Submission ID 117533
| Issue/Objective | A neonate is an infant from the time of birth to one month of age. The first 28 days of life for a child is the most critical time for the survival of the neonate and the highest risk of dying. Therefore, the study aims to assess knowledge of neonatal danger signs and associated factors among husbands of Mothers who gave birth in the last 5 months in Kembata-Tembaro Zone, South Nation Nationality People Region, and Ethiopia. Methods: A community-based cross-sectional study was conducted among 612 husbands whose wives gave birth in the last 5 months in Kembata-Tembaro zone. A multi-stage sampling technique was used. Data was collected using pre-tested and structured questionnaires by face-to-face interview, and it was coded, checked, and entered into Epi data version 3.1 then exported to SPSS version 25 for further analysis. Bivariable analysis with a 95% Confidence level was carried out, then Variables with 95% confidence interval and P-value < 0.25 during the bivariable analysis was entered into multivariable analysis to see the neat effect of confounding variables, and those variables P-value less than 0.05 was considered as statistically significant. Result: The study was conducted among a total of 588 study participants in the study, making the response rate 96%. The overall magnitude of husbands' knowledge about their neonatal danger signs in this study was 26% (95%; CI: 22.0, 29.5). The factors significantly associated with husbands knowledge were history of last baby sick [AOR: 2.10, 95%; CI: 1.16, 3.72], number of children [AOR: 7.90, 95%; CI: 3.27, 19.09], collage and above level of education [AOR: 2.14, 95%; CI: 1.02, 4.48], government employee [AOR: 2.35, 95%; CI: 1.26, 4.40], urban resindece [AOR: 2.57, 95%; CI: 1.52, 4.34] and husbands support his wife during PNC [AOR: 3.13, 95%; CI: 1.77, 5.51]. Conclusion and Recommendation: The magnitude of husbands' knowledge about neonatal danger signs was low. Neonatal death, number of children, level of education, occupation, residence, and husbands' support of his wife during PNC were significantly associated with husbands' knowledge status. So, a better intervention is needed to increase the level of knowledge of husbands. |
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| Methodology/Approach | A community-based cross-sectional study was conducted among 612 husbands whose wives gave birth in the last 5 months in the Kembata-Tembaro zone. A multi-stage sampling technique was used. Data was collected using pre-tested and structured questionnaires by face-to-face interview, and it was coded, checked, and entered into Epi data version 3.1 then exported to SPSS version 25 for further analysis. Bivariable analysis with a 95% Confidence level was carried out, then Variables with 95% confidence interval and P-value < 0.25 during the bivariable analysis was entered into multivariable analysis to see the neat effect of confounding variables, and those variables P-value less than 0.05 was considered as statistically significant. |
| Results | The study was conducted among a total of 588 participants, making the response rate 96%. The overall magnitude of husbands' knowledge about their neonatal danger signs in this study was 26% (95%; CI: 22.0, 29.5). The factors significantly associated with husbands knowledge were history of last baby sick [AOR: 2.10, 95%; CI: 1.16, 3.72], number of children [AOR: 7.90, 95%; CI: 3.27, 19.09], collage and above level of education [AOR: 2.14, 95%; CI: 1.02, 4.48], government employee [AOR: 2.35, 95%; CI: 1.26, 4.40], urban resindece [AOR: 2.57, 95%; CI: 1.52, 4.34] and husbands support his wife during PNC [AOR: 3.13, 95%; CI: 1.77, 5.51]. |
| Discussion/Conclusion | The overall magnitude of husbands' knowledge about their neonatal danger signs in this study was 26% (95%; CI: 22.0, 29.5), which is in line with the study in East Gojjam, Northwest Ethiopia, at 26.2% [29]. However, lower than the study conducted in southern Ethiopia 40.7% [10], in Southeastern Ethiopia 50.2% [6], in Eastern Ethiopia 40.8% [8], in Northwest Ethiopia 36.5% [30], in Southwest Ethiopia 39% [31], in Rwanda 67% [20], in Saudi arebia 37% [32], in Rural bangladish 51.4% [19] and in Pakistan 31% [17]. The discrepancy might be due to the cut point of a scoring system to determine the good knowledge of study participants. This study used the scoring system of Bloom's cut-off point to classify the knowledge of respondents as good knowledge ≥ 60% and poor knowledge < 60%, while most of the reference studies used the mean scoring system≥ 50% good knowledge and < 50% poor knowledge. The difference is also due to the study population difference. This study determined the knowledge of husbands, while most of the reference studies determined maternal knowledge. Mothers are closer to their neonates than their husbands, and due to this closeness, mothers had better knowledge about neonatal danger signs. This finding is higher than the study done in northwest Ethiopia 11.0% [22], in northern Ethiopia 18.2% [33], in Keneya 15.5% [34], and in southwest China 18.1% [16]. The discrepancy might be due to methodological differences like study population and study setting difference, time variation, and the availability and accessibility of health services infrastructures increase from time to time. In Ethiopia, there are health extension workers available in each kebele, including the countrysides of Ethiopia. They make efforts to create awareness about health problems, including neonatal danger signs in the catachment areas. |
| Presenters and affiliations | Melese Gabure Dr.Bogalech Gebre Memorial General Hospital Melese Gabure Dr.Bogalech Gebre Memorial General Hospital |
