Determinants of maternal knowledge on neonatal danger signs and care-seeking practices in a rural area of southeastern Ethiopia.

Most infants in southeastern Ethiopia are either born at home or discharged from the health facility early and families should be able to recognize signs of newborn illnesses and bring the sick newborn to a health facility to receive care. However, studies are limited and the available studies were conducted in urban areas and/or at an institution level. This study aimed to assess the determinants of maternal knowledge of neonatal danger signs and care-seeking practices. A community-based cross-sectional study was conducted on 520 post-natal mothers using a multistage sampling method from 1 to 30 March 2019. The data were analysed using SPSS version 20 using binary logistic regression. Statistical significance was declared at p<0.05. Mothers' level of knowledge of neonatal danger signs was 50.2% (95% confidence interval [CI] 46.3 to 54.3) and 61% of them sought healthcare when they noticed danger signs. Maternal education level (adjusted odds ratio [AOR] 2.15 [95% CI 1.11 to 4.17]), husband's education level (AOR 2.05 [95% CI 1.07 to 3.94]), residency (AOR 5.83 [95% CI 2.77 to 12.24]), antenatal visits (AOR 2.10 [95% CI 1.13 to 3.90]), antenatal care (ANC) counselling (AOR 4.33 [95% CI 1.88 to 9.98]) and knowledge about essential newborn care (AOR 3.91 [95% CI 2.05 to 7.48]) were the determining factors. The mothers' level of knowledge of neonatal danger signs was low and unsafe care-seeking practices were identified. The mothers' education level, husbands' education level, residence, ANC visits, counselling during ANC and knowledge about essential newborn care were found to be statistically significant determinants. Most of the mothers take their sick neonates to traditional healers and provide home remedies. Intervention modalities focusing on maternal counselling on the most common symptoms of illness in neonates are essential to increase mothers' recognition of illness and improve care-seeking practices.

Getachew T ，Assebe Yadeta T ，Gereziher T ，Eyeberu A ，Dheresa M ... -  《-》

Awareness and healthcare seeking behavior of neonatal danger signs, and predictor variables among mothers/caregivers in four developing regional state of Ethiopia.

Mothers/caregivers should be aware of a newborn's danger signs and promptly seek medical attention. Hence, this study assessed mothers'/caregivers' awareness, healthcare seeking behaviors for neonatal danger signs and their determinants in the developing regional state of Ethiopia. A community-based cross-sectional study was employed among mothers/caregivers of neonates in the developing regional state of Ethiopia. The sample was determined in collaboration with the Central Statistics Agency of Ethiopia. Stratified multi-stage cluster sampling was used to recruit the sample. Data were collected through an interviewer administered structured questionnaire using a tablet computer. Descriptive statistics and binary logistic regression were applied to identify determinants of awareness and treatment-seeking behavior for neonatal danger signs. The result of the study showed that nearly one-third (32.7%) of the respondents had a good level of awareness of neonatal danger signs, and 69.0% of the respondents had good healthcare-seeking practice about neonatal danger signs. Regional state (Benishangul-Gumuz) [AOR = 1.61; 95% CI (1.09, 2.39)], Muslim's [AOR = 1.75; 95% CI (1.20, 2.55)] and permission to travel to a health facility [AOR = 0.48; 95% CI (0.37, 0.63)] were determinants of mothers'/caregivers' awareness about neonatal danger signs. Antenatal care (ANC) attendance and institutional delivery were shown to have a positive association with neonatal healthcare seeking (AOR = 2.14 and AOR = 2.37, respectively). In Ethiopia's developing regional states, mothers/caregivers were remarkably unaware of neonatal danger signs. Region, religion, mothers'/caregivers' age, and need for permission to travel to a health facility were predictor variables for neonatal danger sign awareness. Better healthcare seeking practices, which are determined by ANC attendance and institutional delivery, are observed in these regions. Federal and regional governments should give these regions due attention. Moreover, regional health bureaus and health professionals should tackle the problem by focusing on the identified factors.

Dida N ，Abute L ，Dejene T ，Yadate T ，Geleta T ，Sharma R ，Mon HS ，Simireta T ，Addisu H ... -  《BMC Pediatrics》

Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study.

Gomora Tesfaye D ，Geta G ，Kene C ，Seyoum K ，Tekalegn Y ，Desta F ，Sahiledengle B ，Atlaw D ，Ejigu N ，Negash W ... -  《-》

Determinants of maternal knowledge of neonatal danger signs among postpartum mothers in Southern Ethiopia: institutional-based cross-sectional study.

The main aim of this study was to assess knowledge of neonatal danger signs and associated factors among postpartum mothers in Southern Ethiopia. Gurage zone, Southern Ethiopia. A total of 608 postpartum mothers were involved in this study. An institutional-based cross-sectional study design was conducted among postpartum mothers attending Gurage zone public health facilities of Southern Ethiopia from 1 January 2020 to 30 January 2020. Knowledge of neonatal danger signs among postpartum mothers was 48.2% (95% CI 44.4% to 52.3%). Mothers resided in an urban area (adjusted OR, AOR=1.67, 95% CI 1.11 to 2.50), having antenatal follow-up (AOR=1.49, 95% CI 1.02 to 2.18), mothers who had got breastfeeding counselling (AOR=3.43, 95% CI 1.89 to 4.75), mothers who had got postnatal care counselling (AOR=1.53, 95% CI 1.08 to 2.18), multiparous mothers (AOR=1.37, 95% CI 1.24 to 2.19) and mothers who had good practice of essential newborn care (AOR=1.53, 95% CI 1.06 to 2.21) were factors significantly associated with maternal knowledge of neonatal danger signs. Knowledge of neonatal danger signs was low in the study area. Mothers resided in an urban area, having antenatal follow-up, mothers who had got breastfeeding counselling, mothers who had got postnatal care counselling, multiparous mothers and good practice of essential neonatal care were factors associated with maternal knowledge of neonatal danger signs. Therefore, healthcare workers should encourage mothers to have antenatal follow-up and provide postnatal care counselling regarding key neonatal danger signs before discharge from the health facilities.

Mose A ，Abebe H ，Shitu S ，Shimels H ... -  《BMJ Open》

Level of mother's knowledge about neonatal danger signs and associated factors in North West of Ethiopia: a community based study.

Nigatu SG ，Worku AG ，Dadi AF 《-》