KNOWLEDGE OF GOVERNMENT AND PRIVATE PRIMARY HEALTH CARE WORKERS ON NEWBORN CARE COMPONENTS: A QUESTIONNAIRE-BASED CROSS-SECTIONAL COMPARATIVE STUDY

  • Pandiamunian Jayabal Vinayaka Mission's Medical College & Hospitals, VMU, Karaikal.
  • Ishwarya Thaniarasu Consultant Paediatrician, Leonard hospital, Batlagundu, Tamilnadu.

Abstract

ABSTRACT
Objective: This study was done to evaluate the knowledge of primary health-care workers about the newborn care components.
Methods: The Institutional Ethics Committee approval was obtained, and a cross-sectional study was carried out among the primary health-care
workers of Karaikal using a pretested questionnaire from January 2015 to March 2015. The questionnaire contained questions on various domains of
newborn care components. The study participants were explained about the study. Verbal informed consent was obtained, and the questionnaire was
introduced to 383 health-care workers. The answered questionnaires were collected and analyzed.
Results: A total of 349 participants (192-government employees; 157-private employees) were willing to take part in the study. Most (54.7%) of the
government participants were nurses and auxiliary nurse midwives (43.2%) whereas the private sector participants were predominantly (79%)
nurses. The knowledge level about some of the newborn care components, namely, positioning and attachment, advice on discharge, time of follow-up
checkup, bad child rearing practices, and danger signs of newborn were assessed to be predominantly inadequate among a majority of health workers
of both sectors. 22.29% and 41.1% of the private health-care workers and government health-care workers respectively, were having an overall
adequate knowledge (overall score >75%) on newborn care components. Knowledge of the government health workers was significantly better than
private health-care staff (P < 0.001).
Conclusion: Knowledge is found to be inadequate among health-care workers on some newborn care components which necessitate measures to
improve.
Keywords: Newborn care, Nurses, Midwives, Inadequate knowledge, Training programs.

 

Author Biography

Pandiamunian Jayabal, Vinayaka Mission's Medical College & Hospitals, VMU, Karaikal.
Assistant Professor, Department of Pharmacology

References

REFERENCES
1. Lawn JE, Zupan J, Begkoyian G, Knippenberg R. Newborn survival. In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, et al., editors. Disease Control Priorities in Developing Countries. 2nd ed. Ch. 27. Washington, DC: The International Bank for Reconstruction and Development/The World Bank; Oxford University Press; 2006.
2. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L; Lancet Neonatal Survival Steering Team. Evidence-based, cost-effective interventions: How many newborn babies can we save? Lancet 2005;365(9463):977-88.
3. Martines J, Paul VK, Bhutta ZA, Koblinsky M, Soucat A, Walker N, et al. Neonatal survival: A call for action. Lancet 2005;365(9465):1189-97.
4. Agrawal PK, Agrawal S, Ahmed S, Darmstadt GL, Williams EK, Rosen HE, et al. Effect of knowledge of community health workers on essential newborn health care: a study from rural India. Health Policy Plan 2012;27(2):115-26.
5. Sinha LN, Kau P, Gupta R, Dalpath S, Goyal V, Murhekar M. Newborn care practices and home-based postnatal newborn care programme-Mewat, Haryana, India, 2013. Western Pac Surveill Response J 2013;5(3):1-8.
6. Osrin D, Tumbahangphe KM, Shrestha D, Mesko N, Shrestha BP, Manandhar MK, et al. Cross sectional, community based study of care of newborn infants in Nepal. BMJ 2002;325(7372):1063.
7. Moran AC, Choudhury N, Uz Zaman Khan N, Ahsan Karar Z, Wahed T, Faiz Rashid S, et al. Newborn care practices among slum dwellers in Dhaka, Bangladesh: A quantitativeand qualitative exploratory study. BMC Pregnancy Childbirth 2009;9:54.
8. Fikree FF, Ali TS, Durocher JM, Rahbar MH. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Soc Sci Med 2005;60(5):911-21.
9. McCall EM, Alderdice F, Halliday HL, Jenkins JG, Vohra S. Interventions to prevent hypothermia at birth in preterm and/or low birthweight infants. Cochrane Database Syst Rev 2010;3:CD004210.
10. Rahi M, Taneja DK, Misra A, Mathur NB, Badhan S. Newborn care practices in an urban slum of Delhi. Indian J Med Sci 2006;60(12):506-13.
11. Al-Binali A. Knowledge, attitude and practice of breast-feeding among female health care workers in tertiary care hospitals. Med J Cairo Univ 2012;80(1):159-64.
12. Spear HJ. Nurses attitude, knowledge and belief related to the promotion of breastfeeding among women who bear children during adolescence. J Pediatr Nurs 2004;19(3):176-83.
13. Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A study of knowledge, attitude and practices on immunization of childrenin urban slums of Bijapur city, Karnataka, India. J Clin Diagn Res 2013;7(12):2803-6.
14. Awasthi S, Tuhina V, Monica A. Danger signs of neonatal illnesses: Perceptions of caregivers and health workers in Northern India. Bull World Health Organ 2006;84(10):819-26.
15. Ayiasi RM, Criel B, Orach CG, Nabiwemba E, Kolsteren P. Primary healthcare worker knowledge related to prenatal and immediate newborn care: A cross sectional study in Masindi, Uganda. BMC Health Serv Res 2014;14:65.
16. WHO. Children: Reducing Mortality. WHO. Available from: http://www.who.int/mediacentre/factsheets/fs178/en. [Last cited on 2016 Mar 18].
Statistics
202 Views | 257 Downloads
Citatons
How to Cite
Jayabal, P., and I. Thaniarasu. “KNOWLEDGE OF GOVERNMENT AND PRIVATE PRIMARY HEALTH CARE WORKERS ON NEWBORN CARE COMPONENTS: A QUESTIONNAIRE-BASED CROSS-SECTIONAL COMPARATIVE STUDY”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 3, Mar. 2017, pp. 318-22, doi:10.22159/ajpcr.2017.v10i3.16219.
Section
Original Article(s)