Abstract
Neonatal mortality remains high in Zambia and is declining slower than infant and under five mortality. Improved adoption of essential newborn care (ENC) could help mitigate this situation. To determine the adoption of ENC practices in Zambia, cross-sectional data was used to assess ENC practices including baby kept warm, umbilical cord care and breastfeeding. Chi-square was used to assess whether maternal and social demographic factors were related to ENC. Households surveyed were 12,507, which included 5,741 women with children under two years. Findings show that 95.4% of babies were dried immediately after birth, 96.5% wrapped in a cloth/blanket, 76.7% put on mother’s torso and 68.5% head covered (51.6% for all four). Eightyfive- point six percent of baby’s cords were cut with a sharp and clean instrument, 46% cord kept dry and 42.1% cord kept clean (31.2% for all three). Ninety-six-point nine percent of babies were breastfed, 89.3% were initiated within one hour and 93% exclusively breastfed for the first 3 days post-delivery (82% for all three). Babies kept warm were associated with skilled birth attendance (SBA) and province, umbilical cord care with SBA, >4 antenatal care (ANC) visits, marital status and province, and breastfeeding with >4 ANC visits, marital status and province. Early and exclusive breastfeeding is widely practiced. However, appropriate thermal and cord care practices are low. There is need for a scale-up of appropriate newborn care practices in Zambia and SBA could play an important role in this regard.
Subject
Public Health, Environmental and Occupational Health
Reference23 articles.
1. World Health Organization. Newborns: improving survival and well-being: Key Facts [Internet]. [cited 2021 Jul 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality
2. Zambia Statistics Agency - ZSA, Ministry of Health - MOH, University Teaching Hospital Virology Laboratory - UTH-VL, ICF. Zambia Demographic and Health Survey 2018 [Internet]. Lusaka, Zambia: ZSA, MOH, UTH-VL and ICF; 2020. Available from: https://www.dhsprogram.com/pubs/pdf/FR361/FR361.pdf
3. Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. The lancet. 2012;379(9832):2151–61.
4. Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? The Lancet. 2014 Jul 26;384(9940):347–70.
5. Seward N, Osrin D, Li L, Costello A, Pulkki-Brännström A-M, Houweling TAJ, et al. Association between Clean Delivery Kit Use, Clean Delivery Practices, and Neonatal Survival: Pooled Analysis of Data from Three Sites in South Asia. PLOS Med. 2012 Feb 28;9(2):e1001180.