Iranian Journal of Neonatology

Iranian Journal of Neonatology

Neonatal Resuscitation Practice and Associated Factors among Health Care Workers in Public Health Facilities in West Guji Zone, Southern Ethiopia

Document Type : Original Article

Authors
Zelalem Jabessa Wayessa 1
Boko Loka Safayi 2
Fitsum Demisie 3
Girma Tufa Melese 1
Amana Jilo Bonkiye 4
Belda Negesa Beyene 1
1 Department of Midwifery, Institute of Health, Bule Hora University, Bule Hora, Ethiopia
2 Department of Nursing, Institute of Health, Bule Hora University, Bule Hora, Ethiopia
3 Department of Pharmacy, Institute of Health, Bule Hora University, Bule Hora, Ethiopia
4 Department of Midwifery, College of Health Science, Madda Walabu University, Shashemene Campus, Shashemene, Ethiopia
10.22038/ijn.2023.72547.2405
Abstract
Background: Although neonatal resuscitation has the potential to prevent neonatal mortality rates, several factors hinder it is effectiveness. This study aimed to assess the neonatal resuscitation practice and associated factors among health workers in public health facilities in West Guji zone, Oromia, Ethiopia 2021.
Methods: A facility-based cross-sectional study design was conducted from February 01 to March 30/2021. Data were collected with a structured self-administered questionnaire and observational checklist. Finally, a convenience sampling technique was employed to select 407 study participants. Binary and Multivariable logistic regression analyses were conducted with 95% confidence intervals and statistical significance is declared at P<0.05.
Results: Out of the 407 sampled study population, 402 healthcare workers were involved in the study with a 98.7% response rate and 270 (67.2%) of healthcare workers had good practice in neonatal resuscitation with a 95% confidence interval of 62.6% to 71.8%.  Factors associated with neonatal resuscitation practice were the age of health care workers who are 30 to 34 (AOR= 3.52, 95%CI; 1.27 - 9.74) and 35 to 39 years AOR= 4.00, 95%CI; 1.24 -12.97), work experience (AOR= 5.72, 95%CI; 2.72 - 12.03, training on neonatal resuscitation (AOR=3.6,95%CI;2.16-6.00), availability of neonatal resuscitation guidelines (AOR= 2.29, 95%CI; 1.13 - 4.69), knowledge status (AOR=1.82, 95%CI; 1.0 -3.10), and attitude of healthcare workers towards neonatal resuscitation(AOR=2.18, 95%CI; 1.37 -3.48). 
Conclusion: The finding shows the neonatal resuscitation practice was low compared with others. Factors associated with neonatal resuscitation practice were identified.  Health institutions should organize healthcare providers on neonatal resuscitation by giving on-the-job training, providing guidelines, and supervising all health facilities to produce competent healthcare workers and reduce neonatal mortality and morbidity.
 
