A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Oommen, Accamma
- Mothers Awareness Regarding Danger Signs of Neonatal Illnesses at a Selected Hospital in Trivandrum
Authors
1 Sree Gokulam Nursing College, Trivandrum, Kerala, IN
2 India Institute of Medical Sciences, New Delhi, IN
Source
International Journal of Nursing Care, Vol 1, No 2 (2013), Pagination: 1-6Abstract
Neonatal mortality and morbidity are the greatest challenges in the current health care scenario. Majority of neonates die because mothers fail to identify danger signs of illness, and inappropriate/delayed care seeking. The present study was undertaken to assess mothers' awareness regarding danger signs of neonatal illnesses and to identify the factors influencing their awareness in a tertiary hospital at Trivandrum.
This descriptive cross sectional survey was conducted among mothers of 70 infants attending OPDs and admitted in postnatal wards of a multispecialty tertiary hospital in Trivandrum, enrolled through purposive sampling. Interviews were conducted with mother using a validated structured interview schedule. The data were analysed using SPSS.
Results showed that all mothers (100%) knew when to seek care for their neonates and majority (77.1%) received information from their family members. The mean knowledge scores of mothers regarding newborn danger signs was 57.1 ± 8.0 (67.2%), which was good. Out of seventy mothers, 3 (4.3%) had very good knowledge, 51 (72.9%) good knowledge, and 16 (22.9%) average knowledge. The knowledge scores were less than 50% only for convulsions (47.6%) and hypothermia (38.3%). Improvement in mothers' knowledge was significantly associated with increasing age (p<0.01). The study concluded that educational interventions needs to be provided for post natal mothers, before discharge, regarding danger signs in newborns, especially regarding convulsions and hypothermia.
Keywords
Danger Signs, Newborn Illness, Post Natal Mothers
References
- Garde M, Sabina N. Inequalities in child survival, looking at wealth and other socioeconomic disparities in developing countries [Internet]. Save the children United Kingdom; 2010 [cited 2012 Feb 2]. Available from: http:// www.savethechildren.org.uk/sites/default/ files/docs/Final_draft_ inequalities_ of_child_ survival_ 10_August_ formatted_2_1.pdf
- United Nations International Children’s Emergency Fund India. UNICEF India: Statistics. [Online]. Available from: http://www.unicef.org/ infobycountry/india_statistics.html [Accessed 8th February 2013].
- UNICEF. The state of the world’s children 2011: adolescence an age of opportunity. New York: UNICEF; 2011.
- Office of the Registrar General, India. Sample registration system Statistical report of 2011- estimates of mortality indicators [Internet]. Ministry of home affairs, Government of India, New Delhi; 2013 [cited Mar 13]. Report No 1 of 2013. Available from: http:// www.censusindia.gov.in/vital_statistics/ SRS_Report/11Chap%204%20-%202011.pdf
- International Institute for Population Sciences. National family health survey home page. Accessible at www.nfhsindia.org accessed on March 08, 2008
- International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: volume I. Mumbai: IIPS; 2007.
- Horwood C. The challenge of improving neonatal mortality in India, key to global achievement of MDG 4. Indian Pediatr. 2011 Dec; 48(12):941-2.
- Bassani DG, Kumar R, Awasthi S, Morris SK, Paul VK, Shet A, Ram U, Gaffey MF, Black RE, Jha P. Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet. 2010 Nov 27;376(9755):1853-60. doi: 10.1016/ S0140-6736(10)61461-4.
- Bang AT, Paul VK, Reddy HM, Baitule SB. Why do neonates die in rural Gadchiroli, India? (Part I): primary causes of death assigned by neonatologist based on prospectively observed records. J Perinatol. 2005 Mar; 25 Suppl 1:S29-34.
- Syed U, Khadka N, Khan A, Wall S. Care-seeking practices in South Asia: using formative research to design program interventions to save newborn lives. J Perinatol. 2008 Dec; 28 Suppl 2:S9-13. doi:10.1038/jp.2008.165.
- Kaushal M, Aggarwal R, Singal A, Shukla H, Kapoor SK, Paul VK. Breastfeeding practices and health-seeking behavior for neonatal sickness in a rural community. J Trop Pediatr. 2005 Dec; 51(6):366-76.
- Fernandez A, Mondkar J, Mathai S. Urban slumspecific issues in neonatal survival. Indian Pediatr. 2003 Dec; 40(12):1161-6.
- Padiath MA, Bhat BV, Ekambaram M. Knowledge attitude and practice of neonatal care among postnatal mothers.[internet]. Curr Pediatr Res 2010[cited 2013 march 3]; 14 (2): 147-52.Available from: http://www.pediatricresearch.info/ y a h o o _ s i t e _ a d m i n / a s s e t s / d o c s / 1 9 . 176181814.pdf
- Urban health resource centre. Maternal and newborn care practices among the urban poor in Indore, India: gaps, reasons and potential program options. Report Aug 2007. Available from: http:/ /uhrc.in/downloads/Reports/MNH_REPORTAugust- 2007.pdf
- Kesterton AJ, Cleland J. Neonatal care in rural Karnataka: healthy and harmful practices, the potential for change. BMC Pregnancy Childbirth. 2009 May 20; 9:20.doi: 10.1186/1471-2393-9-20.
