Dabere Nigatu1, Gedefaw Abeje1, Alemayehu G Mekonnen2, Muluken Azage3, Daniel Bogale4. 1. Department of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. 2. Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia. 3. Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. 4. Department of Public Health, College of Health Sciences, Arsi University, Asella, Ethiopia.
Abstract
BACKGROUND: Though skin-to-skin care (SSC) is becoming an important newborn care package at both facility and community levels in Ethiopia, there is a lack of evidence to monitor the progress at each level. Therefore, this study is aimed at quantifying the proportion of SSC at both national and regional levels and identifying factors that affect SSC uptake in Ethiopia. METHOD: We used the 2016 Ethiopia Demographic and Health Survey data. The survey employed a multistage cluster sampling method. We included 7,488 live births in the analysis. The factors influencing SSC practice were identified using a multivariable logistic regression model. We reported adjusted odds ratios (AORs) with 95% confidence intervals (CIs). RESULTS: In Ethiopia, 24.3% of mothers practiced SSC for their newborns (95% CI = 23.3, 25.2). The highest proportion was in Addis Ababa (63%), and the lowest was in the Somali region (14.5%). Attending 1-4 antenatal care (AOR = 1.51, 95%CI = [1.08, 2.12], giving birth at health facility (AOR = 4.51, 95%CI = [2.16, 9.44], and having female births (AOR = 1.24, 95%CI = [1.01, 1.54]) were associated with more odds of practicing SSC. However, giving birth by the cesarean section had resulted in lower odds of practicing SSC (AOR = 0.37, 95%CI = [0.22, 0.63]). Regions with reduced odds of SSC practice include Amhara (AOR = 0.57, 95%CI = [0.40, 0.82]), Somali (AOR = 0.51, 95%CI = [0.31, 0.83]), and Southern Nations, Nationalities, and People (AOR = 0.64, 95%CI = [0.43, 0.94]). CONCLUSIONS: The SSC practice was low in Ethiopia with a high level of variation between regions. In Ethiopia, maternal health service uptake affects the SSC of the newborns. Well-tailored community-level interventions are needed to increase skin-to-skin care practice among home delivery mothers.
BACKGROUND: Though skin-to-skin care (SSC) is becoming an important newborn care package at both facility and community levels in Ethiopia, there is a lack of evidence to monitor the progress at each level. Therefore, this study is aimed at quantifying the proportion of SSC at both national and regional levels and identifying factors that affect SSC uptake in Ethiopia. METHOD: We used the 2016 Ethiopia Demographic and Health Survey data. The survey employed a multistage cluster sampling method. We included 7,488 live births in the analysis. The factors influencing SSC practice were identified using a multivariable logistic regression model. We reported adjusted odds ratios (AORs) with 95% confidence intervals (CIs). RESULTS: In Ethiopia, 24.3% of mothers practiced SSC for their newborns (95% CI = 23.3, 25.2). The highest proportion was in Addis Ababa (63%), and the lowest was in the Somali region (14.5%). Attending 1-4 antenatal care (AOR = 1.51, 95%CI = [1.08, 2.12], giving birth at health facility (AOR = 4.51, 95%CI = [2.16, 9.44], and having female births (AOR = 1.24, 95%CI = [1.01, 1.54]) were associated with more odds of practicing SSC. However, giving birth by the cesarean section had resulted in lower odds of practicing SSC (AOR = 0.37, 95%CI = [0.22, 0.63]). Regions with reduced odds of SSC practice include Amhara (AOR = 0.57, 95%CI = [0.40, 0.82]), Somali (AOR = 0.51, 95%CI = [0.31, 0.83]), and Southern Nations, Nationalities, and People (AOR = 0.64, 95%CI = [0.43, 0.94]). CONCLUSIONS: The SSC practice was low in Ethiopia with a high level of variation between regions. In Ethiopia, maternal health service uptake affects the SSC of the newborns. Well-tailored community-level interventions are needed to increase skin-to-skin care practice among home delivery mothers.
Authors: Gabriel Seidman; Shalini Unnikrishnan; Emma Kenny; Scott Myslinski; Sarah Cairns-Smith; Brian Mulligan; Cyril Engmann Journal: PLoS One Date: 2015-05-20 Impact factor: 3.240
Authors: Aline Jelenkovic; Reijo Sund; Yoshie Yokoyama; Yoon-Mi Hur; Vilhelmina Ullemar; Catarina Almqvist; Patrik Ke Magnusson; Gonneke Willemsen; Meike Bartels; Catharina Em van Beijsterveldt; Leonie H Bogl; Kirsi H Pietiläinen; Eero Vuoksimaa; Fuling Ji; Feng Ning; Zengchang Pang; Tracy L Nelson; Keith E Whitfield; Esther Rebato; Clare H Llewellyn; Abigail Fisher; Gombojav Bayasgalan; Danshiitsoodol Narandalai; Morten Bjerregaard-Andersen; Henning Beck-Nielsen; Morten Sodemann; Adam D Tarnoki; David L Tarnoki; Syuichi Ooki; Maria A Stazi; Corrado Fagnani; Sonia Brescianini; Lise Dubois; Michel Boivin; Mara Brendgen; Ginette Dionne; Frank Vitaro; Tessa L Cutler; John L Hopper; Robert F Krueger; Matt McGue; Shandell Pahlen; Jeffrey M Craig; Richard Saffery; Claire Ma Haworth; Robert Plomin; Ariel Knafo-Noam; David Mankuta; Lior Abramson; S Alexandra Burt; Kelly L Klump; Robert F Vlietinck; Catherine A Derom; Ruth Jf Loos; Dorret I Boomsma; Thorkild I A Sørensen; Jaakko Kaprio; Karri Silventoinen Journal: Sci Rep Date: 2018-04-19 Impact factor: 4.379
Authors: Erik von Elm; Douglas G Altman; Matthias Egger; Stuart J Pocock; Peter C Gøtzsche; Jan P Vandenbroucke Journal: PLoS Med Date: 2007-10-16 Impact factor: 11.069
Authors: Jennifer A Callaghan-Koru; Abiy Seifu; Maya Tholandi; Joseph de Graft-Johnson; Ephrem Daniel; Barbara Rawlins; Bogale Worku; Abdullah H Baqui Journal: BMC Pediatr Date: 2013-12-01 Impact factor: 2.125