Essential newborn care practice at four primary health facilities in conflict affected areas of Bossaso, Somalia: a cross-sectional study

Amsalu, Ribka; Morris, Catherine N.; Chukwumalu, Kingsley; Hynes, Michelle; Janjua, Shehryar; Couture, Alexia; Summers, Aimee; Cannon, Amy; Hulland, Erin N.; Baunach, Sabine

doi:10.1186/s13031-019-0202-4

Conflict and Health

Table 4 Observed Essential Newborn Care Practice by Health Facility

From: Essential newborn care practice at four primary health facilities in conflict affected areas of Bossaso, Somalia: a cross-sectional study

	Overall		Health Center 1		Health Center 2		Health Center 3		Health Center 4
	n/N	Proportion (95% CI)	n/N	Proportion (95% CI)	n/N	Proportion (95% CI)	n/N	Proportion (95%CI)	n/N	Proportion (95% CI)
Thermal Care
Immediate Drying	241/246	98.0(95.3–99.3)	54/54	100 (97.7–100)	89/91	97.8(92.3–99.7)	53/56	94.6(85.0–98.9)	45/45	100(97.6–100)
Delayed bathing	241/243	99.2(97.1–99.9)	53/54	98.2(90.1–99.9)	90/91	98.9(94–100)	54/54	100(97.7–100)	44/44	100(97.7–100)
Skin-to-skin contact^‡	21/244	8.6(5.4–12.9)	1/54	1.9 (0.05–9.9)	2/91	2.2(0.27–7.71)	5/55	9.1 (3.0–19.9)	13/44	29.5(16.8–45.2)
Breastfeeding
Support mother in the initiation of breastfeeding^‡	45/241	18.7(14.0–24.2)	19/54	35.2(22.7–49.4)	3/90	3.3(0.63–8.6)	4/56	7.1 (2.0, 17.3)	19/41	46.3(27.7–57.8)
Early Initiation of breastfeeding^‡	74/246	30.1(24.4–36.2)	39/54	72.2(58.4–83.5)	5/91	5.5(1.8–12.4)	8/56	14.3(6.4–26.2)	22/45	48.9(33.7–64.2)
Infection Prevention
Clean delivery bed^a	250/253	98.8(96.6–99.8)	54/55	98.2(90.3–99.9)	95/95	100(97.7–100)	57/58	98.3(90.8–99.9)	44/45	97.8(88.2–99.9)
Clean delivery kit^b	42/252	16.7(12.3–21.9)	2/55	3.6 (0.44–12.5)	9/95	9.5(4.42–17.2)	2/57	3.5(0.42–11.9)	29/45	64.4(48.8–78.1)
Provider wore gloves	251/253	99.2(97.2–99.9)	55/55	100 (99.7–100)	94/95	99.0(94.3–99.9)	57/58	98.3(90.8–100)	45/45	100(97.7–100)
Provider washed hands^‡	51/253	20.2(15.4–25.6)	18/55	32.7(20.7–46.7)	9/95	9.5(4.42–17.2)	2/58	3.50.42–11.9)	22/45	48.9(33.7–64.2)
Dry cord care^‡	100/246	40.7(34.5–47.1)	33/54	61.1 (46.9–74.1)	42/91	46.2(35.6–56.9)	15/56	26.8(15.8–40.3)	10/45	22.2(11.2–37.1)
Intrapartum Care & Newborn Resuscitation
Printed partograph ready	9/253	3.6(1.6–6.6)	1/55	1.8(0.04–9.7)	3/95	3.2(0.66–9.0)	0/58	0%	5/45	11.1 (3.7–24.1)
Fetoscope/doppler ready	68/253	26.9(21.5–32.8)	40/55	72.7(59.0–83.9)	2/95	2.1(0.26–7.4)	14/58	24.1(13.9–37.2)	12/45	26.7 (14.6–41.9)
Resuscitation surface ready	23/246	9.4(6.0–13.7)	0/55	0%	3/91	3.3 (0.69–9.3)	15/56	26.8(15.8–40.3)	5/45	11.1 (3.7–24.1)
Resuscitation bag ready	37/246	15.0(10.8–20.1)	18/54	33.3(21.1–47.5)	8/91	8.8(3.9–16.6)	1/56	1.8(0.05–9.6)	10/45	22.2 (11.2–37.1)
Term mask ready	43/246	17.5(12.9–22.8)	19/54	35.2(22.7–49.4)	10/91	11(5.4–19.3)	1/56	1.8(0.04–9.6)	13/45	28.9(16.4–44.3)
Suction device ready	23/246	9.4(6.0–13.7)	3/54	5.6 (1.2–15.3)	11/91	12.1(6.2–20.6)	2/56	3.6(0.43–12.3	7/45	15.6 (6.5–29.5)

^‡Statistically significant variation by health facility p-value < 0.05
^aThe observers marked on the cleanliness of the delivery bed and if the delivery bed was cleaned prior to the arrival of the pregnant woman
^bThe observers marked yes/no to whether Instruments for birth attendance (delivery kit) are placed in the delivery tray in sterilization wrap in the labor room

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ISSN: 1752-1505

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