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Original Research

Knowledge of Neonatal Danger Signs and Associated Factors Among Mothers of <6 Months Old Child in Dire Dawa, Ethiopia: A Community Based Cross-Sectional Study

ORCID Icon, , & ORCID Icon
Pages 539-548 | Published online: 24 Jul 2020
 

Abstract

Introduction

Neonatal mortality is one of the challenging issues in current global health. Globally, about 2.5 million children die in the first month of life, out of which Sub-Saharan Africa accounts >40% per annual. Currently, the neonatal mortality rate in Ethiopia is 30/1000 live births. In the study area, there was a limitation of data on mothers’ knowledge towards neonatal danger signs. Therefore, this study aimed to assess mothers’ knowledge of neonatal danger signs and associated factors.

Patients and Methods

A community-based cross-sectional design study was conducted in Dire Dawa from March 01/2019 to April 30/2019. Data were collected from 699 randomly selected mothers through a face-to-face interview. Bivariate logistic regression with p-value <0.25 was entered into the multivariable logistic regression analysis. Finally, AOR with 95% confidence intervals at P-value <0.05 was considered a significant association with the outcome variable.

Results

About 285 (40.8%) (95% CI: 37.3–44.3) of mothers had good knowledge of neonatal danger signs, and 97.1% (95% CI: 94.1, 99.3) of mothers sought medical care at a health facility. Mothers who were governmental employed (AOR = 2.14, 95% CI: 1.17–3.9), whose fathers’ educational level is secondary or above (AOR=2.3, 95% CI: 1.18–4.49), four/more antenatal care visit (AOR=4.3, 95% CI: 1.5–12.3), whose baby developed danger signs (AOR=3.5, 95% CI: 2.13–5.73), and those mothers received education on neonatal danger sign (AOR=7, 95% CI: 4.2–11.5), had a significant association with knowledge of neonatal danger signs.

Conclusion

Maternal knowledge toward neonatal danger signs was low and a high number of mothers sought medical care at a health facility. Mother’s occupation, fathers’ education, development of neonatal danger signs, frequency of antenatal care visit, and received health education on neonatal danger signs were factors associated with mothers’ knowledge towards neonatal danger signs.

Abbreviations

ANC, Antenatal Care; NDSs, Neonatal Danger Signs; PNC, Postnatal Care; WHO, World Health Organization.

Data Sharing Statement

All related data has been presented within the manuscript. The data set supporting the conclusions of this article is available from the corresponding Author (Yitagesu Sintayehu) upon reasonable request.

Acknowledgment

First and for most, we would like to thanks Dire Dawa University Research and Technology Interchange and the College of Medicine and Health Sciences for providing us with the opportunity to conduct this research. Secondly, we would like to thanks all data collectors and supervisors for their valuable contribution by collecting and facilitating data collection. Also, we would like to thanks study participants to participate in this study.

Author Contributions

All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; agreed to submit to the current journal; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.

Disclosure

The authors declare that they have no conflicts of interest in this work.