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Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study

BACKGROUND: Proper utilization of skilled care services in neonatal illnesses is crucial to reduce neonatal morbidity and mortality. The study aimed to evaluate the level and factors associated with seeking care from skilled healthcare service providers for reported neonatal illnesses in rural Matla...

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Autores principales: Nu, U. Tin, Pervin, Jesmin, Rahman, A. M. Q., Rahman, Monjur, Rahman, Anisur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556439/
https://www.ncbi.nlm.nih.gov/pubmed/33052973
http://dx.doi.org/10.1371/journal.pone.0240316
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author Nu, U. Tin
Pervin, Jesmin
Rahman, A. M. Q.
Rahman, Monjur
Rahman, Anisur
author_facet Nu, U. Tin
Pervin, Jesmin
Rahman, A. M. Q.
Rahman, Monjur
Rahman, Anisur
author_sort Nu, U. Tin
collection PubMed
description BACKGROUND: Proper utilization of skilled care services in neonatal illnesses is crucial to reduce neonatal morbidity and mortality. The study aimed to evaluate the level and factors associated with seeking care from skilled healthcare service providers for reported neonatal illnesses in rural Matlab, Bangladesh. METHODS: This community based cross-sectional study was based on data from a randomly selected sample comprised of 2223 women who delivered live-born babies in 2014. Data were collected from June to October 2015 through a structured questionnaire. We used a multivariable logistic regression model and presented the results by adjusted odds ratios (AOR) with 95% confidence intervals (CI). RESULTS: Of the neonates, 1361 (61.2%) suffered from at least one complication, and among these, 479 (35.2%) sought care from skilled healthcare service providers. In the multivariable logistic regression analysis, the participants’ husbands’ educational level, number of antenatal care visits, and place of childbirth were significantly associated with seeking skilled care for reported neonatal illnesses. The care-seeking from skilled healthcare service providers for neonatal illness was more than two times higher (AOR = 2.26, 95% CI = 1.51–3.39) in the group in which the participants’ husband had attended school for more than 10 years as compared to the group in which they had attended school for less than six years. The AORs of seeking skilled care were 1.93 (95% CI = 1.42–2.62) and 2.26 (95% CI = 1.51–3.39) with the mothers receiving two to three and four or more antenatal care services, respectively, compared to the mothers with no or one antenatal care visit. Women who gave birth at a health facility were three times (AOR = 3.24, 95% CI = 2.50–4.19) more likely to seek skilled care for sick neonates compared to those who gave birth at home. CONCLUSION: The utilization of skilled care for neonatal sicknesses was low in this rural setting in Bangladesh. The participants' husbands’ higher school attendance, increased number of ANC visits, and facility delivery were positively associated with care-seeking from skilled healthcare providers for neonatal illness. The husbands with low school attendance should be targeted for intervention, and continue efforts to increase ANC coverage and facility delivery to improve neonatal health in this country’s rural area.
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spelling pubmed-75564392020-10-21 Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study Nu, U. Tin Pervin, Jesmin Rahman, A. M. Q. Rahman, Monjur Rahman, Anisur PLoS One Research Article BACKGROUND: Proper utilization of skilled care services in neonatal illnesses is crucial to reduce neonatal morbidity and mortality. The study aimed to evaluate the level and factors associated with seeking care from skilled healthcare service providers for reported neonatal illnesses in rural Matlab, Bangladesh. METHODS: This community based cross-sectional study was based on data from a randomly selected sample comprised of 2223 women who delivered live-born babies in 2014. Data were collected from June to October 2015 through a structured questionnaire. We used a multivariable logistic regression model and presented the results by adjusted odds ratios (AOR) with 95% confidence intervals (CI). RESULTS: Of the neonates, 1361 (61.2%) suffered from at least one complication, and among these, 479 (35.2%) sought care from skilled healthcare service providers. In the multivariable logistic regression analysis, the participants’ husbands’ educational level, number of antenatal care visits, and place of childbirth were significantly associated with seeking skilled care for reported neonatal illnesses. The care-seeking from skilled healthcare service providers for neonatal illness was more than two times higher (AOR = 2.26, 95% CI = 1.51–3.39) in the group in which the participants’ husband had attended school for more than 10 years as compared to the group in which they had attended school for less than six years. The AORs of seeking skilled care were 1.93 (95% CI = 1.42–2.62) and 2.26 (95% CI = 1.51–3.39) with the mothers receiving two to three and four or more antenatal care services, respectively, compared to the mothers with no or one antenatal care visit. Women who gave birth at a health facility were three times (AOR = 3.24, 95% CI = 2.50–4.19) more likely to seek skilled care for sick neonates compared to those who gave birth at home. CONCLUSION: The utilization of skilled care for neonatal sicknesses was low in this rural setting in Bangladesh. The participants' husbands’ higher school attendance, increased number of ANC visits, and facility delivery were positively associated with care-seeking from skilled healthcare providers for neonatal illness. The husbands with low school attendance should be targeted for intervention, and continue efforts to increase ANC coverage and facility delivery to improve neonatal health in this country’s rural area. Public Library of Science 2020-10-14 /pmc/articles/PMC7556439/ /pubmed/33052973 http://dx.doi.org/10.1371/journal.pone.0240316 Text en © 2020 Nu 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
Nu, U. Tin
Pervin, Jesmin
Rahman, A. M. Q.
Rahman, Monjur
Rahman, Anisur
Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title_full Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title_fullStr Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title_full_unstemmed Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title_short Determinants of care-seeking practice for neonatal illnesses in rural Bangladesh: A community-based cross-sectional study
title_sort determinants of care-seeking practice for neonatal illnesses in rural bangladesh: a community-based cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556439/
https://www.ncbi.nlm.nih.gov/pubmed/33052973
http://dx.doi.org/10.1371/journal.pone.0240316
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