Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021

Background Non-institutional births remain prevalent in low- and middle-income countries, associated with a majority of adverse maternal and child health outcomes, including maternal and child mortality. Ensuring essential newborn care (ENC) practices for these non-institutional births is crucial fo...

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Main Authors: Shimlin Jahan Khanam, Mst. Fatema Begum, Md Badsha Alam, Md Awal Kabir, Md Nuruzzaman Khan
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2024.2412152
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author Shimlin Jahan Khanam
Mst. Fatema Begum
Md Badsha Alam
Md Awal Kabir
Md Nuruzzaman Khan
author_facet Shimlin Jahan Khanam
Mst. Fatema Begum
Md Badsha Alam
Md Awal Kabir
Md Nuruzzaman Khan
author_sort Shimlin Jahan Khanam
collection DOAJ
description Background Non-institutional births remain prevalent in low- and middle-income countries, associated with a majority of adverse maternal and child health outcomes, including maternal and child mortality. Ensuring essential newborn care (ENC) practices for these non-institutional births is crucial for reducing these adverse outcomes. This study aimed to identify the prevalence, and factors associated with the adoption of ENC practices among non-institutional births in urban Bangladesh. Methods A total of 2,165 children’s data were analyzed, extracted from the 35,186 ever-married women interviewed in the 2021 Bangladesh Urban Health Survey. Six ENC components and their level (lowest/none, moderate, and highest) were considered as the outcome variables. Several socio-demographic factors were considered as the explanatory variables. Multivariate binary and multinomial logistic regression model were used to explore the association between outcome and explanatory variables. Results Approximately 49% of all mothers reported practicing the highest level of ENC. Among the individual components, the highest adherence was observed for the use of a disinfected instrument to cut the umbilical cord (90%). The likelihood of adopting the highest level of ENC practices was higher among mothers with relatively higher education and wealth quintiles and lower among those residing in slum and other urban areas of city corporations compared to non-slum areas. Mothers living in the Khulna and Sylhet divisions had a lower likelihood of adopting the highest level of ENC practices. Conclusion Awareness building programs are needed to educate the population, particularly mothers, about the importance of practicing ENC for improving maternal and child health outcomes.
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spelling doaj-art-28312e0aad194603bf13ea7eec2865692025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24121522412152Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021Shimlin Jahan Khanam0Mst. Fatema Begum1Md Badsha Alam2Md Awal Kabir3Md Nuruzzaman Khan4Jatiya Kabi Kazi Nazrul Islam UniversityPabna University of Science and TechnologyJatiya Kabi Kazi Nazrul Islam UniversityPabna University of Science and TechnologyJatiya Kabi Kazi Nazrul Islam UniversityBackground Non-institutional births remain prevalent in low- and middle-income countries, associated with a majority of adverse maternal and child health outcomes, including maternal and child mortality. Ensuring essential newborn care (ENC) practices for these non-institutional births is crucial for reducing these adverse outcomes. This study aimed to identify the prevalence, and factors associated with the adoption of ENC practices among non-institutional births in urban Bangladesh. Methods A total of 2,165 children’s data were analyzed, extracted from the 35,186 ever-married women interviewed in the 2021 Bangladesh Urban Health Survey. Six ENC components and their level (lowest/none, moderate, and highest) were considered as the outcome variables. Several socio-demographic factors were considered as the explanatory variables. Multivariate binary and multinomial logistic regression model were used to explore the association between outcome and explanatory variables. Results Approximately 49% of all mothers reported practicing the highest level of ENC. Among the individual components, the highest adherence was observed for the use of a disinfected instrument to cut the umbilical cord (90%). The likelihood of adopting the highest level of ENC practices was higher among mothers with relatively higher education and wealth quintiles and lower among those residing in slum and other urban areas of city corporations compared to non-slum areas. Mothers living in the Khulna and Sylhet divisions had a lower likelihood of adopting the highest level of ENC practices. Conclusion Awareness building programs are needed to educate the population, particularly mothers, about the importance of practicing ENC for improving maternal and child health outcomes.http://dx.doi.org/10.1080/16549716.2024.2412152essential newborn care (enc)non-institutional birthsneonatal mortalityurban healthurban slum and non-slumbangladesh
spellingShingle Shimlin Jahan Khanam
Mst. Fatema Begum
Md Badsha Alam
Md Awal Kabir
Md Nuruzzaman Khan
Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
Global Health Action
essential newborn care (enc)
non-institutional births
neonatal mortality
urban health
urban slum and non-slum
bangladesh
title Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
title_full Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
title_fullStr Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
title_full_unstemmed Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
title_short Factors associated with essential newborn care practices among non-institutional births in urban Bangladesh: evidence from Bangladesh Urban Health Survey 2021
title_sort factors associated with essential newborn care practices among non institutional births in urban bangladesh evidence from bangladesh urban health survey 2021
topic essential newborn care (enc)
non-institutional births
neonatal mortality
urban health
urban slum and non-slum
bangladesh
url http://dx.doi.org/10.1080/16549716.2024.2412152
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