Abstract:
Background: Essential newborn care: Are crucial interventions to ensure newborn survival and well-being. Also it is sequential care given to all newborn infants starting from delivery of the head which includes drying and stimulating, evaluation of breathing, cord care, keeping the newborn warm, initiating breastfeeding in the first one hour, eye care, administering vitamin k and weighing. This study's findings will offer important insights into the quality of ENC services by enhancing knowledge, improving practices and increasing patient satisfaction.
Objective: - To assess quality of essential newborn care services and associated factors in public hospitals of West Shewa zone, Ethiopia, 2024.
Methods: - A cross-sectional study was conducted from May 15 to June 15, 2024, in public hospitals of West Shewa Zone, Ethiopia, involving 241 obstetric care providers and 243 postpartum mothers using simple random sampling method. Data were collected through observations, questionnaires, exit interviews and facility manager interviews. Knowledge was scored as correct (1) or incorrect (0), resource as "available’’ or "not available as standard’’. Practices and satisfaction were measured using Likert scales. Data were entered in Epi-data 3.1 and analyzed with SPSS 20, using Adjusted Odds Ratios (AOR) and p-values < 0.05 for significance. Bivariable and multivariable logistic regression were used. Model fit was assessed with the Hosmer-Lemeshow test. Results were presented in text, tables, and figures.
Results: The overall quality of essential newborn care services in the study was 34%[95% CI:(28.15-40.16)].Significant factors associated with care quality included recent 2 years provider training [AOR:2.92; 95% CI: (0.06–0.3)],availability of chlorhexidine [AOR: 2.2; 95% CI:(2.37–7.23)],mother’s residence being rural [AOR:2.52;95% CI:(0.037–0.301)],presence of workload[AOR:-2.10;95%CI:(-0.37–0.01)] and profession being general practitioner [AOR: 0.64; 95% CI: (-0.106–0.210)].
Conclusion: - The study found low-quality essential newborn care in the area affected by training, chlorhexidine. Enhancing training and resources reduce neonatal deaths
