Assessment Of Knowledge & Skills of Staff Involved in Providing Routine New-Born Care at Various Public Health Facilities of Rajkot District
Keywords:
NoneAbstract
Background: The first hour after birth have a major influence on the survival, future health and well being of a newly born infant. The care health care providers give during this period is critical in ensuring infant survival.
Aim: to evaluate the knowledge and skills of health care providers, regarding routine newborn care.
Methods: It was a cross sectional observational study conducted during August 2013 to October 2013 at 36 Government health facilities of Rajkot district. Study participants were doctors and nursing staff working at different level of Newborn care facilities. Pre-tested semi-structured questionnaire was used for data collection. Their skills were assessed by simulation on a mannequin.
Results: Less than one third of the staff knew all the signs of attachment for breast feeding. It was noted that the staff members trained in New-born care (NBC) services demonstrated better skills for neonatal resuscitation, prevention of hypothermia, breast feeding skills, etc than those untrained in the same. There was positive co-relation between duration of work experience and skills score.
Conclusions: The knowledge and skills of health staff in routine NBC was not satisfactory. Experienced and staff trained in routine New born care services, had higher skills for the same.
References
WHO/Newborn Care at birth. [Online]. [cited 2013 May 20. Available from: http://www.who.int/maternal_child_adolescent/topics/newborn/care_at_birth/en/.
Neogi SB, Malhotra S, Zodpey S, Mohan P. Assess-ment of special care newborn units in India. J Health Popul Nutr 2011;29:500-9
Sen A, Mahalanabis D, Singh AK, Som TK, Bandyo-padhyay S, Roy S. Newborn Aides: an innovative ap-proach in sick newborn care at a district-level special care unit. Journal of health, population, and nutrition. 2007;25:495–501
World Bank/ Neonatal Mortality Rate. [online]. [cited 2015 September 01. Available from: http://www.data.worldbank.org/indicator/SH.DYN.NMRT
National Neonatology Forum India, Evidence Based Clinical Practice Guidelines. October 2010. Online ver-sion www.nnfpublication.org Available from: http://aimaonline.org/iap-neochap-2013/uploads/acd-corner/nnf_guidelines-2011.pdf
Neogi SB, Malhotra S, Zodpey S, Mohan P. Challenges in scalling up of special care newborn units - lessons from India. Indian Pediatrics. 2011; 48: p. 931 - 5.
Care of baby at birth - WHO newborn CC Available online at: http://www.newbornwhocc.org/ Dec2014_pdf/Care-at-Birth-2014.pdf
Navjaat Shishu Suraksha Karyakram - Basic Newborn Care and Resuscitation Program. Training Manual. , Ministry of Health and Family welfare, Government of India.
Facility Based Newborn Care operational guide: Guidelines for planning and implementation. Ministry of Health and Family Welfare, Government of India. 2011.
Kesterton AJ, Cleland J. Neonatal care in rural Karna-taka: healthy and harmful practices, the potential for change. BMC Pregnancy and Childbirth. 2009; 9:20. Doi:10.1186/1471-2393-9-20.
Salasibew MM, Filteau S, Marchant T. A qualitative study exploring newborn care behaviours after home births in rural Ethiopia: implications for adoption of essential interventions for saving newborn lives. BMC Pregnancy and Childbirth. 2014; 14:412. Doi: 10.1186/s12884-014-0412-0.
Callaghan-Koru JA, Seifu A, Tholandi M, et al. New-born care practices at home and in health facilities in 4 regions of Ethiopia. BMC Pediatrics. 2013; 13:198. Doi:10.1186/1471-2431-13-198.
Centers for Disease Control and Prevention. Epi Info version 3.5.1, 2008. [Online]. [cited 2012 June 11. Available from: www.cdc.gov/epiinfo.
Mann Whitney U Test Calculator. [Online]. [cited 2014 May 01. Available from: http://www.socscistatistics.com/tests/mannwhitney/default2.aspx.
Facility Based Integrated Management of Neonatal and Childhood Illness (F-IMNCI). Participants Man-ual. Ministry of Health and Family Welfare Govern-ment of India New Delhi 2009. Available at: http://nrhm.gujarat. gov.in/ images/pdf/f-imnci_manual.pdf
Puig G, Sguassero Y. Early skin-to-skin contact for mothers and their healthy newborn infants: RHL commentary (last revised: 9 November 2007). The WHO Reproductive Health Library; Geneva: World Health Organization.
Bhutta ZA, Darmstadt GL, Hasan BS, Haws RA. Community-based interventions for improving peri-natal and neonatal health outcomes in developing countries: a review of the evidence. Pediatrics 2005;115(2 Suppl):519-617.
Nagai S, Andrianarimanana D, Rabesandratana N, Yonemoto N, Nakayama T and Mori R. Earlier versus later continuous Kangaroo Mother Care (KMC) for stable low-birth-weight infants: a randomized con-trolled trial. Acta Paediatrica. 2010;99: 826–835. doi: 10.1111/j.1651-2227.2009.01676.x
Flacking R., Ewald U. and Wallin L. Positive Effect of Kangaroo Mother Care on Long-Term Breastfeeding in Very Preterm Infants. Journal of Obstetric, Gynecolog-ic, & Neonatal Nursing. 2011;40: 190–197. doi: 10.1111/j.1552-6909.2011.01226.x
Nyqvist K., Anderson G, Bergman N, Cattaneo A, Charpak N, Davanzo R, et al. Towards universal Kangaroo Mother Care: recommendations and report from the First European conference and Seventh Inter-national Workshop on Kangaroo Mother Care. Acta Paediatrica. 2010;99: 820–826. doi: 10.1111/j.1651-2227.2010.01787.x
Quasem I, Sloan NL, Chowdhury A, Ahmed S, Wini-koff B, Chowdhury AM. Adaptation of kangaroo mother care for community-based application. J Peri-natol 2003; 23:646-51.
PMNCH: A global review of the Key interventions re-lated to reproductive, maternal, newborn and child health (RMNCH). In Geneva, Switzerland: PMNCH; 2011.
WHO: Essential newborn care. Report of a technical working group. In Trieste: WHO; 1994.
Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L: Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 2005, 365(9463):977–988.
Moore E R, Anderson G C. Randomized controlled trial of very early mother-infant skin-to-skin contact and breastfeeding status. Journal of Midwifery and Women's Health. 2007; 52:116–125.
Gill CJ, Phiri-Mazala G, Guerina NG, Kasimba J, Mu-lenga C, Macleod WB, et al. Effect of training tradi-tional birth attendants on neonatal mortality (Lufwanyama Neonatal Survival Project): random-ised controlled study. BMJ 2011; 342:d346.
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