The State of Essential Newborn Care by Delivery Location in Bangladesh

Citation

Kim, Eunsoo Timothy & Singh, Kavita (2017). The State of Essential Newborn Care by Delivery Location in Bangladesh. Maternal and Child Health Journal, 21(11), 2078-2085. PMCID: PMC6714055

Abstract

Introduction: Essential newborn care (ENC) around the time of birth is critical in improving neonatal survival. There is currently a gap in our knowledge of the use of ENC by place of delivery in Bangladesh. This study assesses the provision of ENC and examines the odds of newborns receiving ENC by different levels of delivery care in Bangladesh.
Methods: Descriptive statistics and logistic regressions were performed on ENC practices from the 2011 Bangladesh Demographic and Health Survey dataset. ENC practices included nonapplication of substances to the cord; application of antiseptic to the cord; drying newborn within 5 min; wrapping newborn within 5 min; delaying first bath until the first 72 h; and breastfeeding within 1 h. Key predictors included home delivery with a lay attendant, delivery with primary healthcare services and delivery with higher-level healthcare services.
Results: Coverage of ENC practices was low. Women who delivered with primary and higher-level healthcare services generally reported greater odds of their newborns receiving recommended ENC than women who had home delivery with a lay attendant, the referent category. However, the odds of delayed first bath until 72 h and breastfeeding within 1 h were not statistically different for newborns who were delivered with primary healthcare services.
Discussion: These findings have significant public health implications as primary healthcare facilities are the first point of entry into the healthcare system. Provision of ENC, particularly delayed first bath until 72 h and breastfeeding within 1 h, should be encouraged for all healthy mother-newborn pairs in Bangladesh.

URL

http://dx.doi.org/10.1007/s10995-017-2319-7

Reference Type

Journal Article

Year Published

2017

Journal Title

Maternal and Child Health Journal

Author(s)

Kim, Eunsoo Timothy
Singh, Kavita

PMCID

PMC6714055

ORCiD

Singh, K - 0000-0001-8670-2262