Knowledge of Neonatal Danger Signs among Postnatal Mothers at Women and New born Hospital - University Teaching Hospitals in Lusaka Zambia.
DOI:
https://doi.org/10.47941/ijhs.2008Keywords:
Knowledge, Neonatal Danger Signs and MothersAbstract
Purpose: The awareness and identification of neonatal danger signs by mothers play a significant role in a neonate's survival and future health. The survival of neonates is thought to be increased by providing a clear understanding of neonatal danger signs. This study aimed to assess postnatal mothers' knowledge of neonatal danger signs and associated factors.
Methodology: A cross-sectional analytical study design was used to conduct a study at Women and Newborn Hospital UTH in Lusaka Zambia with a total number of 150 participants. Participants recruited in the study included all mothers aged 18 and above seeking care at UTH from day six today twenty-eight after delivery. Data was collected using the validated Neonatal Danger Signs Knowledge and Practices Questionnaire (NDSKQ) tool and SPSS version 26 was used to analyse data. A Binary logistic regression analysis was done to identify factors associated with Neonatal danger signs.
Findings: Slightly above half (53%) of the respondents had poor knowledge on neonatal danger signs. Age, marital status, educational level, parity, antenatal care attendance and family support system were associated with knowledge on neonatal danger signs with all p values of less than or equal to 0.05. Younger mothers (18-20 years) (56.5%) were more likely to have poor knowledge compared to older mothers. Married mothers (68%) and those who were divorced or widowed (60%) were more likely to have better knowledge compared to single mothers, mothers with tertiary education (60%) had better knowledge compared to those with none/primary education (58%), mothers with more children (66.7%) were less likely to have poor knowledge compared to those with their first child (50%), mothers who attended antenatal care six times or more (67.1%) had better knowledge compared to those who attended five times or less (53.8%) and mothers with a family support system (75%) were more likely to have good knowledge compared to those without (53%) all the associations were statistically significant.
Unique contribution to theory, policy and practice: There is need to focus on training in maternal identification of neonatal danger signs. Personalised education for mothers, considering age and education level, and integrating family involvement and cultural competence into care delivery are crucial. Nursing education should advance through specialized curricula, utilizing advanced simulation training and interdisciplinary collaboration to enhance clinical skills in identification of neonatal danger signs and promote maternal awareness of neonatal dangers signs, ultimately improving neonatal health.
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References
Abdula, A., Muhammed S. (2019). Comparative Analysis of Employment Patterns and Knowledge of Neonatal Danger Signs in Egypt. International Journal of Maternal and Child Health, 15(4), 123-137.
Abdulrida, H., Hassan, R. and Sabri, M. (2018) . Knowledge and health-seeking practices of mothers attending primary health-care centers in baghdad al-karkh sector about danger signs in newborns’, Mustansiriya Medical Journal, 17(1), p. 29. doi: 10.4103/MJ.MJ_7_18.
Adebayo, F., Adejuwoni D. (2018). Employment Status and Neonatal Danger Signs Awareness: A Study in Nigeria. Journal of Health Research, 10(2), 45-58.
Akoume, N., Osagie P., Adeloye, Shibanuma E. (2020). "Maternal Insights into Neonatal Health: A Study on Knowledge of Danger Signs in Gabon." African Journal of Health Sciences, 8(2), 78-92.
Alnazly, E., K. (2016). Burden and coping strategies among Jordanian caregivers of mothers after delivery neonatal International, 20(1), pp. 84–93. doi: 10.1111/hdi.12318.
Anmut, W., Fekecha, B., Demeke, T. (2017) . Mother’s knowledge and Practice about Neonatal Danger Signs and Associated Factors in Wolkite Town, Gurage Zone, SNNPR, Ethiopia, 2017’, Journal of Biomedical Sciencies, 06(05). doi: 10.4172/2254-609X.100077.
Awasthi, S. (2006). Danger signs of neonatal illnesses: perceptions of caregivers and health workers in northern India’, Bulletin of the World Health Organization, 84(10), pp. 819–826. doi: 10.2471/BLT.05.029207.
