Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study
Abstract Background and Aims Essential newborn care (ENC) practices play an important role in reducing the risk of infant mortality and morbidity. Therefore, more studies are needed on ENC practices. Skilled maternal healthcare can be a good strategy to increase the practice. Learn about the indepen...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-09-01
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| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.791 |
| _version_ | 1797772355102048256 |
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| author | Ahsan Rahman Jamee Kanchan Kumar Sen Wasimul Bari |
| author_facet | Ahsan Rahman Jamee Kanchan Kumar Sen Wasimul Bari |
| author_sort | Ahsan Rahman Jamee |
| collection | DOAJ |
| description | Abstract Background and Aims Essential newborn care (ENC) practices play an important role in reducing the risk of infant mortality and morbidity. Therefore, more studies are needed on ENC practices. Skilled maternal healthcare can be a good strategy to increase the practice. Learn about the independent and joint effects of skilled maternal healthcare during pregnancy and childbirth on newborn care practices. Methods The study used a cross‐sectional data obtained from Bangladesh Multiple Indicator Cluster Survey, 2019. To investigate the association between maternal healthcare utilization and good ENC practice (cord care, delayed bathing, and immediate breast‐feeding), χ2 test and t‐test in bivariate and binary logistic regression analysis, respectively have been performed after taking into account complex survey design. Results Only about 24% (95% confidence interval [CI]: 22.95%–25.89%) women given birth at home in rural Bangladesh followed good newborn care practice. The results obtained from adjusted regression analysis showed that a woman was 24%, 49%, and 75% more likely of having good ENC practice if she received four or more skilled checkups during antenatal period only (adjusted odds ratios [AOR]: 1.24, 95% CI: 0.97, 1.60), received assistance from SBA during delivery only (AOR: 1.49, 95% CI 1.12, 1.97) and received skilled healthcare in both pregnancy and delivery (AOR: 1.75, 95% CI 1.13, 2.71), respectively compared to a woman who did not get an opportunity to receive skilled healthcare during pregnancy and delivery. Among the selected confounders, maternal age at birth, birth order, education of household heads and religion showed a significant association with good ENC practice. Conclusion The study revealed that proper maternal healthcare during pregnancy and childbirth from skilled health personnel can improve the rate of ENC practices. For this, more training programs should be started, especially at the community level, and health promotion activities are needed to create awareness about efficient maternal healthcare practices. |
| first_indexed | 2024-03-12T21:50:42Z |
| format | Article |
| id | doaj.art-ee743d31ab454c5f996f05a2a9ce9e86 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-12T21:50:42Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-ee743d31ab454c5f996f05a2a9ce9e862023-07-26T04:11:54ZengWileyHealth Science Reports2398-88352022-09-0155n/an/a10.1002/hsr2.791Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional studyAhsan Rahman Jamee0Kanchan Kumar Sen1Wasimul Bari2Department of Statistics University of Dhaka Dhaka BangladeshDepartment of Statistics University of Dhaka Dhaka BangladeshDepartment of Statistics University of Dhaka Dhaka BangladeshAbstract Background and Aims Essential newborn care (ENC) practices play an important role in reducing the risk of infant mortality and morbidity. Therefore, more studies are needed on ENC practices. Skilled maternal healthcare can be a good strategy to increase the practice. Learn about the independent and joint effects of skilled maternal healthcare during pregnancy and childbirth on newborn care practices. Methods The study used a cross‐sectional data obtained from Bangladesh Multiple Indicator Cluster Survey, 2019. To investigate the association between maternal healthcare utilization and good ENC practice (cord care, delayed bathing, and immediate breast‐feeding), χ2 test and t‐test in bivariate and binary logistic regression analysis, respectively have been performed after taking into account complex survey design. Results Only about 24% (95% confidence interval [CI]: 22.95%–25.89%) women given birth at home in rural Bangladesh followed good newborn care practice. The results obtained from adjusted regression analysis showed that a woman was 24%, 49%, and 75% more likely of having good ENC practice if she received four or more skilled checkups during antenatal period only (adjusted odds ratios [AOR]: 1.24, 95% CI: 0.97, 1.60), received assistance from SBA during delivery only (AOR: 1.49, 95% CI 1.12, 1.97) and received skilled healthcare in both pregnancy and delivery (AOR: 1.75, 95% CI 1.13, 2.71), respectively compared to a woman who did not get an opportunity to receive skilled healthcare during pregnancy and delivery. Among the selected confounders, maternal age at birth, birth order, education of household heads and religion showed a significant association with good ENC practice. Conclusion The study revealed that proper maternal healthcare during pregnancy and childbirth from skilled health personnel can improve the rate of ENC practices. For this, more training programs should be started, especially at the community level, and health promotion activities are needed to create awareness about efficient maternal healthcare practices.https://doi.org/10.1002/hsr2.791Bangladeshhome birthsmaternal healthcarenewborn careskilled health personnel |
| spellingShingle | Ahsan Rahman Jamee Kanchan Kumar Sen Wasimul Bari Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study Health Science Reports Bangladesh home births maternal healthcare newborn care skilled health personnel |
| title | Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study |
| title_full | Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study |
| title_fullStr | Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study |
| title_full_unstemmed | Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study |
| title_short | Skilled maternal healthcare and good essential newborn care practice in rural Bangladesh: A cross‐sectional study |
| title_sort | skilled maternal healthcare and good essential newborn care practice in rural bangladesh a cross sectional study |
| topic | Bangladesh home births maternal healthcare newborn care skilled health personnel |
| url | https://doi.org/10.1002/hsr2.791 |
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