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Community-based newborn care utilization and associated factors in Nekemte City, Oromia, Ethiopia, 2023
Dawit Tesfaye Daka1, Bizuneh Wakuma2, Werku Etafa2
1Department of Pediatrics and Neonatal Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia. dawitt635@gmail.com.
Insights
Community-based newborn care utilization in Ethiopia was low at 35.25%. Key factors influencing this included early antenatal care, maternal age, marital status, and wealth, highlighting areas for intervention to improve newborn health.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Services Research
Background:
- Community-Based Newborn Care (CBNC) programs aim to enhance newborn health.
- Barriers like accessibility and affordability limit inpatient treatment for serious bacterial infections in newborns in resource-limited settings.
- This study assessed CBNC utilization and its determinants among recent mothers in Nekemte city, Ethiopia.
Purpose of the Study:
- To evaluate the utilization rate of Community-Based Newborn Care (CBNC) services.
- To identify factors associated with CBNC service utilization among mothers in Nekemte city.
- To inform strategies for improving newborn healthcare access and outcomes.
Main Methods:
- A community-based cross-sectional study was conducted with 556 mothers in Nekemte city from March to April 2023.
- Data were collected via interviews using Kobo Toolbox and analyzed using STATA, employing binary and multivariable logistic regression.
- Factors associated with CBNC utilization were identified using adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI) and a p-value < 0.05.
Main Results:
- The overall utilization of community-based newborn care was 35.25%.
- Significant factors associated with utilization included the timing of first antenatal care contacts (AOR: 0.14), maternal age (AOR: 3.36), marital status (AOR: 0.24), and estimated wealth level (AOR: 6.54).
Conclusions:
- Community-based newborn care utilization in the study area is low compared to previous findings and national recommendations.
- Interventions should focus on increasing awareness for early antenatal care initiation (first trimester).
- Targeted support and information are needed for adolescents, widowed mothers, and those with medium to high income to promote CBNC service uptake.
Background:
Community-Based Newborn Care [CBNC] program aims to improve the health of the newborns. Despite management improvements, many young infants with serious bacterial infections [PSBI] in resource-limited settings are not receiving recommended inpatient treatment due to accessibility, affordability, or family acceptance issues. Therefore, this study aimed to assess the level of CBNC utilization and associated factors among women who delivered recently their newborns in Nekemte city, West Oromia, Ethiopia.
Methods:
A community-based cross-sectional study design was carried out. A two-month infants' mother interview was conducted from March 1 to April 30, 2023, using data from 556 mothers in Nekemte city. Nurses trained and working in this city collected the data. Data were collected using Kobo Toolbox software and exported to STATA Version 14 for analysis. A binary logistic regression analysis was carried out. In the multivariable logistic regression analysis, a p value of < 0.05 and adjusted OR [AOR] with a 95% CI were used to identify factors statistically associated with CBNC service utilization.
Result:
The overall level of community based care utilization was 35.25% [95% CI: 33.85-44.60]. While time of first anti natal care contacts [AOR: 0.14; 95% CI: 0.08-0.25], maternal age [AOR: 3.36; 95% CI: 1.35-8.31], marital status [AOR: 0.24; 95% CI: 0.08-0.75], and estimated wealth level [AOR: 6.54; 95% CI: 2.24-19.11] were significantly associated factors with the level of community-based utilization of newborn care.
Conclusion:
Community-based newborn care utilization was low from the study area in related to the previous studies and national recommendation. Therefore, creating awareness for mothers to start their antenatal contacts early or at the first trimester, giving information about community-based utilization of newborn care services to teenagers, and supporting mothers who are widowed and of medium or high income to use the community-based utilization of newborn care services.
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