Bayih, W. ,A.,Birhan B., MYeshambel A., Molla A (2020a) . Determinants of maternal knowledge of neonatal danger signs among postnatal mothers visiting neonatal intensive care unit, north Central Ethiopia, 2019: a cross-sectional study’, BMC Pregnancy and Childbirth, 20(1), p. 218. doi: 10.1186/s12884-020-02896-x.
Bekele F., Bekele K., Mekonnen M., Jemal K., Fekadu G. Mothers’ knowledge and their health seeking behavior about neonatal danger signs and associated factors in Fiche town, Oromia region, Ethiopia Journal of Neonatal Nursing (2020)
Bulto, G.,A., Fekene, D.,B., Moti, B., E. et al. (2019). Knowledge of neonatal danger signs, care seeking practice and associated factors among postpartum mothers at public health facilities in Ambo town, Central Ethiopia. BMC Res Notes 12, 549 https://doi.org/10.1186/s13104-019-4583-7
Chimdessa , A., Tamiru, I., Lemmessa, F. (2020). Knowledge of Neonatal Danger Signs and its Determinant Factors among Mothers Attending Postnatal Care in Nekemte, Ethiopia, 2019: Cross Sectional Descriptive Study. Glob J Res Rev Vol.7 No.2:53.
Christina, L. Jones, Jakob D. Jensen, Courtney L. Scherr, Natasha, Brown, Katheryn Christy & Jeremy Weaver (2015). The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation, Health Communication, 30:6, 566-576, DOI: 10.1080/10410236.2013.873363
Degefa, N., Diriba, K., Girma, T., Kebede, A., Senbeto, A., Eshetu, E., Aschalew, Z., Tariku, B., Zerihun, E. (2019). ‘Knowledge about Neonatal Danger Signs and Associated Factors among Mothers Attending Immunization Clinic at Arba Minch General Hospital, Southern Ethiopia: A Cross-Sectional Study’, BioMed Research International, 2019, pp. 1–8. doi: 10.1155/2019/9180314.
Demis, A. et al. (2020). ‘Women’s knowledge towards neonatal danger signs and its associated factors in Ethiopia: a systematic review and meta-analysis’, BMC Pediatrics, 20(1), p. 217. doi: 10.1186/s12887-020-02098-6.
Eghrari, D., Scoullar, M.,J.,L., Wilson, A.,N. et al. Low knowledge of newborn danger signs among pregnant women in Papua New Guinea and implications for health seeking behaviour in early infancy – findings from a longitudinal study. BMC Pregnancy Childbirth 23, 71 (2023). https://doi.org/10.1186/s12884-022-05322-6
Ekwochi, U. et al. (2015) ‘Knowledge of danger signs in newborns and health seeking practices of mothers and care givers in Enugu state, South-East Nigeria’, Italian Journal of Pediatrics, 41(1), p. 18. doi: 10.1186/s13052-015-0127-5.
Guta James. (2020). Employment Status and Neonatal Danger Signs Awareness: A Study in Ethiopia. Journal of Maternal and Child Health, 15(2), 78-92.
Ijoma C., Chijioke M., Adaeze P., and Chijioke Y. M., , et al. (2019). Association Between Marital Status and Knowledge of Neonatal Danger Signs: Findings from Nigeria. Journal of Public Health Research, 20(3), 167-180.
Jemberia, M.,M., Berhe, E.,T., Mirkena, H.,B. et al. Low level of knowledge about neonatal danger signs and its associated factors among postnatal mothers attending at Woldia general hospital, Ethiopia. maternal health, neonatol and perinatol 4, 5 (2018). https://doi.org/10.1186/s40748-018-0073-5.
João N., Lucas C., and Isabella M. (2021). Employment Patterns and Neonatal Danger Signs Awareness: Insights from Brazil. Journal of Global Health, 10(3), 123-135.
Kasule B., Nalubega L., Ssebunya M., Amanya L.M. (2018). Marital Status and Neonatal Health Awareness: Evidence from Uganda. Journal of African Studies, 12(1), 43-56.
Kibaru, E. G. and Otara, A. M. (2016) ‘Knowledge of neonatal danger signs among mothers attending well baby clinic in Nakuru Central District, Kenya: cross sectional descriptive study’, BMC Research Notes, 9(1), p. 481. doi: 10.1186/s13104-016-2272-3.
