Essential Newborn Care and Associated Factors Among Obstetrical Care Providers in Awi Zone Health Facilities, Northwest Ethiopia: An Institutional-Based Cross-Sectional Study

Figures & data

Table 1 Distribution of Socio-Demographic Characteristics of Study Participants in Awi Zone Public Health Care Facilities, Amhara Regional State, Ethiopia, from March to April 15, 2019

Variable		Frequency (N)	Percent (%)
Age	20–24	58	28.9
	25–29	104	51.7
	30–34	23	11.4
	35–39	9	4.5
	40 and above	7	3.5
Religion	Muslim	30	14.9
	Orthodox	166	82.1
	Protestant	5	2.5
	Other	0	0
Educational qualification			3.5
	Degree and above	121	60.1
	Diploma	79	39.3
Field of study	Midwifery	107	53.2
	Nurse	53	26.3
	Health officer	51	25.3
Monthly salary	<3200	38	18.9
	3201–5250	68	33.8
	5251–7800	89	44.3
	>7801	6	3

Table 2 Distribution of Institutional and Personal Factors of Practice of Essential Newborn Care Among Participants Working at Public Health Facilities in Awi Zone, Amhara Region, Ethiopia, from March to April 15, 2019

Questions	Response	Frequency	Percent
Work experience	0–5	112	55.7
	6–11	83	41.3
	12 and above	6	3
Having interest to work in delivery room	Yes	90	44.8
	No	111	55.2
Availability of equipment	Yes	75	37.3
	No	126	62.7
Availability of drug	Yes	95	47.3
	No	106	52.7
Availability of national guideline	Yes	123	61.1
	No	78	38.8
Having work load	Yes	112	55.7
	No	89	44.3
Having in-service training	Yes	99	49.8
	No	102	50.2

Figure 1 Overall practice of essential newborn care among obstetrical care providers in public health facilities, Awi zone, Amhara regional state, Ethiopia, 2019.

Figure 2 Practice of essential newborn care among obstetrical care providers in public health facilities, Awi zone, Amhara regional state, Ethiopia, 2019.

Table 3 Practice of Essential Newborn Care Among Obstetrical Care Providers in Public Health Facilities, Awi Zone, Amhara Regional State, Ethiopia, 2019

Immediate Newborn Care Procedures		Frequency	Percent (%)
When the head is delivered, wipe the mouth and nose with gauze.	Yes	136	67.7
	No	65	32.3
Place the baby on a clean, dry towel or blanket on the mother’s abdomen.	Yes	124	61.7
	No	77	38.3
Wipe the eyes and face and thoroughly dry the baby except the hands.	Yes	96	47.8
	No	105	52.2
Stimulate the baby while drying	Yes	111	55.2
	No	90	44.8
Assess the baby’s breathing while drying and stimulating.	Yes	105	52.2
	No	96	47.8
Remove the wet cloth and place the baby skin-to-skin on the mother’s chest.	Yes	98	48.8
	No	103	51.2
Cover the baby with a clean, dry cloth including the head.	Yes	96	47.8
	No	105	52.2
Clamp and cut the cord	Yes	97	48.3
	No	104	51.7
Care of the umbilical cord	Yes	107	53.2
	No	94	46.8
Commence exclusive breastfeeding	Yes	165	82.1
	No	36	17.9
Care of the eyes	Yes	128	63.7
	No	73	36.3
Administer vitamin K	Yes	74	39.8
	No	127	63.2
Weighing	Yes	164	81.6
	No	37	18.4
Place an identification band	Yes	10	5
	No	191	95
Record the findings	Yes	154	76.6
	No	47	23.4

Table 4 Simple Binary Logistic Regression and Multiple Logistic Regression Analysis to Identify Factors Associated with the Practice of Essential Newborn Care in Public Health Facilities at Awi Zone, Amhara Regional State, Ethiopia, 2019

Variable	Good Practice	Poor Practice	COR (95% CI)	P-value	AOR	P-value
Field of study
Midwife	83(65.9%)	24(32%)	4.8(2.25,10.24)	0.00	3.17(1.35,7.39)	0.008
HO	25(19.8%)	26(34.7%)	1.3(0.59,3.02)	0.48	0.69(0.26,1.78)
Nurse	18(14.3%)	25(33.3%)	1		1
In-service training
Yes	47(62.7%)	52(41.3%)	2.38(1.32,4.29)	0.004	2.7(1.35,5.51)	0.005
No	28(37.3%)	74(58.7%)	1		1
National guideline
Yes	44(58.7%)	79(62.7%)	2.3(1.33,4.28)	0.004	1.6(0.80,3.58)	0.16
No	31(41.3%)	47(37.3%)	1
Availability of drug
Yes	44(58.7%)	51(40.5%)	2.0(1.16,3.73)	0.013	2.3(1.16,4.72)	0.017
No	31(41.3%)	75(59.5%)	1		1
Availability of equipment
Yes	38(50.7%)	37(29.4%)	2.4(1.365,4.47)	0.003	2.0(1.01,3.96)	0.045
No	37(49.3%)	89(70.6%)	1		1
Monthly Salary
<3200	7(9.3%)	31(24.6%)	1			0.66
3201–5250	24(32%)	44(34.9%)	0.41(0.162,1.05)	0.07	0.6(0.23,2.04)
5251–7800	43(57.3%)	46(36.5%)	0.28(0.118,0.69)	0.02	0.7(0.24,2.12)
>7801	1(1.3%)	5(4%)	0.15(0.036,0.69)	0.91	0.9(0.045,2.1)
Knowledge
Good	43(57.3%)	102(81%)	3.163(1.67,5.98)	0.00	2.1(1.03,4.49)	0.041
Poor	32(42.4%)	24(19%)	1
Level
Degree	67(53.7%)	55(73.3%)	0.41(0.22,0.76)	0.005	0.46(0.22,0.96)	0.039
Diploma	59(46.8%)	20(26.7%)	1		1