Prevention and management of neonatal hypothermia in rural Zambia
| Autor: | Karen Z Waltensperger, Austen Musso, Sarah Ngolofwana Kafwanda, David R. Marsh, Davidson H. Hamer, Kojo Yeboah-Antwi, Karsten Lunze, Katherine Semrau |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Rural Population
Health Knowledge Attitudes Practice Epidemiology Clinical Research Design Population Psychological intervention Breastfeeding Zambia lcsh:Medicine Hypothermia Global Health Research and Analysis Methods Pediatrics Infant Newborn Diseases Nursing Risk Factors Medicine and Health Sciences Medicine Humans Public and Occupational Health education lcsh:Science education.field_of_study Multidisciplinary Survey Research business.industry Infant Care lcsh:R Child Health Infant Newborn Grandparent Communication in Health Care Focus group Social Epidemiology Health Care Survey Methods Breast Feeding Research Design Female lcsh:Q Rural area Neonatology business Breast feeding Research Article Body Temperature Regulation |
| Zdroj: | PLoS ONE, Vol 9, Iss 4, p e92006 (2014) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background Neonatal hypothermia is increasingly recognized as a risk factor for newborn survival. The World Health Organization recommends maintaining a warm chain and skin-to-skin care for thermoprotection of newborn children. Since little is known about practices related to newborn hypothermia in rural Africa, this study's goal was to characterize relevant practices, attitudes, and beliefs in rural Zambia. Methods and Findings We conducted 14 focus group discussions with mothers and grandmothers and 31 in-depth interviews with community leaders and health officers in Lufwanyama District, a rural area in the Copperbelt Province, Zambia, enrolling a total of 171 participants. We analyzed data using domain analysis. In rural Lufwanyama, community members were aware of the danger of neonatal hypothermia. Caregivers' and health workers' knowledge of thermoprotective practices included birthplace warming, drying and wrapping of the newborn, delayed bathing, and immediate and exclusive breastfeeding. However, this warm chain was not consistently maintained in the first hours postpartum, when newborns are at greatest risk. Skin-to-skin care was not practiced in the study area. Having to assume household and agricultural labor responsibilities in the immediate postnatal period was a challenge for mothers to provide continuous thermal care to their newborns. Conclusions Understanding and addressing community-based practices on hypothermia prevention and management might help improve newborn survival in resource-limited settings. Possible interventions include the implementation of skin-to-skin care in rural areas and the use of appropriate, low-cost newborn warmers to prevent hypothermia and support families in their provision of newborn thermal protection. Training family members to support mothers in the provision of thermoprotection for their newborns could facilitate these practices. |
| Databáze: | OpenAIRE |
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