 
Keywords
Associated factors
Health care workers
Neonatal resuscitation
Practice
Southern Ethiopia
West Guji Zone
  1. Pathirana J, Muñoz FM, Abbing-Karahagopian V, Bhat N, Harris T, Kapoor A, et al. Neonatal death: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine. 2016;34(49):6027–37.
  2. Wyckoff MH, Aziz K, Escobedo MB, Kapadia VS, Kattwinkel J, Perlman JM, et al. Part 13: neonatal resuscitation: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care (reprint). Pediatrics. 2015;136(Supplement_2):S196-218.
  3. Neonatal Resuscitation: Definition, Steps & Techniques [Internet]. Study.com. [cited 2020 Jun 16]. Available from: https://study.com/academy/
    lesson/neonatal-resuscitation-definition-steps-techniques.html
  4. Mzurikwao CB, Ng’weshemi Kapalata SK, Ernest AI. Factors influencing knowledge and practice on helping babies breathe among Skilled Birth Attendants in rural areas in Lake Zone in Tanzania. bioRxiv. 2018;5:462903.
  5. Bang A, Bellad R, Gisore P, Hibberd P, Patel A, Goudar S, et al. Implementation and evaluation of the Helping Babies Breathe curriculum in three resource limited settings: does Helping Babies Breathe save lives? A study protocol. BMC Pregnancy Childbirth. 2014;14(1):1-6.
  6. World Health Organization. Newborns: reducing mortality. 2020. Available from: https://www.who.
    int/news-room/fact-sheets/detail/newborns-reducing-mortality
  7. World Health Organization. The World Health Report 2005: Make every mother and child count. 2005. Available from: https://www.who.int/ publications/i/item/9241562900
  8. Ahmed I, Ali SM, Amenga-Etego S, Ariff S, Bahl R, Baqui AH, et al. Population-based rates, timing, and causes of maternal deaths, stillbirths, and neonatal deaths in south Asia and sub-Saharan Africa: a multi-country prospective cohort study. The Lancet Glob Health. 2018;6(12):e1297-308.
  9. Usman F, Imam A, Farouk ZL, Dayyabu AL. Newborn mortality in Sub-Saharan Africa: why is perinatal asphyxia still a major cause? Ann Glob Health. 2019;85(1):1-6.
  10. Kamath-Rayne BD, Berkelhamer SK, Kc A, Ersdal HL, Niermeyer S. Neonatal resuscitation in global health settings: an examination of the past to prepare for the future. Pediatr Res. 2017;82(2):194–200.
  11. World Health Organization. WHO technical specifications for neonatal resuscitation devices. 2016. Available from: https://books.google.
    com/books?hl=en&lr=&id=JnOyDwAAQBAJ&oi=fnd&pg=PA3&dq=WHO+technical+specifications+for+neonatal+resuscitation+devices&ots=UNC9z5KX4Y&sig=KO0v5VHgDBFfylv9Y3bGMpTttSQ#v=onepage&q=WHO%20technical%20specifications%20for%20neonatal%20resuscitation%20devices&f=false
  12. Little GA, Keenan WJ, Niermeyer S, Singhal N, Lawn JE. Neonatal Nursing and Helping Babies Breathe: An Effective Intervention to Decrease Global Neonatal Mortality. Newborn Infant Nurs Rev. 2011;11(2):82–7.
  13. Ohning BL.Neonatal Resuscitation: Overview, Transition to Extrauterine Physiology, Preparation for Resuscitation. 2020. Available from: https://emedicine.medscape.com/article/977002-overview
  14. Lawn JE, Blencowe H, Oza S, You D, Lee ACC, Waiswa P, et al. Every Newborn: progress, priorities, and potential beyond survival. Lancet. 2014; 384(9938):189–205.
  15. Callister LC. Managing Birth Asphyxia: Helping Babies Breathe. MCN Am J Matern Child Nurs. 2016;41(1):62.
  16. Rakshasbhuvankar AA, Patole SK. Benefits of simulation based training for neonatal resuscitation education: a systematic review. Resuscitation. 2014;85(10):1320–3.
  17. Lee AC, Mullany LC, Tielsch JM, Katz J, Khatry SK, LeClerq SC, et al. Risk factors for neonatal mortality due to birth asphyxia in southern Nepal: a prospective, community-based cohort study. Pediatrics. 2008;121(5):e1381-90.