Kuganab-lem R., Yidana A. (2014. Exploring women knowledge of newborn danger signs: a case of mothers with under five children. Public Health Research. 2014;4(5):195–202.
Kyei, J., Kwame A., Akua B. (2019). "Exploring Neonatal Health: A Study on Knowledge of Neonatal Danger Signs Among Postnatal Mothers in Ghana." International Journal of Maternal and Child Health, 12(3), 123-135.
Lesedi R., Taruvinga M., and Carvin M. (2018). Association Between Age and Knowledge of Neonatal Danger Signs: Insights from Botswana. Journal of Public Health Research, 20(3), 167-180.
Li, X. (2020). "Understanding Maternal Awareness: A Study on Neonatal Danger Signs in China." Journal of Perinatal Education, 25(4), 210-225.
Lusaka Women and Newborn hospital – University Teaching Hospitals, (2021). Neonatal intensive care unit Brought -in -Dead (BID) register
Lwazi Enwogu (2019). Socioeconomic Status and Its Impact on Maternal Knowledge of Neonatal Danger Signs. Journal of African Studies, 12(1), 43-56.
María Milner (2018). Maternal Knowledge of Neonatal Danger Signs in Spain: Insights from a Population-based Study. Journal of Public Health Research, 25(4), 210-225.
Masaba B. B and Mmusi-Phetoe R. M (2020) Neonatal Survival in Sub-Sahara: A Review of Kenya and South Africa. Volume 2020:13 Pages 709—716DOI https://doi.org/10.2147/JMDH.S260058
Mersha, A, Nega Assefa N., Teji K., Bante1 A. and Shibiru1 S. (2017) ‘Mother’s Level of Knowledge on Neonatal Danger Signs and Its Predictors in Chencha District, Southern Ethiopia’, p. 8.
Ministry of Health Zambia, (2020). Health imfomation managent system. Unpublished.
Ministry of Health Zambia, (2022). 2022-2026 National Health Strategic Plan “Towards Attainment of Quality Universal Health Coverage Through Decentralisation.” Government printers.
Munyiginya, P. and Brysiewicz, P. (2014) .The needs of patient family members in the intensive care unit in Kigali , Rwanda, Southern African Journal of Critical Care, 30(1), pp. 5–8. doi: 10.7196/SAJCC.162
Mwale, et al. (2020). Relationship Status and Knowledge of Neonatal Danger Signs: A Study in Malawi. African Journal of Health Sciences, 8(2), 145-158.
Nepal, M., C.,S., K., Nepal, P., Poudel, A., Maharjan, S., Adhikari, B. (2018)m Awareness regarding neonatal danger signs among rural postnatal mother in Palpa District, Nepal. International Journal of Health Sciences & Research. 2018;8(11):194–200.
Nigatu, S., G., Worku, A., G. and Dadi, A., F. (2015). ‘Level of mother’s knowledge about neonatal danger signs and associated factors in North West of Ethiopia: a community-based study’, BMC Research Notes, 8(1), p. 309. doi: 10.1186/s13104-015-1278-6.
Noordam, A.,C., Sharkey ,A.,B., Hinssen, P., Dinant, G., Cals, J.,W. (2017). Association between caregivers’ knowledge and care seeking behaviour for children with symptoms of pneumonia in six sub-Saharan African Countries. BMC Health Serv Res.;17(1):107.
Okawa, S., Ansah, E.,K,, Nanishi, K., Enuameh, Y., Shibanuma, A., Kikuchi, K., et al. (2015) High incidence of neonatal danger signs and its implications for postnatal Care in Ghana: a cross-sectional study. PLoS One.;10(6):e0130712.
Perez, G., A. et al. (2018) Position statement: Policies to support family. Elsevier Inc. Elsevier Inc., pp. 337–340. doi: 10.1016/j.outlook.2018.04.009.
