Related Experiment Video
Updated: Jun 9, 2025
Analyzing the Effects of Stromal Cells on the Recruitment of Leukocytes from Flow
Published on: January 7, 2015
Mapping the spatial distribution of harmful umbilical cord stump care among neonates in Ethiopia: A spatial with
Berihun Bantie1, Natnael Moges2, Worku Awoke3
1Department of Comprehensive Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Insights
Harmful umbilical cord stump care is prevalent in Ethiopia, particularly in eastern and northern regions. Factors like rural residence and region of living significantly influence these practices, necessitating targeted interventions.
Area of Science:
- Neonatal Health
- Public Health
- Epidemiology
Background:
- Umbilical cord stump (UCS) care is critical for preventing neonatal infections, sepsis, and mortality.
- Harmful traditional practices persist despite WHO recommendations for clean and dry cord care.
- Data on the geographical distribution and risk factors for harmful UCS care in Ethiopia are limited.
Purpose of the Study:
- To analyze the spatial distribution of harmful umbilical cord stump care practices in Ethiopia.
- To identify individual and community-level risk factors associated with these practices.
Main Methods:
- Secondary data analysis of the Ethiopian Demographic Health Survey (EDHS 2016) involving 7,168 live births.
- Spatial analysis using ArcGIS and SaTScan to identify clusters of harmful UCS care.
- Multilevel logistic regression to determine associated factors.
Main Results:
- Prevalence of harmful UCS care was 15.09%, with significant spatial variations.
- Hotspot areas identified in Somali, Tigray, and Amhara regions.
- Factors associated with harmful practices include maternal age, rural residence, female neonates, and living in specific regions (Tigray, Somali, Harari).
Conclusions:
- Harmful UCS care practices in Ethiopia exhibit non-random, clustered distribution in specific regions.
- Both individual and community-level factors significantly predict these practices.
- Targeted interventions are crucial for neonates in identified high-risk areas, addressing identified predictors.
Introduction:
The umbilical cord (UC) serves as the main pathway for bacteria to reach the neonate's body, potentially causing local and severe infections, sepsis, and even death. Consequently, neonatal mortality remains a significant public health concern, particularly in Ethiopia. The World Health Organization (WHO) recommends that the umbilical cord stump be kept clean and dry, with the exception of applying topical antiseptics. However, various harmful substances are still applied to the umbilical cord of neonates. Data on the geographical distribution and risk factors for harmful umbilical cord stump (UCS) care are scarce. Therefore, this study aims to fill this gap.
Methods:
A secondary data analysis of the Ethiopian Demographic Health Survey (EDHS 2016) was conducted using a weighted sample of 7,168 live births. ArcGIS version 10.7.1 software was utilized to visualize the spatial distribution of harmful umbilical cord stump (UCS) care practices in Ethiopia. Additionally, a Bernoulli probability model-based spatial scan statistic was applied using Kulldorff's SaTScan version 9.6 software to identify significant clusters of harmful UCS care. A multilevel logistic regression model was used to determine the factors associated with UCS care practices in Ethiopia. Statistical significance was declared at a two-sided P-value of < 0.05.
Results:
Overall, the prevalence of harmful UCS care in Ethiopia was 15.09% (95% CI: 13.9-16.3), with significant spatial heterogeneity across geographical areas. The hotspot areas of harmful US care were observed in the eastern (Somali) and northern (Tigray and Amhara) parts of Ethiopia. In spatial scan analysis, the most likely primary clusters were observed in South Nation Nationalities and Peoples region (SNNPR), secondary clusters in the Somali, tertiary clusters in Tigray, and the next clusters in the Amhara regions, respectively. In the final multilevel model, maternal age (Adjusted odds ratio/AOR 1.07, 95% CI: 1.02-1.12), institutional delivery (AOR 0.64, 95% CI: 0.42-0.97), female neonates (AOR 1.31, 95% CI: 1.04-1.61), rural residence (AOR 2.18, 95% CI: 1.05-4.52), living in Tigray region (AOR 3.79, 95% CI: 1.38-9.38), living in Somali region (AOR, 2.95% CI: 1.02-8.52), and living in Harari region (AOR 3.51, 95% CI: 1.28-9.60) were identified as a significant factors of harmful US care practice in Ethiopia.
Conclusion:
In Ethiopia, the distribution of harmful UCS care practices is non-random and highly clustered in the SNNPR, Somalia, Tigray, and Amhara regions. Both individual and community-level factors were significantly associated with the practice. Special emphasis needs to be provided for neonates from those hot-spot areas and to address the identified predictors of harmful umbilical cord stump care practices.
More Related Videos
04:47Author Spotlight: Advancements in Stem Cell-Derived Vascularized Organoids and Optimized Isolation of Wharton's Jelly for Enhanced MSC Production
Published on: July 5, 2024
04:09Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
