Delivery, immediate newborn and cord care practices in Pemba Tanzania: A qualitative study of community, hospital staff and community level care providers for knowledge, attitudes, belief systems and practices

BMC Pregnancy and Childbirth

Volumn 14, Issue 1, 2014, Pages

  Dhingra, Usha ^a   Gittelsohn, Joel ^a   Suleiman, Atifa M ^b   Suleiman, Shekhia M ^b   Dutta, Arup ^b   Ali, Said M ^b   Gupta, Shilpi ^c   Black, Robert E ^a   Sazawal, Sunil ^a,c  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b Public Health Laboratory Ivo de Carneri   (Tanzania)

^c Center for Public Health Kinetics   (India)

Author keywords

Breastfeeding; Community; Cord care; Delivery; Newborn health; Traditional practices

Indexed keywords

CHLORHEXIDINE; TOPICAL ANTIINFECTIVE AGENT;

ARTICLE; ATTITUDE TO HEALTH; AWARENESS; BABY; BIRTH; BREAST FEEDING; CLEANING; COLOSTRUM; COMMUNITY CARE; COMMUNITY HOSPITAL; CONSENSUS; CORD CARE PRACTICE; COST; CROWDING (AREA); DELIVERY; DIPTERA; DUST; FATHER; FEEDING; HAND WASHING; HEALTH BELIEF; HEALTH CARE PERSONNEL; HEALTH EDUCATION; HEALTH SERVICE; HOSPITAL PERSONNEL; HUMAN; IMMEDIATE NEWBORN CARE PRACTICE; INFECTION; INFECTION RISK; INTERVIEW; KNOWLEDGE; LIQUID; MEDICAL CARE; MOSQUITO; MOTHER; NEWBORN CARE; QUALITATIVE RESEARCH; TANZANIA; TRADITIONAL BIRTH ATTENDANT; TRAFFIC AND TRANSPORT; UMBILICAL CORD; BATH; CHILD CARE; FEMALE; HEALTH AUXILIARY; HEALTH BEHAVIOR; HEALTH PERSONNEL ATTITUDE; HYGIENE; LABOR STAGE 3; MALE; MIDWIFE; NEWBORN; PATIENT EDUCATION; PILOT STUDY; PREGNANCY; PROTECTIVE CLOTHING; STANDARDS;

ANTI-INFECTIVE AGENTS, LOCAL; ATTITUDE OF HEALTH PERSONNEL; BATHS; BREAST FEEDING; CHLORHEXIDINE; COMMUNITY HEALTH WORKERS; DELIVERY, OBSTETRIC; FATHERS; FEMALE; GLOVES, PROTECTIVE; HAND DISINFECTION; HEALTH BEHAVIOR; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; HYGIENE; INFANT CARE; INFANT, NEWBORN; LABOR STAGE, THIRD; MALE; MIDWIFERY; MOTHERS; PATIENT EDUCATION AS TOPIC; PERSONNEL, HOSPITAL; PILOT PROJECTS; PREGNANCY; QUALITATIVE RESEARCH; TANZANIA; UMBILICAL CORD;

EID: 84902110217     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/1471-2393-14-173     Document Type: Article

References (23)

