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Essential newborn care practices in Benin: Are there differences by birth location?
Comfort Z Olorunsaiye1, Korede K Yusuf2, A-Mac Harris1
1Department of Public Health, Arcadia University, Glenside, Pennsylvania, USA.
Birth (Berkeley, Calif.)
|September 30, 2021
Summary
In Benin, giving birth in a health facility increases the likelihood of receiving breastfeeding support and newborn cord examination compared to home births. However, early newborn care coverage remains suboptimal, particularly in public hospitals, necessitating targeted interventions.
Area of Science:
- Maternal and Child Health
- Public Health
- Demography
Background:
- Benin faces a high infant mortality rate, with a significant proportion of deaths occurring in the neonatal period.
- Essential newborn care practices, both at home and in health facilities, are critical for reducing neonatal mortality.
- Understanding the influence of childbirth location on these practices is vital for improving infant survival rates.
Purpose of the Study:
- To investigate the association between the location of childbirth and the implementation of essential newborn care practices in the Republic of Benin.
- To identify potential disparities in newborn care based on where delivery occurs.
Main Methods:
- Utilized cross-sectional data from the 2017 Benin Demographic and Health Survey, including 6831 women with recent live births.
- Employed multivariable logistic regression analysis to assess the relationship between birth location and key newborn care practices.
- Adjusted for potential confounding factors to ensure the validity of the findings.
Main Results:
- No significant difference was observed in the early initiation of breastfeeding based on birth location.
- Women delivering in public hospitals, public health centers/clinics, and private health facilities showed significantly higher odds of receiving breastfeeding support compared to home births.
- Childbirth in public health centers/clinics and private health facilities was associated with doubled odds of newborn cord examination compared to home births.
Conclusions:
- Despite a high prevalence of health facility births in Benin, the overall coverage of essential newborn care practices is suboptimal.
- Public hospitals, in particular, require focused interventions to enhance the delivery of life-saving newborn care services.
- Policy and public health initiatives are necessary to ensure equitable access to and quality of essential newborn care for all mothers and infants.
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