儿科学与治疗

儿科学与治疗
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国际标准期刊号: 2161-0665

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埃塞俄比亚南部阿尔巴门奇镇政府卫生机构卫生保健提供者的即时新生儿护理实践和相关因素:基于设施的横断面研究

索菲亚·布什拉*、万扎洪·戈达纳、迪雷斯利恩·米斯基尔

背景和目标:Globally under-five and infant mortality rates had declined over the past four decades, but high neonatal mortality rates had remained relatively unchanged. Neonatal death account for 43% of under-five child deaths globally and account for 42% of under-five mortality in Ethiopia. And this mortality is related to immediate obstetric and newborn care of babies provided by health provider’s related to immediate newborn care and their associated factors among health care provider’s in Arba Minch town public health facilities. Study was help cost effective because benefits family members from the medical expense, saving the life of a newborn baby, as a source of information health professionals, health programmers, researchers and policy makers. To assess, the status of immediate newborn care practice and associated factors among health providers in Arba minch Town public health facility, SNNPR.

Methods: Institution based Cross-sectional study design was conducted to assess the status of newborn care practice provided by health professionals in selected Arbaminch Town. The samples (195 health professionals) were allocated proportionally to hospital and health centers of selected Arbaminch Town and finally, selected by simple random method. Then the data was entered Epidata version 4.4.2.1 and analyzed by using SPSS statistical soft-ware verstion.20. Finally, the result was displayed on text, graph and tables.

Results: The response rate were 100% and more than half of respondents 116 (59.5%) of the respondents was good knowledge newborn care step whereas 35 (17.9%) poor knowledge and the rest 44 (22.6%) have not knowledge. The majority of assessed health facilities have not fulfilled necessary equipment. The overall newborn care practice among health professionals was not good as the majority of health professionals 148 (75.9% of participants) misses one or more steps of essential newborn care practice. Most of the health professionals had a good knowledge about newborn care (i.e. 87 (44.6%), a fair knowledge have 62 (31.8%), whereas 46 (23.6%) of health professionals had poor knowledge (scored below the mean). Factors, like work place 99.5%, supportive supervision [AOR 7.485, 95% CI (1.1.933, 28.991)], training status [AOR 33.511, 95% CI (1.769, 634.834)], and knowing danger sign of the newborn [AOR 0.097, 95% CI (0.02, 0.44)] are significantly associated with newborn care practice.

结论与建议:大多数卫生专业人员的新生儿护理实践较差148(75.9%),大多数卫生专业人员的知识水平较好,大多数被评估的机构没有配备齐全的必要设备。培训和监督不够充分。因此,有必要加强在职培训、支持性监督和配备设备,以提高卫生专业人员的新生儿护理实践。建议对新生儿护理实践进行进一步调查。

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