Practice of skin-to-skin contact, exclusive breastfeeding and other newborn care interventions in Ethiopia following promotion by facility and community health workers: results from a prospective outcome evaluation

被引：21

作者：

Callaghan-Koru, Jennifer A. ^{[1
,2
,3
]}

Estifanos, Abiy Seifu ^{[4
]}

Sheferaw, Ephrem Daniel ^{[5
]}

de Graft-Johnson, Joseph ^{[3
]}

Rosado, Carina ^{[6
]}

Patton-Molitors, Rachel ^{[6
]}

Worku, Bogale ^{[7
]}

Rawlins, Barbara ^{[3
]}

Baqui, Abdullah ^{[2
,3
]}

机构：

[1] Univ Maryland Baltimore Cty, Dept Sociol Anthropol & Hlth Adm & Policy, 1000 Hilltop Circle, Baltimore, MD 21250 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Int Ctr Maternal & Newborn Hlth, Baltimore, MD USA

[3] Maternal & Child Hlth Integrated Program, Washington, DC USA

[4] Univ Addis Ababa, Coll Hlth Sci, Sch Publ Hlth, Dept Reprod Hlth & Hlth Serv Management, Addis Ababa, Ethiopia

[5] Maternal & Child Hlth Integrated Program, Addis Ababa, Ethiopia

[6] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA

[7] Univ Addis Ababa, Dept Pediat, Addis Ababa, Ethiopia

来源：

ACTA PAEDIATRICA | 2016年 / 105卷 / 12期

关键词：

Breastfeeding; Community health; Ethiopia; Kangaroo mother care; Newborn care; KANGAROO MOTHER CARE; UTTAR-PRADESH; MANAGEMENT; MORTALITY; DEATHS; INFANT;

D O I：

10.1111/apa.13597

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Aim: To assess the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact (SSC) and exclusive breastfeeding - the therapeutic components of kangaroo mother care. Methods: A multilevel community and facility intervention in Ethiopia trained health workers in 10 health centres and the surrounding communities to promote early SSC and exclusive breastfeeding for all babies born at home or in the facility. Changes in SSC and exclusive breastfeeding were assessed by comparing baseline and endline household surveys. Results: Overall practice of SSC at any time following delivery increased significantly from 13.1 to 44.1% of mothers. Coverage of immediate SSC also increased significantly from 8.4 to 24.1%. Breastfeeding within the first hour increased from 51.4 to 67.9% and exclusive breastfeeding within the first three days increased from 86 to 95.8%. At endline, SSC was significantly higher among facility births than home births and community health workers had limited contact with mothers. Conclusion: While targeted behaviours improved overall, the programme did not achieve adequate increases in SSC and exclusive breastfeeding among home deliveries to expect a reduction in mortality for low birthweight babies. Newborn care programs in Ethiopia should continue to encourage facility delivery while strengthening coverage of community programmes.

引用

页码：E568 / E576

页数：9