Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses in Public Health Institutions in Eastern Ethiopia

Figures & data

Table 1 Socio-Demographic Characteristics of a Study Conducted on Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses Working in the Public Health Institutions in Eastern Ethiopia, 2018 [n = 427]

Variable	Frequency (n)	Percent (%)
Age
15–24	116	27.2
25–34	253	59.3
35–49	42	9.8
50–61	16	3.7
Sex
Female	258	60.4
Male	169	39.6
Marital status
Never married	171	40.0
Married	245	57.4
Divorced/Separated	11	2.6
Religion
Orthodox	200	46.8
Muslim	179	42.0
Protestant	48	11.2
Profession
Midwifery	142	33.3
Nurse	285	66.7
Level of education
Diploma	135	31.6
BSc and above	292	68.4
Experience in complete years
1–5	263	61.6
6–10	114	26.7
≥11	50	11.7
Current practicing unit
Obstetrics and MCH	290	67.9
Pediatrics and neonatal	137	32.1

Abbreviations: BSc, Bachelor of Sciences; MCH, maternal and child health.

Figure 1 Exposure of a study conducted on knowledge of basic neonatal resuscitation among midwives and nurses working in the public health institutions in Eastern Ethiopia, 2018 [n = 427].

Figure 2 Level of knowledge of a study conducted on knowledge of basic neonatal resuscitation and associated factors among midwives and nurses working in the public health institutions, in Eastern Ethiopia, 2018 [n=427].

Table 2 Provider Knowledge: Percent of Providers Who Gave Correct Responses to Each Knowledge Questions Items on Newborn Resuscitation [427]

Questions and Correct Response	Frequency (n)	Percentage (%)
How would you diagnose birth asphyxia?
Depressed breathing	407	95.3
Heart rate below 100 beats per minutes	114	26.7
Floppiness	143	33.5
Central cyanosis (blue tongue)	333	78
What are the preliminary steps of newborn resuscitation? Tell me in a sequential order
Call for help	24	5.6
Explain to mother condition of baby	28	6.6
Place newborn face up	295	69.1
Wrap or cover baby, except face and upper portion of chest	196	45.9
Position head so neck is slightly extended	287	67.2
Aspirate mouth then nose	344	80.6
Check the ambu-bag to be functional	247	57.8
Start ventilation using bag and mask	341	79.9
Were the steps mentioned in sequential order?
Yes	27	6.3
What do you do when resuscitating with a bag and mask or tube and mask?
Place mask to cover chin, mouth and nose	303	71
Ensure seal between mask and face	233	54.6
Ventilate 1 or 2 times and see if chest is rising	242	56.7
Ventilate 40 times per minute for 1 minute	113	26.5
Pause to determine whether baby is breathing spontaneously	283	66.3
What do you do if the baby is breathing and there is no sign of respiratory difficulty?
Keep baby warm	264	61.8
Initiate breastfeeding	365	85.5
Continue monitoring the baby	227	53.2
What do you do if the baby does not begin breathing, breathing is < 30/minute, or if there is intercostal retraction or grunting?
Continue to ventilate	166	38.9
Administer oxygen, if available	257	60.2
Assess the need for special care	203	47.5
Explain to mother what is happening	39	9.1
Refer the baby to higher level care service	375	87.8

Table 3 Bivariate and Multivariate Analysis of a Study Conducted on Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses Working in the Public Health Institutions, in Eastern Ethiopia, 2018 [n = 427]

Variables	Good Knowledge	Poor Knowledge	COR	AOR	p-value
Administrative office
Dire Dawa health facility	17 (13.4)	110 (86.6)	1	1
Harari health facility	8 (7.5)	99 (92.5)	0.52 (0.22, 1.27)	0.58 (0.22, 1.56)	0.284
East Hararge health facility	11 (11.1)	88 (88.9)	0.81 (0.36, 1.82)	0.70 (0.27, 1.77)	0.447
West Hararge health facility	6 (6.4)	88 (93.6)	0.44 (0.17, 1.17)	0.30 (0.10, 0.88)*	0.029
Marital status
Married	19 (7.4)	237 (92.6)	1	1
Never married	23 (13.5)	148 (86.5)	1.94 (1.10, 3.68)	2.36 (1.11, 5.02)*	0.026
Profession
Nurse	15 (5.3)	270 (94.7)	1	1
Midwifery	27 (19)	115 (81)	4.23 (2.17, 8.24)	2.06 (0.35, 12.12)	0.422
Level of education
Diploma	8 (5.9)	127 (94.1)	1	1
BSc and above	34 (11.6)	258 (88.4)	2.09 (0.94, 4.65)	2.67 (1.11, 6.47)*	0.029
Newborn resuscitation training
No	17 (5.3)	303 (94.7)	1	1
Yes	25 (23.4)	82 (76.6)	5.43 (2.80, 10.54)	3.79 (1.73, 8.32)*	0.001
Ever done NR
No	8 (3.6)	217 (96.4)	1	1
Yes	34 (16.8)	168 (83.2)	5.49 (2.48, 12.17)	1.44 (0.52, 4.00)	0.481
Ever worked in a delivery room
No	8 (3.8)	205 (96.2)	1	1
Yes	34 (15.9)	180 (84.1)	4.84 (2.18, 10.73)	2.31 (0.77, 6.91)	0.134
Ever worked in neonatal or pediatrics unit
No	36 (11)	292 (89)	1	1
Yes	6 (6.1)	93 (93.9)	0.52 (0.21, 1.28)	0.56 (0.17, 1.83)	0.333

Note: *Statistically significant at p < 0.05.

Abbreviations: BSc, Bachelor of Sciences; COR, crud odds ratio; AOR, adjusted odds ratio; NR, neonatal resuscitation.