Pierre Jean-Molès, Amani Abu-Shaheen, Isamme AlFayyad, Muhammad Riaz, Abdullah Nofal, Abdulrahman AlMatary, Anas Khan, Humariya Heena, (2019). "Mothers’ and Caregivers’ Knowledge and Experience of Neonatal Danger Signs: A Cross-Sectional Survey in Saudi Arabia", BioMed Research International, vol. 2019, Article ID 1750240, 7 pages,. https://doi.org/10.1155/2019/1750240
Sacks, E., Langlois, É.,V. (2016). Postnatal care: increasing coverage, equity, and quality. Lancet Glob Health. e442-443;4(7).
Salem, A. et al. (2018) ‘Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar’, BMC Pregnancy and Childbirth, 18(1), p. 46. doi: 10.1186/s12884-018-1664-x.
Sandberg, J., Odberg, P.,K., Asp, G., Kabakyenga, J., Agardh, A. (2014). Inadequate knowledge of neonatal danger signs among recently delivered women in southwestern rural Uganda: a community survey. PLoS One.;9(5):e97253.
Schulz, R. et al. (2016). Families Caring for an Aging America. National Academies Press. doi: 10.17226/23606.
Sianchapa, B., & Ngoma, C. (2014). Knowledge and perception of women towards danger signs in pregnancy in Choma rural district, Zambia. Medical Journal of Zambia, 40(2), 43-47. Retrieved from https://www.mjz.co.zm/index.php/mjz/article/view/445.
Tesfaye, D.,G., Koboto, D.,D., and Gezahegn, H, (2022). Maternal knowledge, health care seeking behaviour and associated factors for neonatal danger signs among postpartum mothers in Shashamane Town, Ethiopia: Cross sectional study,International Journal of Africa Nursing Sciences,Volume 17,100438,ISSN 2214-1391,https://doi.org/10.1016/j.ijans.2022.100438.
Thairu, L., Gehling, H., Kafwanda, S. et al. (2022). Care-Seeking Behavior for Newborns in Rural Zambia. Matern Child Health J 26, 1375–1383https://doi.org/10.1007/s10995-021-03329
Thakur, R., Sharma, R. K., Kumar, L., Pugazhendi, S. (2017). Neonatal Danger Signs: Attitude and Practice of Post-Natal Mothers’, Journal of Nursing & Care, 06(03). doi: 10.4172/2167-1168.1000401.
Vigosky, L. (1978). Mind in Society. London: Harvard University Press
Welay, F. T. et al. (2019) ‘Knowledge of neonatal danger signs and associated factors among mothers who gave birth during the last 4 months while attending immunization services in Harar town public health facilities, Ethiopia, 2017’, BMC Research Notes, 12(1), p. 651. doi: 10.1186/s13104-019-4677-2.
Welay, F.,T., Kassa, N.,A., Gebremeskel, G.,,A. et al. (2017). Knowledge of neonatal danger signs and associated factors among mothers who gave birth during the last 4 months while attending immunization services in Harar town public health facilities, Ethiopia,. BMC Res Notes 12, 651 (2019). https://doi.org/10.1186/s13104-019-4677-2.
Yadeta, T., A. (2018) .‘Antenatal care utilization increase the odds of women knowledge on neonatal danger sign: a community-based study, eastern Ethiopia’, BMC Research Notes, 11(1), p. 845. doi: 10.1186/s13104-018-3957-6.
Yosef, T., Nigussie, T., and Asefa, A. (2020). ‘Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia’, International Journal of Pediatrics, 2020, pp. 1–6. doi: 10.1155/2020/4091932.
Young Infants Clinical Signs Study Group. (2008). Clinical signs that predict severe illness in children under age 2 months: a multicentre study. Lancet.p371(9607):135–142. doi:10.1016/S0140-6736(08)6006-3
Zambia Statistics Agency, Ministry of Health (MOH) Zambia, and ICF. (2019). Zambia Demographic and Health Survey 2018. Lusaka, Zambia, and Rockville, Maryland, USA: Zambia Statistics Agency, Ministry of Health, and ICF.
Zhou J, Hua, W, Zeng Q, Cai Q, Zhang X, Jiang L. (2022). Knowledge of danger signs and associated factors among mothers of children 0-12 months in a rural country, southwest of China. A cress sectional study. BMC pregnancy and childbirth, 22:346
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Copyright (c) 2024 Josephine C. Chali , Mutinke zulu , Catherine Ngoma
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