Student Dissertation

Agency : Newborn Health; PNC; ANC; Danger Signs

Objective : 1) To study the aspects of the advice given by community health worker to mothers during ANC and PNC visits regarding newborn care. 2) To assess the knowledge of the mothers regarding the danger signs of newborn. 3) To assess the knowledge of mothers regarding the treatment of diarrhea. 4) To assess the knowledge of mothers regarding the danger signs of pneumonia.

Background : Civil Hospital, Ahmedabad is 2000 bedded hospital. It is one of the finest public healthcare institutions in the state of Gujarat providing quality medical care services. Since Newborn health is a very important aspect of any country as the survival of the baby is concerned with the five decades of productivity. A mother is the most important women in the life of a newborn and the person who is always close to him. The current IMR of India is 37/1000 live births and that of Gujarat is 34/1000 live births. The enhancement of the knowledge of the mother regarding child health is the most crucial factor to improve the existing IMR. Essential Newborn Care (ENC) is a set of recommendations from WHO which are designed to improve the health of a newborn. It includes guidelines for recognition of danger signs and management of newborn illnesses. It includes 8 signs that need to be assessed to for early detection of newborn illness i.e., stop feeding well, history of convulsion, fast breathing, severe chest indrawing, no spontaneous movements, temperature >= 37.50C, temperature < 37.50C, any jaundice in first 24 hrs of life.

Methodology : Study Design The study has used a descriptive research design. Duration of Study The study was carried out from a period of 5 Feb 2018 to 5 May 2018. Study Area The work was conducted in the Civil Hospital, Ahmedabad Data Collection Methods 150 women having the newborn were interviewed. The data was collected using a structured questionnaire designed with the help of a literature review of the previous questionnaire for assessing the knowledge of post-natal women regarding the danger signs of the newborn. Data Analysis Procedure Primary data from the interview was recorded on the printed questionnaire. The data was then transferred to IBM SPSS version 20.0. The variables were coded according to the options of the questionnaire. The further analysis of the data was done using the SPSS.

Findings : The study found that the maximum number (80%) of respondents were in the age group of 25-29 years and 45% of all respondents were from a rural area. Further, it was found that 5% of women and 7% of a husband of respondents were illiterate. It was found that about 57.9% of a mother has poor knowledge of the anger signs and 36.4% of mothers have average knowledge. Only 5.6% of mothers had good knowledge of newborn care. The further association was found between the knowledge of the mothers regarding newborn health and demographic variables. It was found that knowledge of the women was significantly associated with the education level of the husband. The study concludes that mothers have poor knowledge about newborn health and there is a need to enhance the knowledge of the mothers regarding newborn health for early detection of the sick newborn.