Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis
Abstract Background Mother and newborn skin-to-skin contact (SSC) is an immediate postpartum intervention known to improve the health of newborn and mothers alike. Albeit, there is paucity of data that explored the coverage or factors associated with SSC in Nigeria. Therefore, we aimed to explore th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-021-04079-8 |
| _version_ | 1819117076371996672 |
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| author | Michael Ekholuenetale Amadou Barrow Faith Owunari Benebo Ashibudike Francis Idebolo |
| author_facet | Michael Ekholuenetale Amadou Barrow Faith Owunari Benebo Ashibudike Francis Idebolo |
| author_sort | Michael Ekholuenetale |
| collection | DOAJ |
| description | Abstract Background Mother and newborn skin-to-skin contact (SSC) is an immediate postpartum intervention known to improve the health of newborn and mothers alike. Albeit, there is paucity of data that explored the coverage or factors associated with SSC in Nigeria. Therefore, we aimed to explore the coverage and hierarchical nature of the factors associated with SSC among women of reproductive age in Nigeria. Methods The 2018 Nigeria Demographic and Health Survey (NDHS) data was used for this study. Data on 29,992 women who had ever given birth were extracted for analysis. SSC was the outcome variable as determined by women’s report. A multivariable multilevel logistic regression model was used to estimate the fixed and random effects of the factors associated with SSC. Statistical significance was determined at p< 0.05. Results The coverage of SSC was approximately 12.0%. Educated women had higher odds of SSC, when compared with women with no formal education. Those who delivered through caesarean section (CS) had 88% reduction in SSC, when compared with women who had vaginal delivery (OR= 0.12; 95%CI: 0.07, 0.22). Women who delivered at health facility were 15.58 times as likely to practice SSC, when compared with those who delivered at home (OR= 15.58; 95%CI: 10.64, 22.82). Adequate ANC visits and low birth weight significantly increased the odds of SSC. Women from richest household were 1.70 times as likely to practice SSC, when compared with women from poorest household (OR= 1.70; 95%CI: 1.04, 2.79). There was 65% reduction in SSC among women with high rate of community non-use of media, when compared with women from low rate of community non-use of media (OR= 0.35; 95%CI: 0.20, 0.61). Conclusion SSC coverage was low in Nigeria. Moreover, individual, household and community level factors were associated with SSC. More enlightenment should be created among women to bring to limelight the importance of SSC specifically to newborn’s health. |
| first_indexed | 2024-12-22T05:27:14Z |
| format | Article |
| id | doaj.art-a3a2bc7cf4a741adb6fd8f82795b6ff9 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-22T05:27:14Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-a3a2bc7cf4a741adb6fd8f82795b6ff92022-12-21T18:37:33ZengBMCBMC Pregnancy and Childbirth1471-23932021-09-0121111210.1186/s12884-021-04079-8Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysisMichael Ekholuenetale0Amadou Barrow1Faith Owunari Benebo2Ashibudike Francis Idebolo3Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of IbadanDepartment of Public & Environmental Health, School of Medicine & Allied Health Sciences, University of The GambiaClinical Case Management Unit, Management Sciences for HealthDepartment of International Public Health, Liverpool School of Tropical MedicineAbstract Background Mother and newborn skin-to-skin contact (SSC) is an immediate postpartum intervention known to improve the health of newborn and mothers alike. Albeit, there is paucity of data that explored the coverage or factors associated with SSC in Nigeria. Therefore, we aimed to explore the coverage and hierarchical nature of the factors associated with SSC among women of reproductive age in Nigeria. Methods The 2018 Nigeria Demographic and Health Survey (NDHS) data was used for this study. Data on 29,992 women who had ever given birth were extracted for analysis. SSC was the outcome variable as determined by women’s report. A multivariable multilevel logistic regression model was used to estimate the fixed and random effects of the factors associated with SSC. Statistical significance was determined at p< 0.05. Results The coverage of SSC was approximately 12.0%. Educated women had higher odds of SSC, when compared with women with no formal education. Those who delivered through caesarean section (CS) had 88% reduction in SSC, when compared with women who had vaginal delivery (OR= 0.12; 95%CI: 0.07, 0.22). Women who delivered at health facility were 15.58 times as likely to practice SSC, when compared with those who delivered at home (OR= 15.58; 95%CI: 10.64, 22.82). Adequate ANC visits and low birth weight significantly increased the odds of SSC. Women from richest household were 1.70 times as likely to practice SSC, when compared with women from poorest household (OR= 1.70; 95%CI: 1.04, 2.79). There was 65% reduction in SSC among women with high rate of community non-use of media, when compared with women from low rate of community non-use of media (OR= 0.35; 95%CI: 0.20, 0.61). Conclusion SSC coverage was low in Nigeria. Moreover, individual, household and community level factors were associated with SSC. More enlightenment should be created among women to bring to limelight the importance of SSC specifically to newborn’s health.https://doi.org/10.1186/s12884-021-04079-8Kangaroo mother carePostpartumNeonatalSSCNigeriaInequality |
| spellingShingle | Michael Ekholuenetale Amadou Barrow Faith Owunari Benebo Ashibudike Francis Idebolo Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis BMC Pregnancy and Childbirth Kangaroo mother care Postpartum Neonatal SSC Nigeria Inequality |
| title | Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis |
| title_full | Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis |
| title_fullStr | Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis |
| title_full_unstemmed | Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis |
| title_short | Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis |
| title_sort | coverage and factors associated with mother and newborn skin to skin contact in nigeria a multilevel analysis |
| topic | Kangaroo mother care Postpartum Neonatal SSC Nigeria Inequality |
| url | https://doi.org/10.1186/s12884-021-04079-8 |
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