Impact of essential newborn care education on knowledge and practice of new-born care among nurses in rural primary health centres in Ebonyi state of Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233085Keywords:
ENC, Thermoregulation, Pre-intervention, Post-intervention, Female nurseAbstract
Background: This study was designed to determine the level of knowledge and the extent of practice of the components of essential new-born care (ENC), and the effects of a training programme on the knowledge and practice of ENC among nurses in rural primary health cares (PHCs) in Ebonyi state Nigeria.
Methods: This study was a one group pre-test and post-test intervention design. The components of ENC considered were: New-born initiation of breastfeeding, thermoregulation, new-born cord care, newborn eye care, initiation of breathing and administration of vitamin K. A neonatal care knowledge and practice assessment (NCKPA) questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (48) available nurses (All female).
Results: There was significant improvement in the level of knowledge and extent of practice of the components of ENC following the training programme. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of eye care 20 (41.6%) pre-intervention, and least knowledge of cord care 35 (72.9%) and eye care 45 (93.8%)-post-intervention.
Conclusions: Increase in knowledge corresponded with increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, update courses and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rate.
Metrics
References
Berhe M, Medhaniye AA, Kahsay G, Birhane E, Abay M. Essential neonatal care utilization and associated factors among mothers in public health facilities of Aksum Town, North Ethiopia, 2016. PloS one. 2017;12(4):e0175902.
Wyckoff MH, Wyllie J, Aziz K, de Almeida MF, Fabres JW, Fawke J et al. Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. 2020;156:A156-87.
Dougherty D, Meikle SF, Owens P, Kelley E, Moy E. Children's Health Care in the First National Healthcare Quality Report and National Healthcare Disparities Report. Med Care. 2005;43(3):I58-63.
Chuang YY, Huang YC. Enteroviral infection in neonates. J Microbiol Immunol Infect. Dec 2019;52(6):851-7.
Bangert M, Molyneux DH, Lindsay SW, Fitzpatrick C, Engels D. The cross-cutting contribution of the end of neglected tropical diseases to the sustainable development goals. Infect Dise Poverty. 2017;6(1):73.
Martin S, Lopez AL, Bellos A, Deen J, Ali M, Alberti K et al. Post-licensure deployment of oral cholera vaccines: a systematic review. Bulletin of the World Health Organization. 2014;92(12):881-93.
Lohela TJ, Nesbitt RC, Pekkanen J, Gabrysch S. Comparing socioeconomic inequalities between early neonatal mortality and facility delivery: Cross-sectional data from 72 low- and middle-income countries. Scientific Rep. 2019;9(1):9786.
Fagbamigbe AF, Salawu MM, Abatan SM, Ajumobi O. Approximation of the Cox survival regression model by MCMC Bayesian Hierarchical Poisson modelling of factors associated with childhood mortality in Nigeria. Scientific Rep. 2021;11(1):13497.
Adebowale AS. Intra-demographic birth risk assessment scheme and infant mortality in Nigeria. Global Health Act. 2017;10(1):1366135.
Ezeh OK. Trends and population-attributable risk estimates for predictors of early neonatal mortality in Nigeria, 2003-2013: a cross-sectional analysis. BMJ Open. 2017;7(5):e013350.
Morakinyo OM, Fagbamigbe AF. Neonatal, infant and under-five mortalities in Nigeria: An examination of trends and drivers (2003-2013). PloS One. 2017;12(8):e0182990.
Wariri O, Onuwabuchi E, Alhassan JAK. The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria. 2021;16(1):e0245297.
Aghaji A, Burchett HED, Oguego N, Hameed S, Gilbert C. Primary health care facility readiness to implement primary eye care in Nigeria: equipment, infrastructure, service delivery and health management information systems. BMC health services research. 2021;21(1):1360.
Dol J, Hughes B, Bonet M, Dorey R, Dorling J, Grant A et al. Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review. JBI evidence synthesis. 2023;21(1):98-199.
Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T et al. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Systematic Rev. 2020;8(8):Cd013679.
Oliphant NP, Manda S, Daniels K, Odendaal WA, Besada D, Kinney M et al. Integrated community case management of childhood illness in low- and middle-income countries. Cochrane Database Systematic Rev. 2021;2(2):Cd012882.
Usman F, Tsiga-Ahmed FI, Abdulsalam M, Farouk ZL, Jibir BW, Aliyu MH. Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria. PloS One. 2022;17(1):e0262446.
Khanassov V, Pluye P, Descoteaux S, Haggerty JL, Russell G, Gunn J et al. Organizational interventions improving access to community-based primary health care for vulnerable populations: a scoping review. Int J Equity Health. 2016;15(1):168.
Ogbuoji O, Yamey G. How many child deaths can be averted in Nigeria? Assessing state-level prospects of achieving 2030 sustainable development goals for neonatal and under-five. Mortality. 2019;3:1460.
Wen X, Wang F, Li X, Gu H. Study on the Knowledge, Attitude, and Practice (KAP) of Nursing Staff and Influencing Factors on COVID-19. Frontiers Public Health. 2020;8:560606.
Lukyanenko R, Storey VC, Pastor O. Conceptual modelling for life sciences based on systemist foundations. BMC Bioinformatics. 2023;23(11):574.
Alebel A, Wagnew F, Petrucka P, Tesema C, Moges NA, Ketema DB, et al. Neonatal mortality in the neonatal intensive care unit of Debre Markos referral hospital, Northwest Ethiopia: a prospective cohort study. BMC Pediatr. 2020;20(1):72.
McCall EM, Alderdice F, Halliday HL, Vohra S, Johnston L. Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants. Cochrane Database Systematic Rev. 2018;2(2):Cd004210.
Mukunya D, Haaland MES, Tumwine JK, Tylleskar T, Nankabirwa V, Moland KM. "The cord is the child": meanings and practices related to umbilical cord care in Central Uganda. BMC Pediatr. 2020;20(1):105.
New issues in childhood blindness. Community Eye Health. 2001;14(40):53-6.
Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. Int Breastfeeding J. 2020;15(1):70.
Ng E, Loewy AD. Guidelines for vitamin K prophylaxis in newborns. Paediatr Child Health. 2018;23(6):394-402.
Ngabonzima A, Kenyon C, Kpienbaareh D, Luginaah I, Mukunde G, Hategeka C et al. Developing and implementing a model of equitable distribution of mentorship in districts with spatial inequities and maldistribution of human resources for maternal and newborn care in Rwanda. BMC Health Services Res. 2021;21(1):744.
Guerrero EG, Heslin KC, Chang E, Fenwick K, Yano E. Organizational correlates of implementation of colocation of mental health and primary care in the Veterans Health Administration. Administration Policy Mental Heal. 2015;42(4):420-8.
Byungura JC, Nyiringango G, Fors U, Forsberg E, Tumusiime DK. Online learning for continuous professional development of healthcare workers: an exploratory study on perceptions of healthcare managers in Rwanda. BMC Med Educ. 2022;22(1):851.
Gergen J, Josephson E, Vernon C, Ski S, Riese S, Bauhoff S et al. Measuring and paying for quality of care in performance-based financing: Experience from seven low and middle-income countries (Democratic Republic of Congo, Kyrgyzstan, Malawi, Mozambique, Nigeria, Senegal and Zambia). J Global Heal. 2018;8(2):021003.
Gureje O, Appiah-Poku J, Bello T, Kola L, Araya R, Chisholm D et al. Effect of collaborative care between traditional and faith healers and primary health-care workers on psychosis outcomes in Nigeria and Ghana (COSIMPO): a cluster randomised controlled trial. Lancet. 2020;396(10251):612-22.
