Compliance with world health organisation neonatal resuscitation guildlines by medical doctors and midwives in kitwe district health facilities,Zambia
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Date
2017
Authors
Munganga, Kasanga Juliet
Journal Title
Journal ISSN
Volume Title
Publisher
University of Zambia
Abstract
Neonatal resuscitation is used in the management of neonates with birth asphyxia
and respiratory distress few hours after birth. The popularity of neonatal
resuscitation is increasing in the decade with the introduction of Helping Babies
Breath (HBB) and Emergency Obstetric and New-born Care (EmONC) trainings.
This study was aimed at determining compliance with the World Health
Organisation (WHO) neonatal resuscitation guidelines and its related factors by
medical doctors and midwives in Kitwe District Health delivery facilities.
A descriptive cross sectional study design was used. Purposive sampling method
was used to select the appropriate sample. A total number of 5 medical doctors
and 81 midwives from Kitwe Central Hospital and Kitwe District Health delivery
facility answered a self-administered questionnaire. Twenty (20) participants out
of the 86 respondents were observed conducting resuscitation using the
observation checklist that was adopted from Essential Newborn Care training
guide by World Health Organisation.
Data was analysed using the SPSS version 20.0 software and was presented in
the form of frequency tables and cross tabulation, pie charts and bar charts to
communicate the results easily. Chi- square test was used to test the associations
between the dependant and independent variables. The factors associated with
compliance were analysed using the multivariate binary logistical regression
model. A 5% level of significance was set and p-value of 0.05 or less was
considered statistically significant.
This study revealed that 82.6% of the respondents did not comply with WHO
neonatal resuscitation guidelines and 79 % of the respondents had moderate
knowledge on neonatal resuscitation. The findings showed that 69.8% of the
respondents had positive attitude towards neonatal resuscitation. On the
availability of equipment, the study showed that 66% of the equipment was
available. Further the study revealed that 84.9% of the respondents did not attend
any in house training.
Description
M.MED
Keywords
Resuscitation method. , Respiratory therapy for new born infants. , Neonatal intensive care