RESUMO
Purpose: Globally, the cord care practices contribute to neonatal infections and account for a large proportion of neonatal deaths annually, especially in low-income countries. This study has been provoked by the absence of previous similar research in this locality. The study aimed at exploring and highlighting the factors and practices in the community that influence umbilical cord care to identify the areas of intervention. Methods: This was a cross-sectional study conducted among mothers of neonates in Edaga Hamus community who had given birth a month prior to the study. The research team prepared a questionnaire used for data collection on a face-to-face interview, which lasted for 15 minutes for each participant. SPSS version 22 was used for quantitative analyses. Descriptive statistics were presented in frequencies and percentages, and bivariate correlations were used to analyze the association between independent and dependent variables. Results: One hundred and seventy-five women participated in this study, with an age range of (19 to 43) years (28.5 ± 5.1 years) of whom (84.5%) used the dry care method, whereas (19%) of the total cord infections were related to different traditional practices. A higher proportion of women (90%) expressed fear and depression once the cord became infected. A greater number of women followed the advice given by nurses, and this finding was significant (p value = 0.008). Conclusion: Majority of the participants in this study acknowledged the importance of using the dry care method as recommended by World Health Organization. Those neonates whose cords were exposed to unwarranted practices had delayed detachment. This study confirmed that health promotion in cord care practices should involve family members and the community to achieve successful outcomes.
RESUMO
INTRODUCTION: Globally, a large number of under-five deaths have occurred from preventable and treatable common childhood illnesses. Therefore, early identification of general danger signs of common childhood illnesses and adhering to appropriate treatment helps to reduce morbidity and mortality. This study aimed to assess the knowledge of mothers and associated factors on general danger signs of common childhood illnesses of under-five children in Central Tigrai, Ethiopia. METHODS: A community-based cross-sectional study design was employed from February to March 2017. A total of 416 study participants were finally enrolled in the study using simple random sampling technique. A pretested and structured interviewer-based questionnaire was used. Data were entered, coded and analysed using SPSS 22.0. Multivariable logistic regression was used to control the effect of confounders. RESULTS: In this study, 44.7% of the mothers had good knowledge of the general danger signs of common childhood illnesses. Mothers' educational status (AOR=1.93, 95%CI=1.09-3.44, p=0.025), occupation of mothers (AOR=5.94, 95%CI=3.17-11.12, p≤0.001), childbirth order (AOR=1.85, 95%CI=1.00-3.40, p=0.005) and source of information (AOR=2.19, 95%CI=1.23-3.87, p=0.007) were significantly associated with knowledge of mothers on general danger signs of common childhood illnesses. CONCLUSIONS: Maternal knowledge of general danger signs of common childhood illnesses was low. Therefore, intervention modalities focusing on improving the educational level, behavioural change communication activities, and access of mothers to health visits are needed.
