Abstract

Background: Poor immediate new-born care practice increases risk of morbidity and mortality by predisposing the new-borns to sepsis and hypothermia. In developing countries nearly 3 million new-borns babies die every year mostly where many births happen at home. Therefore, assessment of essential new-born care practice among home delivered mothers is important for the improvement of new born health and reduction of risk of morbidity and mortality. However, to the best knowledge of researcher, there was no previous study on this title at this study area.

Objective: Assess essential new-born care practices and associated factors among mothers delivered at home during the six months preceding the study in Abaya district of West Guji zone, Oromia, Ethiopia from August 1 - 30, 2019.

Methods: Community based cross-sectional study design was employed. Stratified-multi-stage sampling technique was used to select 632 study subjects. Structured pretested questionnaire was used for data collection. After one day training given six diploma and 2 BSc nurses were participated as data collectors and supervisors respectively. After data clearance and coding done data entered into Epi-info version 7 and exported to SPSS window version 21.0 for analysis. Binary and multiple logistic regression analysis were used to identify factors associated with outcome variable. Adjusted odd ratio with their 95% CI were calculated to determine the presence and strength of association. P-value of < 0.05, considered to declare significance.

Result: The overall level of good new-born care practice in this study was 18.9% (95% CI: 0.16; 0.22). Urban residence (AOR: 2.233; 95% CI: 1.082, 4.607), No PNC visit (AOR: 0.618; 95% CI: 0.400, 0.954), Home delivery assisted by HEW (AOR: 3.617; 95% CI: 1.058, 4.607), Home delivery assisted by relatives (AOR: 0.427; 95%CI: 0.222, 0.821), Last ANC visit at health post (AOR: 0.485; 95% CI: 0.299, 0.785), didn’t knowing poor sucking as danger sign (AOR: 0.524; 95% CI: 0.332, 0.826) were independent factors associated with Essential New-born care practice.

Conclusion: The level of essential new-born care practice (ENBCP) found in this study was very low compared to studies conducted previously in different areas. No PNC home visit by HEW, having last ANC visit at health post, didn’t knowing poor sucking as danger sign and home delivery assisted by relatives were factors negatively associated with ENBCP and urban residence and home delivery assisted by HEW were factors positively associated with Essential new-born care practice.

Keywords: New-Born; Practice; Mothers; Home Delivery; Abaya District

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