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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

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Published on: August 25, 2014

Poor newborn care practices - a population based survey in eastern Uganda.

Peter Waiswa1, Stefan Peterson, Goran Tomson

  • 1Makerere University School of Public Health, Kampala, Uganda. pwaiswa2001@yahoo.com

BMC Pregnancy and Childbirth
|February 25, 2010
PubMed
Summary

Newborn care practices in Uganda are low across all socioeconomic groups, indicating a significant gap between policy and practice. Improving newborn survival requires integrating care into maternal interventions for universal coverage.

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Published on: March 6, 2019

Area of Science:

  • Global Health
  • Maternal and Child Health
  • Health Equity

Background:

  • Neonatal deaths are a major global health issue, disproportionately affecting low-income countries.
  • Sub-Saharan Africa lacks comprehensive newborn health data, particularly regarding inequities in care practices.
  • Uganda faces challenges in newborn health, necessitating an assessment of socioeconomic differences in care uptake.

Purpose of the Study:

  • To assess socioeconomic differences in newborn care practices in Uganda.
  • To identify factors influencing the uptake of essential newborn care.
  • To inform policy and programming for improved newborn survival.

Main Methods:

  • A study involving 414 mothers and their infants (1-4 months) in a Ugandan Demographic Surveillance Site.
  • Household socioeconomic status (SES) stratification into quintiles.
  • Development of composite outcomes for neonatal feeding, cord care, and thermal care using logistic regression analysis.

Main Results:

  • Low coverage of essential newborn care practices observed across all socioeconomic strata.
  • Socioeconomic status and place of birth did not significantly correlate with newborn care practices.
  • Adequate neonatal feeding was observed in 57%, good cord care in 38%, and optimal thermal care in 42% of newborns.

Conclusions:

  • Newborn care practices in Uganda are suboptimal and show little variation by socioeconomic status.
  • A significant policy-to-practice gap exists, with most neonatal interventions not reaching newborns.
  • Integrating newborn care into existing maternal and child health interventions is crucial for universal coverage and improved survival.