- NNF teaching aids: WHO Collaborating centre for newborn care, Department of Pediatrics, All India Institute of Medical Sciences. Clinical protocols in Neonatology [Online]. 2003 [Cited 2007 Nov 25]; [1 screen]. Available from: URL: http:// www.newbornwhocc.org/clinical_protocols.htm
- Dongre AR, Deshmukh PR, Garg BS. Awareness and health care seeking for newborn danger signs among mothers in peri-urban Wardha. Indian J Pediatr.2009 Jul; 76(7):691-3.
- Awasthi S, Verma T, Agarwal M. Danger signs of neonatal illness: perception of caregivers and health workers in northern India. Bulletin world health organization. October 2006; 84(10):819-26. Available at: URL: http://www.who.int/ bulletin/volumes/84/10/05-029207.pdf
- Sreeramareddy CT, Shankar RP, Sreekumaran BV, Subba SH, Joshi HS, Ramachandran U. Care seeking behaviour for childhood illness-a questionnaire survey in western Nepal. BMC Int Health Hum Rights. 2006 May 23; 6:7.
- Bhandari S, Vatsa M, Deorari AK, Gupta SK, Sharma KK. Mothers knowledge regarding danger signs in newborns. Nursing J. of India . 2012 Jun; CIII(3): 110-4.
- Morbidity and Health Seeking Behaviour of Families for Childhood Illnesses - Experiences from Coastal Kerala
Authors
1 Sree Gokulam Nursing College, Trivandrum, Kerala, IN
2 College of Nursing, all India Institute of Medical Sciences, Newdelhi, IN
Source
International Journal of Nursing Education, Vol 6, No 1 (2014), Pagination: 272-276Abstract
Health seeking behaviours influence child morbidity and mortality. The present study was undertaken to identify the common morbidities among under-five children and pattern of health-seeking by families, and the factors influencing the health seeking behaviours, in a selected coastal area of Kerala.
This descriptive cross sectional survey was conducted among primary care givers (PCGs) of 138 children, with history of morbidity, recruited by total enumeration from coastal regions of Kerala, India. Interviews were conducted with PCGs during household survey using a structured interview schedule and nutritional status of children was assessed. The data were analysed using SPSS.
Results showed that average age of children was 2 years, 30% children had mild to severe malnutrition, 8.7% were not immunized for age and 26.1% were found sick during the survey. Over the counter use of drugs was common in families (67.4%) before seeking professional help. Care was sought from trained providers by 87.7% of children, allopathy (84%) being the preferred modality and 44% children were taken to government hospitals. Medical treatment was availed within 24 hours for 52 (37.7%) children only. Management of the child's illness was influenced by severity, duration and type of symptoms as cited by PCGs (87.7%).The study concluded that care seeking for childhood illnesses was appropriate but not prompt and self treatment was common.
Keywords
Childhood Morbidities, Health Seeking Behaviours- Standards and Guidelines for Neonatal Care and Neonatal Nursing: An Indian Perspective
Authors
1 Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 695607, IN
Source
International Journal of Advances in Nursing Management, Vol 3, No 3 (2015), Pagination: 231-239Abstract
Quality assurance is that set of activities that are carried out to set standards and to monitor and improve performance so that the care provided is as effective and as safe as possible. Standards and guidelines are basis for measuring quality of care provided. The quality of neonatal care in India varies from no care to highly advanced care comparable to any centers in the world.
Existing standards for neonatal care in India include : structure standards (Indian Public Health Standards and Accreditation Guidelines for Level II and Level III Neonatal units); process standards (Integrated Management of Neonatal and Childhood Illnesses, Home Based Neonatal Care, Clinical Standards and Guidelines- policies and protocols for neonatal units) ; and Outcome Standards ( Neonatal Mortality Rate and morbidity rates, length of hospital stay, Family satisfaction, expected improvement in clinical) The problems which come in way of the delivery of quality services to the newborn include lack of uniformity in the system, poorly communicated guidelines, challenges in implementation of existing guidelines and lack of practice standards for neonatal nurses. Following strategies may help to improve the quality of health care delivery and to solve existing problems : developing and revising National guidelines, developing and revising national service delivery guidelines, endorsing guidelines to all health care sectors officially, implementing guidelines, strengthening supporting systems to ensure implementation, and implementing neonatal nursing standards.
Neonatal nursing standards are to be developed and communicated to all practicing neonatal nurses. Indian Nursing Council and Indian Association of Neonatal Nurses can join and develop practice standards for neonatal nurses. Once standards are set, uniformly implemented, and evaluated at all levels of neonatal care, the quality of care would improve drastically, thus the neonatal survival.
Keywords
Neonatal Care, Nursing, Standards, Guidelines.- Neonatal Health Care Services in India
Authors
1 Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 695607, IN