1. Lawn J, Kerber K. Opportunities For Africa's Newborns: Practical Data, Policy And Programmatic Support For Newborn Care In Africa. 2006, Cape Town: PMNCH, Save the Children, UNFPA, UNICEF, USAID, WHO.
2. Masanja H, de Savigny D, Smithson P, Schellenberg J, John T, Mbuya C, Upunda G, Boerma T, Victora, Smith T, Mshinda H. Child survival gains in Tanzania: analysis of data from demographic and health surveys. Lancet 2008, 371:1276-1283. 10.1016/S0140-6736(08)60562-0, 18406862.
3. WHO Care Of The Umbilical Cord: A Review The Evidence. 1998, Chapter 1:1. (WHO/RHTMS/98.4), WHO.
4. Mullany LC, Darmstadt GL, Khatry SK, Katz J, LeClerg SC, Shrestha S, Adhikari R, Tielsch JM. Topical applications of chlorhexidine to the umbilical cord prevent omphalitis and neonatal mortality in southern Nepal: a community-based, cluster randomized trial. Lancet 2006, 367:910-918. 10.1016/S0140-6736(06)68381-5, 2367116, 16546539.
5. Mullany LC, Darmstadt GL, Tielsch JM. Role of antimicrobial applications to the umbilical cord in neonates to prevent bacterial colonization and infection: a review of the evidence. Pediatr Infect Dis J 2003, 22:996-1002. 10.1097/01.inf.0000095429.97172.48, 1317298, 14614373.
6. Soofi S, Cousens S, Imdad A, Bhutto N, Ali N, Bhutta ZA. Topical application of Chlorhexidine to neonatal umbilical cords for prevention of omphalitis and neonatal mortality in a rural district of Pakistan: a community-based, cluster-randomised trial. Lancet 2012, 379:1029-1036. 10.1016/S0140-6736(11)61877-1, 22322126.
7. Goldenberg RL, McClure EM, Saleem S. A review of studies with chlorhexidine applied directly to the umbilical cord. Am J Perinatol 2012, 30:699-701.
8. Sazawal S, Black RE, Ramsan M, Chwaya HM, Stoltzfus RJ, Dutta A, Dhingra U, Kabole I, Deb S, Othman MK, Kabole FM. Effects of routine prophylactic supplementation with iron and folic acid on admission to hospital and mortality in preschool children in a high malaria transmission setting: community-based, randomised, placebo-controlled trial. Lancet 2006, 367:133-143. 10.1016/S0140-6736(06)67962-2, 16413877.
9. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006, 3(2):77-101.
10. ATLAS.ti Scientific Software Development. Atlas Ti Version 6 2011, Berlin, Germany: ATLAS.ti Scientific Software Development GmbH, ATLAS.ti.
11. Moyer CA, Aborigo RA, Logonia G, Affah G, Rominski S, Adongo PB, Williams J, Hodgson A, Engmann C. Clean delivery practices in rural northern Ghana: a qualitative study of community and provider knowledge, attitudes, and beliefs. BMC Pregnancy Childbirth 2012, 12:50. 10.1186/1471-2393-12-50, 3482570, 22703032.
12. Hill Z, Manu A, Tawiah-Agyemang C, Gyan T, Turner K, Weobong B, Ten Asbroek AH, Kirkwood BR. How did formative research inform the development of a home-based neonatal care intervention in rural Ghana?. J Perinatol 2008, 28 Suppl 2:S38-S45.
13. Mosha F, Winani S, Wood S, Changalucha J, Ngasalla B. Evaluation of the effectiveness of a clean delivery kit intervention in preventing cord infection and puerperal sepsis among neonates and their mothers in rural Mwanza Region, Tanzania. Tanzan Health Res Bull 2005, 7(3):185-188.
14. Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: When? Where? Why?. Lancet 2005, 365:891-900. doi: 10.1016/S0140-6736(05)71048-5 pmid: 15752534, 10.1016/S0140-6736(05)71048-5, 15752534.
15. Thairu L, Pelto G. Newborn care practices in Pemba Island (Tanzania) and their implications for newborn health and survival. Matern Child Nutr 2008, 4:194-208. 10.1111/j.1740-8709.2008.00135.x, 18582353.
16. Bang AT, Bang A, Baitule SB, Reddy MH, Deshmukh MD. Effect of home-based neonatal care and management of sepsis on neonatal mortality: field trial in India. Lancet 1999, 354:1955-1961. 10.1016/S0140-6736(99)03046-9, 10622298.
17. Osrin D, Tumbahangphe KM, Shrestha D, Mesko N, Shrestha BP, Manandhar K, Standing H, Manandhar DS, Costello AM. Cross sectional, community based study of care of newborn infants in Nepal. BMJ 2002, 325:1063-1066. 10.1136/bmj.325.7372.1063, 131178, 12424164.
18. Thapa N, Chongsuvivatwong V, Geater AF, Ulstein M. High-risk childbirth practices in remote Nepal and their determinants. Women Health 2000, 31:83-97.
19. Darmstadt GL, Syed U, Patel Z, Kabir N. Review of domiciliary newborn care practices in Bangladesh. J Health Pop Nutr 2006, 24:380-393.
20. WHO Thermal Control Of The Newborn: A Practical Guide 1993, Geneva: Maternal Health and Safe Motherhood Programme, Division of Family Health, WHO, WHO.
21. Moran AC, Choudhury N, U Zaman Khan N, Ahsan Karar Z, Wahed T, Rashid SF, Alam AM. Newborn care practices among slum dwellers in Dhaka, Bangladesh: a quantitative and qualitative exploratory study. BMC Pregnancy Childbirth 2009, 9:54. 10.1186/1471-2393-9-54, 2784437, 19919700.
22. Fikree FF, Ali TS, Durocher JM, Rahbar MH. Newborn care practices in low socioeconomic settlements of Karachi, Pakistan. Soc Sci Med 2005, 60:911-921. 10.1016/j.socscimed.2004.06.034, 15589663.
23. Masvie H. The role of Tamang mothers-in-law in promoting breast feeding in Makawanpur District, Nepal. Midwifery 2006, 22:23-31. 10.1016/j.midw.2005.02.003, 15967547.