Essential newborn care practices in Zambia

Journal of Public Health in Africa

Field Value
Title Essential newborn care practices in Zambia
Creator Malinga, Steven Ilukena, Malelo Chirwa, Thomas Chama-Chiliba, Chitalu M.
Subject — Essential newborn care; umbilical cord care; breastfeeding; newborn warmth
Description Neonatal mortality remains high in Zambia and is declining slower than infant and under five mortality. Improved adoption of essential newborn care (ENC) could help mitigate this situation. To determine the adoption of ENC practices in Zambia, cross-sectional data was used to assess ENC practices including baby kept warm, umbilical cord care and breastfeeding. Chi-square was used to assess whether maternal and social demographic factors were related to ENC. Households surveyed were 12,507, which included 5,741 women with children under two years. Findings show that 95.4% of babies were dried immediately after birth, 96.5% wrapped in a cloth/blanket, 76.7% put on mother’s torso and 68.5% head covered (51.6% for all four). Eightyfive-point six percent of baby’s cords were cut with a sharp and clean instrument, 46% cord kept dry and 42.1% cord kept clean (31.2% for all three). Ninety-six-point nine percent of babies were breastfed, 89.3% were initiated within one hour and 93% exclusively breastfed for the first 3 days post-delivery (82% for all three). Babies kept warm were associated with skilled birth attendance (SBA) and province, umbilical cord care with SBA, 4 antenatal care (ANC) visits, marital status and province, and breastfeeding with 4 ANC visits, marital status and province. Early and exclusive breastfeeding is widely practiced. However, appropriate thermal and cord care practices are low. There is need for a scale-up of appropriate newborn care practices in Zambia and SBA could play an important role in this regard.
Publisher AOSIS
Date 2022-07-26
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format application/pdf
Identifier 10.4081/jphia.2022.2078
Source Journal of Public Health in Africa; Vol 13, No 2 (2022); 7 2038-9930 2038-9922
Language eng
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Rights Copyright (c) 2024 Steven Malinga, Malelo Ilukena, Thomas Chirwa, Chitalu M. Chama-Chiliba