Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study
BackgroundHarmful substance-related infections that cause neonatal deaths on the umbilical stump continue to be a major cause of worry, accounting for a large portion of the yearly mortality toll in developing nations such as Ethiopia. In our study region, there is, however, little data regarding th...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1492222/full |
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| author | Misgana Seifu Sultan Hassen Mekdim Kassa Yosef Haile Zeleke Girma Temesgen Mohammed Toma Agune Ashole Mintesinot Melka Gujo Wondimagegn Taye Dema Aleme Mekuriya Endashaw Shibru |
| author_facet | Misgana Seifu Sultan Hassen Mekdim Kassa Yosef Haile Zeleke Girma Temesgen Mohammed Toma Agune Ashole Mintesinot Melka Gujo Wondimagegn Taye Dema Aleme Mekuriya Endashaw Shibru |
| author_sort | Misgana Seifu |
| collection | DOAJ |
| description | BackgroundHarmful substance-related infections that cause neonatal deaths on the umbilical stump continue to be a major cause of worry, accounting for a large portion of the yearly mortality toll in developing nations such as Ethiopia. In our study region, there is, however, little data regarding these issues. In Chencha town, Southern Ethiopia, mothers who gave birth in the last six months were the subjects of this study.MethodsA community-based cross-sectional mixed study design was conducted among mothers who gave birth within the past six months, from April to May 2023. Quantitative data was collected through structured interview questionnaires from 312 randomly selected mothers. The collected data was coded, cleaned, and entered into Epi-info version 7.2.5.0, and analyzed using SPSS version 26. Binary logistic regression analysis was used to identify associated factors, and the strength of association was measured by odds ratios with a 95% confidence interval at a p-value of <0.05. The audio-recorded qualitative data were transcribed in Amharic language and then translated into English and entered into Open Code software version 3.6.2 for analysis using the thematic content analysis method.ResultsHarmful newborn cord care practice was prevalent among 55.8% (95% CI: 50.1, 61.4) of the mothers. Factors such as husband's educational status (AOR = 3.09, 95% CI: 1.11, 8.67), communication on cord care within the community (AOR = 10.24, 95% CI: 5.44, 19.28), and discussions with health workers regarding cord care (AOR = 7.26, 95% CI: 3.59, 14.64) demonstrated significant associations with harmful newborn cord care practice (p < 0.05). In the qualitative analysis, four themes emerged such as substance applied (butter, Vaseline, and ointment). The reasons for application were moisturizing the cord, facilitating its separation, and promoting its healing. The sources of advice on cord care were relatives, neighbors, and HCW.ConclusionThis study revealed that harmful newborn cord care practice was prevalent among 55.8% [95% CI (50.1, 61.4)] of mothers who gave birth in the last six months. The present study identified husbands' educational status, exposure to cord care messages through interpersonal communication in the community, and mothers who didn't ever engage in discussion with health workers about cord care as significant factors. |
| format | Article |
| id | doaj-art-dad8220cebc9410a844798e2926b8af9 |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-dad8220cebc9410a844798e2926b8af92025-01-28T06:40:56ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14922221492222Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods studyMisgana Seifu0Sultan Hassen1Mekdim Kassa2Yosef Haile3Zeleke Girma4Temesgen Mohammed Toma5Agune Ashole6Mintesinot Melka Gujo7Wondimagegn Taye Dema8Aleme Mekuriya9Endashaw Shibru10Chencha Woreda Health Office, Chencha, Gamo Zone, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, EthiopiaCollege of Medicine and Health Sciences, School of Public Health, Arba Minch University, Arba Minch, EthiopiaSouth Ethiopia Region Health Bureau Public Health Institute, Regional Data Management Center, Jinka, EthiopiaSouth Ethiopia Region Health Bureau Public Health Institute, Jinka, EthiopiaSouth Ethiopia Region Health Bureau Public Health Institute, Jinka, EthiopiaSouth Ethiopia Region Health Bureau Public Health Institute, Jinka, EthiopiaSouth Ethiopia Region Health Bureau Public Health Institute, Jinka, EthiopiaArbaminch College of Health Sciences, Arbaminch, EthiopiaSouth Ethiopia Region Health Bureau, Jinka, EthiopiaBackgroundHarmful substance-related infections that cause neonatal deaths on the umbilical stump continue to be a major cause of worry, accounting for a large portion of the yearly mortality toll in developing nations such as Ethiopia. In our study region, there is, however, little data regarding these issues. In Chencha town, Southern Ethiopia, mothers who gave birth in the last six months were the subjects of this study.MethodsA community-based cross-sectional mixed study design was conducted among mothers who gave birth within the past six months, from April to May 2023. Quantitative data was collected through structured interview questionnaires from 312 randomly selected mothers. The collected data was coded, cleaned, and entered into Epi-info version 7.2.5.0, and analyzed using SPSS version 26. Binary logistic regression analysis was used to identify associated factors, and the strength of association was measured by odds ratios with a 95% confidence interval at a p-value of <0.05. The audio-recorded qualitative data were transcribed in Amharic language and then translated into English and entered into Open Code software version 3.6.2 for analysis using the thematic content analysis method.ResultsHarmful newborn cord care practice was prevalent among 55.8% (95% CI: 50.1, 61.4) of the mothers. Factors such as husband's educational status (AOR = 3.09, 95% CI: 1.11, 8.67), communication on cord care within the community (AOR = 10.24, 95% CI: 5.44, 19.28), and discussions with health workers regarding cord care (AOR = 7.26, 95% CI: 3.59, 14.64) demonstrated significant associations with harmful newborn cord care practice (p < 0.05). In the qualitative analysis, four themes emerged such as substance applied (butter, Vaseline, and ointment). The reasons for application were moisturizing the cord, facilitating its separation, and promoting its healing. The sources of advice on cord care were relatives, neighbors, and HCW.ConclusionThis study revealed that harmful newborn cord care practice was prevalent among 55.8% [95% CI (50.1, 61.4)] of mothers who gave birth in the last six months. The present study identified husbands' educational status, exposure to cord care messages through interpersonal communication in the community, and mothers who didn't ever engage in discussion with health workers about cord care as significant factors.https://www.frontiersin.org/articles/10.3389/fped.2024.1492222/fullnewborn cord carepracticeassociated factorschencha townSouthern Ethiopia |
| spellingShingle | Misgana Seifu Sultan Hassen Mekdim Kassa Yosef Haile Zeleke Girma Temesgen Mohammed Toma Agune Ashole Mintesinot Melka Gujo Wondimagegn Taye Dema Aleme Mekuriya Endashaw Shibru Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study Frontiers in Pediatrics newborn cord care practice associated factors chencha town Southern Ethiopia |
| title | Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study |
| title_full | Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study |
| title_fullStr | Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study |
| title_full_unstemmed | Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study |
| title_short | Harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in Chencha town, Southern Ethiopia: a mixed-methods study |
| title_sort | harmful newborn cord care practices and associated factors among mothers who gave birth in the last six months in chencha town southern ethiopia a mixed methods study |
| topic | newborn cord care practice associated factors chencha town Southern Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1492222/full |
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