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Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions

BACKGROUND: Neonatal jaundice (NNJ) is a major cause of preventable childhood mortality and long-term impairment especially in countries with significant prevalence of the inherited condition, glucose-6-phosphate dehydrogenase (G6PD) defect. In Ghana, routine screening of pregnant women for G6PD def...

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Autores principales: Seneadza, Nana Ayegua Hagan, Insaidoo, Genevieve, Boye, Hilda, Ani-Amponsah, Mary, Leung, Terence, Meek, Judith, Enweronu-Laryea, Christabel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8893663/
https://www.ncbi.nlm.nih.gov/pubmed/35239710
http://dx.doi.org/10.1371/journal.pone.0264694
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author Seneadza, Nana Ayegua Hagan
Insaidoo, Genevieve
Boye, Hilda
Ani-Amponsah, Mary
Leung, Terence
Meek, Judith
Enweronu-Laryea, Christabel
author_facet Seneadza, Nana Ayegua Hagan
Insaidoo, Genevieve
Boye, Hilda
Ani-Amponsah, Mary
Leung, Terence
Meek, Judith
Enweronu-Laryea, Christabel
author_sort Seneadza, Nana Ayegua Hagan
collection PubMed
description BACKGROUND: Neonatal jaundice (NNJ) is a major cause of preventable childhood mortality and long-term impairment especially in countries with significant prevalence of the inherited condition, glucose-6-phosphate dehydrogenase (G6PD) defect. In Ghana, routine screening of pregnant women for G6PD defect is standard care. Prevention of poor health outcomes from NNJ is contingent on population health literacy and early diagnosis. As part of a project to evaluate a screening tool for NNJ, we assessed the knowledge, attitude, and perceptions of Ghanaian mothers on NNJ at baseline. METHODS: Using a cross-sectional design, mothers attending antenatal and postnatal clinics at 3 selected health facilities in 2 geographical regions of Ghana were interviewed. Data on mothers’ understanding, perceptions, beliefs, and actions towards NNJ were evaluated. Chi-square test was used to determine the association between selected maternal characteristics and knowledge, attitude, and perception to NNJ. RESULTS: Of the 504 mothers interviewed, 428(85.4%) had heard about NNJ, 346 (68.7%) said the earliest signs are seen in the eyes, 384(76.2%) knew NNJ may be harmful and 467(92.7%) recommended seeking healthcare for the jaundiced newborn. None of the women knew about G6PD or their G6PD status following antenatal screening. Most did not know the signs/symptoms of severe NNJ. Of the 15 mothers who had had a jaundiced neonate, cost was the most perceived (8 out of 15) barrier to accessing health care. There were significant associations (p-value ≤ 0.05) between maternal age, educational level, and knowledge of NNJ. CONCLUSION: Despite the high level of awareness of NNJ, gaps still exit in the knowledge, attitudes and perceptions of mothers concerning NNJ. Improving education of women about the causes, symptoms/signs, and the role of G6PD in severe NNJ is recommended. Addressing barriers to accessing healthcare for the jaundiced infant may enhance timely management of NNJ and reduce the associated complications and mortality.
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spelling pubmed-88936632022-03-04 Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions Seneadza, Nana Ayegua Hagan Insaidoo, Genevieve Boye, Hilda Ani-Amponsah, Mary Leung, Terence Meek, Judith Enweronu-Laryea, Christabel PLoS One Research Article BACKGROUND: Neonatal jaundice (NNJ) is a major cause of preventable childhood mortality and long-term impairment especially in countries with significant prevalence of the inherited condition, glucose-6-phosphate dehydrogenase (G6PD) defect. In Ghana, routine screening of pregnant women for G6PD defect is standard care. Prevention of poor health outcomes from NNJ is contingent on population health literacy and early diagnosis. As part of a project to evaluate a screening tool for NNJ, we assessed the knowledge, attitude, and perceptions of Ghanaian mothers on NNJ at baseline. METHODS: Using a cross-sectional design, mothers attending antenatal and postnatal clinics at 3 selected health facilities in 2 geographical regions of Ghana were interviewed. Data on mothers’ understanding, perceptions, beliefs, and actions towards NNJ were evaluated. Chi-square test was used to determine the association between selected maternal characteristics and knowledge, attitude, and perception to NNJ. RESULTS: Of the 504 mothers interviewed, 428(85.4%) had heard about NNJ, 346 (68.7%) said the earliest signs are seen in the eyes, 384(76.2%) knew NNJ may be harmful and 467(92.7%) recommended seeking healthcare for the jaundiced newborn. None of the women knew about G6PD or their G6PD status following antenatal screening. Most did not know the signs/symptoms of severe NNJ. Of the 15 mothers who had had a jaundiced neonate, cost was the most perceived (8 out of 15) barrier to accessing health care. There were significant associations (p-value ≤ 0.05) between maternal age, educational level, and knowledge of NNJ. CONCLUSION: Despite the high level of awareness of NNJ, gaps still exit in the knowledge, attitudes and perceptions of mothers concerning NNJ. Improving education of women about the causes, symptoms/signs, and the role of G6PD in severe NNJ is recommended. Addressing barriers to accessing healthcare for the jaundiced infant may enhance timely management of NNJ and reduce the associated complications and mortality. Public Library of Science 2022-03-03 /pmc/articles/PMC8893663/ /pubmed/35239710 http://dx.doi.org/10.1371/journal.pone.0264694 Text en © 2022 Seneadza et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://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
Seneadza, Nana Ayegua Hagan
Insaidoo, Genevieve
Boye, Hilda
Ani-Amponsah, Mary
Leung, Terence
Meek, Judith
Enweronu-Laryea, Christabel
Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title_full Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title_fullStr Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title_full_unstemmed Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title_short Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions
title_sort neonatal jaundice in ghanaian children: assessing maternal knowledge, attitude, and perceptions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8893663/
https://www.ncbi.nlm.nih.gov/pubmed/35239710
http://dx.doi.org/10.1371/journal.pone.0264694
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