Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia
Abstract Background Essential newborn care (ENC) is a package of interventions which should be provided for every newborn baby regardless of body size or place of delivery immediately after birth and should be continued for at least the seven days that follows. Even though Ethiopia has endorsed the...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-021-04358-4 |
| _version_ | 1819006796392562688 |
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| author | Binyam Fekadu Ismael Ali Zergu Tafesse Hailemariam Segni |
| author_facet | Binyam Fekadu Ismael Ali Zergu Tafesse Hailemariam Segni |
| author_sort | Binyam Fekadu |
| collection | DOAJ |
| description | Abstract Background Essential newborn care (ENC) is a package of interventions which should be provided for every newborn baby regardless of body size or place of delivery immediately after birth and should be continued for at least the seven days that follows. Even though Ethiopia has endorsed the implementation of ENC, as other many counties, it has been challenged. This study was conducted to measure the level of essential newborn care practice and identify health facility level attributes for consistent delivery of ENC services by health care providers. Methods This study employed a retrospective cross-sectional study design in 425 facilities. Descriptive statistics were formulated and presented in tables. Binary logistic regression was employed to assess the statistical association between the outcome variable and the independent variables. All variables with p < 0.2 in the bivariate analysis were identified as candidate variables. Then, multiple logistic regression analysis was performed using candidate variables to determine statistically significant predictors of the consistent delivery of ENC by adjusting for possible confounders. Results A total of 273, (64.2%), of facilities demonstrated consistent delivery of ENC. Five factors—availability of essential obstetrics drugs in delivery rooms, high community score card (CSC) performances, availability of maternity waiting homes, consistent partograph use, and availability of women-friendly delivery services were included in the model. The strongest predictor of consistent delivery of essential newborn care (CD-ENC) was consistent partograph use, recording an odds ratio of 2.66 (AOR = 2.66, 95%CI: 1.71, 4.13). Similarly, providing women-friendly services was strongly associated with increased likelihood of exhibiting CD-ENC. Furthermore, facilities with essential obstetric drugs had 1.88 (AOR = 1.88, 95%CI: 1.15, 3.08) times higher odds of exhibiting consistent delivery of ENC. Conclusion The delivery of essential newborn care depends on both health provider and facility manager actions and availability of platforms to streamline relationships between the clients and health facility management. |
| first_indexed | 2024-12-21T00:14:23Z |
| format | Article |
| id | doaj.art-3d1efd26e2d94520bcd7bbf52aea9ad7 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-21T00:14:23Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-3d1efd26e2d94520bcd7bbf52aea9ad72022-12-21T19:22:16ZengBMCBMC Pregnancy and Childbirth1471-23932022-01-012211910.1186/s12884-021-04358-4Facility level factors that determine consistent delivery of essential newborn care at health centers in EthiopiaBinyam Fekadu0Ismael Ali1Zergu Tafesse2Hailemariam Segni3JSI Research and Training Institute, Inc, USAID Transform: Primary Health CareJSI Research and Training Institute, Inc, USAID Transform: Primary Health CareJSI Research and Training Institute, Inc, USAID Transform: Primary Health CareJSI Research and Training Institute, Inc, USAID Transform: Primary Health CareAbstract Background Essential newborn care (ENC) is a package of interventions which should be provided for every newborn baby regardless of body size or place of delivery immediately after birth and should be continued for at least the seven days that follows. Even though Ethiopia has endorsed the implementation of ENC, as other many counties, it has been challenged. This study was conducted to measure the level of essential newborn care practice and identify health facility level attributes for consistent delivery of ENC services by health care providers. Methods This study employed a retrospective cross-sectional study design in 425 facilities. Descriptive statistics were formulated and presented in tables. Binary logistic regression was employed to assess the statistical association between the outcome variable and the independent variables. All variables with p < 0.2 in the bivariate analysis were identified as candidate variables. Then, multiple logistic regression analysis was performed using candidate variables to determine statistically significant predictors of the consistent delivery of ENC by adjusting for possible confounders. Results A total of 273, (64.2%), of facilities demonstrated consistent delivery of ENC. Five factors—availability of essential obstetrics drugs in delivery rooms, high community score card (CSC) performances, availability of maternity waiting homes, consistent partograph use, and availability of women-friendly delivery services were included in the model. The strongest predictor of consistent delivery of essential newborn care (CD-ENC) was consistent partograph use, recording an odds ratio of 2.66 (AOR = 2.66, 95%CI: 1.71, 4.13). Similarly, providing women-friendly services was strongly associated with increased likelihood of exhibiting CD-ENC. Furthermore, facilities with essential obstetric drugs had 1.88 (AOR = 1.88, 95%CI: 1.15, 3.08) times higher odds of exhibiting consistent delivery of ENC. Conclusion The delivery of essential newborn care depends on both health provider and facility manager actions and availability of platforms to streamline relationships between the clients and health facility management.https://doi.org/10.1186/s12884-021-04358-4Essential newborn careENCPrimary health careProviders’ attitude |
| spellingShingle | Binyam Fekadu Ismael Ali Zergu Tafesse Hailemariam Segni Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia BMC Pregnancy and Childbirth Essential newborn care ENC Primary health care Providers’ attitude |
| title | Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia |
| title_full | Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia |
| title_fullStr | Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia |
| title_full_unstemmed | Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia |
| title_short | Facility level factors that determine consistent delivery of essential newborn care at health centers in Ethiopia |
| title_sort | facility level factors that determine consistent delivery of essential newborn care at health centers in ethiopia |
| topic | Essential newborn care ENC Primary health care Providers’ attitude |
| url | https://doi.org/10.1186/s12884-021-04358-4 |
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