimoi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179823/
https://www.ncbi.nlm.nih.gov/pubmed/32324787
http://dx.doi.org/10.1371/journal.pone.0231970
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author Komakech, Henry
Lubogo, David
Nabiwemba, Elizabeth
Orach, Christopher Garimoi
author_facet Komakech, Henry
Lubogo, David
Nabiwemba, Elizabeth
Orach, Christopher Garimoi
author_sort Komakech, Henry
collection PubMed
description BACKGROUND: Despite recent improvements in child survival, neonatal mortality remains high in most developing countries. Countries affected by humanitarian emergencies continue to report the highest neonatal mortality rates. OBJECTIVE: To assess essential newborn care practices and its determinants amongst mothers of infants aged 0–6 months in refugee settlements in Adjumani district. METHODS: A cross-sectional study was conducted among mothers of infants aged 0–6 months in refugee settlements, Adjumani district. A total of 561 mothers of infants were selected using systematic sampling technique from households. Data were collected using a semi-structured questionnaire. A composite outcome variable, Essential Newborn Care practices was created by merging different care practices (neonatal feeding, thermal care, and cord care). Multiple logistic regression analysis was used to determine predictors of Essential Newborn Care. RESULTS AND CONCLUSIONS: Over half (57%) of the mothers breastfed their newborns within one hour. Half (50.1%) of mothers cleaned the umbilical cord of their newborns. Only 17% of the newborns received optimal thermal care immediately after birth. Mothers aged 20–24 years (OR 0.38, CI 0.17–0.96) and those involved in subsistence farming (OR 0.67, CI 0.38–1.45) were less likely to practice good newborn care compared to those in other occupations. Newborn care practices were sub-optimal in this refugee setting. To improve newborn care practices, there is need to educate mothers through community-based health interventions in order to promote delayed bathing, ideal infant feeding, thermal and umbilical cord care.
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spelling pubmed-71798232020-04-29 Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda Komakech, Henry Lubogo, David Nabiwemba, Elizabeth Orach, Christopher Garimoi PLoS One Research Article BACKGROUND: Despite recent improvements in child survival, neonatal mortality remains high in most developing countries. Countries affected by humanitarian emergencies continue to report the highest neonatal mortality rates. OBJECTIVE: To assess essential newborn care practices and its determinants amongst mothers of infants aged 0–6 months in refugee settlements in Adjumani district. METHODS: A cross-sectional study was conducted among mothers of infants aged 0–6 months in refugee settlements, Adjumani district. A total of 561 mothers of infants were selected using systematic sampling technique from households. Data were collected using a semi-structured questionnaire. A composite outcome variable, Essential Newborn Care practices was created by merging different care practices (neonatal feeding, thermal care, and cord care). Multiple logistic regression analysis was used to determine predictors of Essential Newborn Care. RESULTS AND CONCLUSIONS: Over half (57%) of the mothers breastfed their newborns within one hour. Half (50.1%) of mothers cleaned the umbilical cord of their newborns. Only 17% of the newborns received optimal thermal care immediately after birth. Mothers aged 20–24 years (OR 0.38, CI 0.17–0.96) and those involved in subsistence farming (OR 0.67, CI 0.38–1.45) were less likely to practice good newborn care compared to those in other occupations. Newborn care practices were sub-optimal in this refugee setting. To improve newborn care practices, there is need to educate mothers through community-based health interventions in order to promote delayed bathing, ideal infant feeding, thermal and umbilical cord care. Public Library of Science 2020-04-23 /pmc/articles/PMC7179823/ /pubmed/32324787 http://dx.doi.org/10.1371/journal.pone.0231970 Text en © 2020 Komakech 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 (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Komakech, Henry
Lubogo, David
Nabiwemba, Elizabeth
Orach, Christopher Garimoi
Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title_full Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title_fullStr Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title_full_unstemmed Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title_short Essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, Adjumani district, west Nile, Uganda
title_sort essential newborn care practices and determinants amongst mothers of infants aged 0—6 months in refugee settlements, adjumani district, west nile, uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179823/
https://www.ncbi.nlm.nih.gov/pubmed/32324787
http://dx.doi.org/10.1371/journal.pone.0231970
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