Care-seeking practices for sick neonates: Findings from cross-sectional survey in 14 rural sub-districts of Bangladesh.
PLoS One
; 13(9): e0204902, 2018.
Article
em En
| MEDLINE
| ID: mdl-30261083
ABSTRACT
OBJECTIVES:
Neonatal deaths account for 45% of all under-five deaths globally and 60% in Bangladesh. This study aimed to investigate the most common symptoms and complications in neonates, care-seeking practices of the mothers for their sick neonates, and factors associated with the care-seeking practices.METHODS:
This cross-sectional study analysed data from an Endline Household Survey (as part of an evaluation of a paired cluster-randomised controlled trial study in 14 rural sub-districts in Bangladesh) of 2,931 women who gave birth recently. Descriptive analysis and logistic regressions were conducted to identify the care-seeking practices of mothers of sick neonates and the factors associated with the care-seeking from trained providers.RESULTS:
Of the 2868 neonates, 886 (30.9%) were reported ill during first 28 days after birth. For those with reported symptoms, 748 (84.4%) of their mothers sought care. Of those who sought care, 65.2% sought care from untrained providers. Multiple logistic regression analysis showed significantly higher odds of care-seeking from trained providers when neonates had 3 or more concurrent symptoms (OR 1.82; 95% CI 1.07-3.08); when mothers perceived their neonates' symptoms as severe (OR 4.08; 95% CI 2.92-5.70); when mothers received skilled care during pregnancy (OR 1.95; 95% CI 1.34-2.84); and when mothers had their delivery in a facility (OR 3.50; 95% CI 2.18-5.62). Mothers who delivered their babies at a facility, 43.1% of them sought care for their sick neonates at the same type of public hospital and 34.9% from same type of private hospitals where their deliveries took place.CONCLUSION:
Skilled care for mothers during pregnancy and delivery, and mothers' perceptions of the severity of symptoms are the key associated factors of care-seeking for sick neonates from trained providers. Interventions should be tailored to increase care from trained providers during pregnancy and delivery at facilities to improve care-seeking for neonates from trained providers and for the survival of neonates.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Infantil
/
Atenção à Saúde
/
Doenças do Recém-Nascido
/
Serviços de Saúde Materna
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
/
Pregnancy
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article