  18. Lawn JE, Osrin D, Adler A, Cousens S. Four million neonatal deaths: counting and attribution of cause of death. Paediatr Perinat Epidemiol. 2008; 22(5):410–6.
  19. Sintayehu Y, Desalew A, Geda B, Shiferaw K, Tiruye G, Mulatu T, et al. Knowledge of Basic Neonatal Resuscitation and Associated Factors Among Midwives and Nurses in Public Health Institutions in Eastern Ethiopia. Int J Gen Med. 2020;13:225–33.
  20. Raghuveer TS, Cox AJ. Neonatal resuscitation: an update. Am FAM Physician. 2011; 83(8):911–8.
  21. Duff JP, Topjian A, Berg MD, Chan M, Haskell SE, Joyner Jr BL, et al. 2018 American Heart Association focused update on pediatric advanced life support: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2018;138(23):e731-9.
  22. Abrha MW, Gebru EG, Weldemariam S, Weldearegay HG. Exploring Factors Influencing Practice of Neonatal Resuscitation with Bag and Mask in Ethiopia: Analysis from 2016 National Emergency Obstetric and Newborn Care Survey. J Multidiscip Healthc. 2020; 13:471–76.
  23. Mersha A, Shibiru S, Gultie T, Degefa N, Bante A. Training and well-equipped facility increases the odds of skills of health professionals on helping babies breathe in public hospitals of Southern Ethiopia: cross-sectional study. BMC Health Serv Res. 2019;19(1):1-2.
  24. Arage F. Knowledge and Practice of Neonatal Resuscitation and Its Associated Factors among Health Professionals Working at Selected Public Hospitals of Addis Ababa. MSc Addis
    Abeba University. 2020. Available from: http://etd.aau.edu.et/handle/123456789/23477?show=full
  25. Leone TA, Rich W, Finer NN. A survey of delivery room resuscitation practices in the United States. Pediatrics. 2006;117(2):e164–75.
  26. Bansal SC, Nimbalkar AS, Patel DV, Sethi AR, Phatak AG, Nimbalkar SM. Current Neonatal Resuscitation Practices among Paediatricians in Gujarat, India. Int J Pediatr. 2014.
  27. Shikuku DN, Milimo B, Ayebare E, Gisore P, Nalwadda G. Practice and outcomes of neonatal resuscitation for newborns with birth asphyxia at Kakamega County General Hospital, Kenya: a direct observation study. BMC Pediatr. 2018;18(1):167.
  28. Ogunlesi TA, Dedeke OI, Adekanmbi FA, Fetuga BM, Okeniyi AJ. Neonatal resuscitation-knowledge and practice of nurses in western Nigeria. S Afr J Child Health. 2008;2(1):23-5.
  29. Usman F, Tsiga-Ahmed FI, Abdulsalam M, Farouk ZL, Jibir BW, Aliyu MH. Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria. Plos one. 2022;17(1):e0262446.
  30. Muli, Daniel M. Assessment of Newborn Resuscitation Practice by Nurses in Machakos Level 5 Hospital, Machakos County, Kenya. Diss. PhD Kenyatta University, 2020. Available from: https://ir-library.ku.ac.ke/bitstream/handle/123456789/21307/Assessment%20of%20newborn%20resuscitation.....pdf?sequence=1&isAllowed=y
  31. Kelkay MM, Kassa H, Birhanu Z, Amsalu S. A cross sectional study on knowledge, practice and associated factors towards basic life support among nurses working in amhara region referral hospitals, northwest Ethiopia, 2016. Hosp Pal Med Int Jnl. 2018;2(2):123–30.
  32. Ogunlesi TA, Dedeke OI, Adekanmbi FA, Fetuga BM, Okeniyi AJ. Neonatal resuscitation-knowledge and practice of nurses in western Nigeria. S Afr J Child Health. 2008;2(1):23-5.
  33. Abrha MW, Asresu TT, Araya AA, Weldearegay HG. Healthcare Professionals’ Knowledge of Neonatal Resuscitation in Ethiopia: Analysis from 2016 National Emergency Obstetric and Newborn Care Survey. Int J Pediatr. 2019.
  34. Moshiro R, Ersdal HL, Mdoe P, Kidanto HL, Mbekenga C. Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania. Glob Health Action. 2018;11(1):1423862.
  35. World Health Organization. "Guidelines on basic newborn resuscitation. 2012. Available from: https://www.who.int/publications/i/item/9789241503693
Iranian Journal of Neonatology
Volume 15, Issue 1
Winter 2024
Pages 9-20