Quality of essential newborn care practice at public health facilities in Sidama Regional State, Ethiopia, 2024: Institution based study
1
Public Health, Hawassa University, Hawassa, Ethiopia
2
Department pediatrics and child health, Hawassa University, Hawassa, Ethiopia
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Essential newborn care is a technology-free routine practice in the care of the newborn, particularly at the time of birth and over the first hours of life. Despite essential newborn care service being a known intervention in the prevention of neonatal mortality, its utilization and quality are not optimal and not well known.
OBJECTIVE:
To evaluate the quality of essential newborn care in labor and delivery room in Sidama Regional State, 2023/2024
METHODS:
A cross-sectional study was conducted from February 1st, 2023, to March 1st, 2024, in selected public health facilities of Sidama Region. Forty public health facilities and 510 newborns were selected by employing multistage sampling. Bivariable and multivariable logistic regression were conducted with adjusted odds ratios with 95% confidence intervals reported.
RESULTS:
The magnitude of good essential newborn care quality of input was 47.5%, process 70.1%, and outcome 53.9%. Factors associated with good quality of essential newborn care include being a male newborn [AOR] = 2.38, 95% [CI]: 1.52, 3.72), four or more years of experience (AOR = 2.04, 95% CI: 1.25, 3.33), using a partograph (AOR = 2.12, 95% CI: 1.27, 3.55), providing a high level of friendly service (AOR = 0.10, 95% CI: 0.06, 0.17), and categorizing the facility's inputs as good (AOR = 1.95, 95% CI: 1.11, 3.44).
CONCLUSIONS:
Implementation quality of essential newborn care provision was low in the study settings. Poor input, inadequate friendly care, being a male newborn, lack of experience, and insufficient monitoring during labor were linked to a decline in the process quality of essential newborn care. To enhance the quality of essential newborn care, it is crucial to provide necessary service inputs, maintain experienced health care providers, enhance paragraph usage, and educate the society about gender equality.
Essential newborn care is a technology-free routine practice in the care of the newborn, particularly at the time of birth and over the first hours of life. Despite essential newborn care service being a known intervention in the prevention of neonatal mortality, its utilization and quality are not optimal and not well known.
OBJECTIVE:
To evaluate the quality of essential newborn care in labor and delivery room in Sidama Regional State, 2023/2024
METHODS:
A cross-sectional study was conducted from February 1st, 2023, to March 1st, 2024, in selected public health facilities of Sidama Region. Forty public health facilities and 510 newborns were selected by employing multistage sampling. Bivariable and multivariable logistic regression were conducted with adjusted odds ratios with 95% confidence intervals reported.
RESULTS:
The magnitude of good essential newborn care quality of input was 47.5%, process 70.1%, and outcome 53.9%. Factors associated with good quality of essential newborn care include being a male newborn [AOR] = 2.38, 95% [CI]: 1.52, 3.72), four or more years of experience (AOR = 2.04, 95% CI: 1.25, 3.33), using a partograph (AOR = 2.12, 95% CI: 1.27, 3.55), providing a high level of friendly service (AOR = 0.10, 95% CI: 0.06, 0.17), and categorizing the facility's inputs as good (AOR = 1.95, 95% CI: 1.11, 3.44).
CONCLUSIONS:
Implementation quality of essential newborn care provision was low in the study settings. Poor input, inadequate friendly care, being a male newborn, lack of experience, and insufficient monitoring during labor were linked to a decline in the process quality of essential newborn care. To enhance the quality of essential newborn care, it is crucial to provide necessary service inputs, maintain experienced health care providers, enhance paragraph usage, and educate the society about gender equality.
| eISSN: | 2654-1459 |
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