DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211215

Determinants of knowledge and practices of postnatal mothers on essential newborn care in a selected area of rural Haryana

Mangi Lal Choudhary, Poonam Joshi, L. Levis Murry, Sumit Malhotra, M. Jeeva Sankar

Abstract


Background: Knowledge and practices of postnatal mothers is very crucial in providing care to newborns. Aim was to assess determinants of the knowledge and practices of postnatal mothers on essential newborn care.

Methods: A community based cross-sectional study was conducted among 150 postnatal mother - neonate dyads in one of the selected Primary Health Centres (PHC) of rural Haryana. A self-developed, pre-tested and validated structured interview schedule containing socio-demographic, clinical profile information and a knowledge and practice questionnaires (α-0.79, 0.86) having 38 multiple choice questions (MCQs) and 28 items respectively were used for data collection covering various aspects of essential newborn care such as thermal care, breastfeeding, cord care, eye care, handwashing, and danger signs.

Results: More than half (52%) of the postnatal mothers had moderate knowledge and 76.7% of postnatal mothers reported of adequate practices. Gaps were identified in terms of knowledge and practices in the domains of thermal control, breastfeeding, cord care and eye care. Overall knowledge and practice scores of postnatal mothers were positively correlated (r =0.71, p<0.001). Significant association was observed between the overall practice scores and socio-demographic variables of postnatal mothers such as religion [AOR] (4.96 95%CI; 1.21-20.2), level of education (47.5 95%CI; 2.8-820.2), socio-economic status (16.9 95%CI; 0.9-288.4).

Conclusions: Some gaps were observed in the adopting safe practices in the domains of thermal control, breastfeeding, cord care and eye care among the postnatal mothers; necessitating need for education, reinforcement and dispelling the cultural beliefs.

 


Keywords


Essential newborn care, Knowledge, Postnatal mother, Practices

Full Text:

PDF

References


Liu L, Chu Y, Oza S, Hogan D, Perin J, Bassani DG, et al. National, regional, and state-level all-cause and cause-specific under-5 mortality in India in 2000–15: a systematic analysis with implications for the Sustainable Development Goals. Lancet Glob Health. 2019;7(6):e721-34.

Kumar S, Kumar N, Vivekadhish S. Millennium Development Goals (MDGs) to Sustainable Development Goals (SDGs): Addressing Unfinished Agenda and Strengthening Sustainable Development and Partnership. Indian J Community Med. 2016;41(1):1-4.

World Health Organization, Department of Maternal N Child and Adolescent Health. WHO recommendations on postnatal care of the mother and newborn 2013 Available from: http://www.ncbi. nlm.nih.gov/books/NBK190086/.

Upadhyay RP, Singh B, Rai SK, Anand K. Role of Cultural Beliefs in Influencing Selected Newborn Care Practices in Rural Haryana. J Tropical Pediatr. 2012;58(5):406-8.

Willis JR, Kumar V, Mohanty S, Singh P, Singh V, Baqui AH, et al. Gender Differences in Perception and Care-seeking for Illness of Newborns in Rural Uttar Pradesh, India. J Health Popul Nutr. 2009;27(1):62-71.

Baqui AH, Williams EK, Darmstadt GL, Kumar V, Kiran TU, Panwar D, et al. Newborn care in rural Uttar Pradesh. Indian J Pediatr. 2007;74(3):241-7.

Kamath SP, Garg D, Khan MK, Jain A, Baliga BS. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India [Internet]. Scientifica. 2016. Available from: https://www.hindawi.com/journals/scientifica/2016/5430164/.

Annual report 19-e-20-1-20.pdf. Available from: https://aiims.edu/images/pdf/annual_reports/annual%20report19-e-20-1-20.pdf.

Mohini H, Shetty S. A study to assess the knowledge of mothers on home based neonatal care at selected area of rural Bangalore. International J Community Medicine and Public Health. 2017;4(5):1695-700.

Mani C, Lal PK, Kumar L. Cross sectional study on newborn care practices in a rural area. International Journal of Community Medicine and Public Health. 2019;6(3):1000.

Vijayalakshmi S, Patil R, Datta SS. Community-based study on newborn care practices and its determinants in rural Pondicherry, India. J Neonatal Biol. 2014;3(5):1-5.

Sharma H, Goel AD, Gosain M, Amarchand R, Kapoor SK, Kumar A, et al. Community healthcare professional visits are important determinants of knowledge and practices regarding newborn care among mothers. Journal of Natural Science, Biol Medic. 2018;9(2):159.

Osrin D, Tumbahangphe KM, Shrestha D, Mesko N, Shrestha BP, Manandhar MK, et al. Cross sectional, community based study of care of newborn infants in Nepal. BMJ. 2002;325(7372):1063.

Fikree FF, Ali TS, Durocher JM, Rahbar MH. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Soc Sci Med. 2005;60(5):911-21.

Holman DJ, Grimes MA. Colostrum feeding behaviour and initiation of breast-feeding in rural Bangladesh. J Biosoc Sci. 2001;33(1):139-54.

Coffey PS, Brown SC. Umbilical cord-care practices in low- and middle-income countries: a systematic review. BMC Pregnancy Childbirth. 2017;17(1):68.

Saaka M, Iddrisu M. Patterns and Determinants of Essential Newborn Care Practices in Rural Areas of Northern Ghana. International J Population Res. 2014;2014:1-10.

Baqui AH, Williams EK, Darmstadt GL, Kumar V, Kiran TU, Panwar D, et al. Newborn care in rural Uttar Pradesh. Indian J Pediatr. 2007;74(3):241-7.

Sinha LN, Kaur P, Gupta R, Dalpath S, Goyal V, Murhekar M. Newborn care practices and home-based postnatal newborn care programme – Mewat, Haryana, India, 2013. Western Pac Surveill Response J. 2014;5(3):22-9.