Prevalent cord-stump care practices among mothers of infants: Against the backdrop of chlorhexidine digluconate gel scale-up |
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| Institution: | 1. Department of Community Medicine, University of Nigeria (UNEC), Enugu, Enugu State, Nigeria;2. Twin Valley Behavioral Healthcare Hospital, 2200 W Broad St, Columbus, OH, 43223, USA;3. Department of Medical Laboratory Science, University of Nigeria (UNEC), Enugu, Enugu State, Nigeria;1. Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain;2. Biocruces Bizkaia Health Research Institute, Cruces Plaza, 48903, Barakaldo, Bizkaia, Spain;3. Midwifery Teaching Unit, Basurto University Hospital, University of the Basque Country (UPV/EHU), Avda. Montevideo 18, 48013, Bilbao, Spain;4. Osakidetza, Basque Health Service, La Peña Health Center, Ibaialde kalea s/n, 48003, Bilbao, Spain;5. Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain;6. Osakidetza, Basque Health Service, Santutxu-Solokoetxe Health Center, Sorkunde kalea 3, 48004, Bilbao, Spain;7. Osakidetza, Basque Health Service, Otxarkoaga Health Center, Zizeruena kalea 1, 48004, Bilbao, Spain;8. Osakidetza, Basque Health Service, Basurto University Hospital, University of the Basque Country (UPV/EHU), Avda. Montevideo 18, 48013, Bilbao, Spain;1. Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia;2. Mizan-Tepi University, Mizan Tapi, P. O. Box: 260, Ethiopia;3. Sir Peter Mansfield Imaging Center, School of Physics and Astronomy, University of Nottingham, Ethiopia;1. Pediatric Nursing Department, Faculty of Nursing, Hasanuddin University, Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, 90245, Indonesia;2. Nursing and Midwifery, George Singer Building Room 324A, College of Science Health and Engineering, La Trobe University, Bundoora, VIC, 3086, Australia;3. Pediatric Department, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Jl. Bulaksumur, Caturtunggal, Kec. Depok, Kabupaten Sleman, Yogyakarta, 55281, Indonesia;4. Pediatric Nursing Department, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Jl. Bulaksumur, Caturtunggal, Kec. Depok, Kabupaten Sleman, Yogyakarta, 55281, Indonesia;5. Pediatric Department, Faculty of Medicine, Hasanuddin University, Jl. Perintis Kemerdekaan KM 10, Tamalanrea, Makassar, 90245, Indonesia;1. School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;2. Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;3. Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;4. Eye Research Center, Department of Ophthalmology, Mashhad University of Medical Sciences, Mashhad, Iran;5. Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;1. School of Allied Health Sciences, 58 Parklands Drive Southport, Griffith University, Gold Coast, Queensland, 4215, Australia;2. Logan Hospital, Nutrition and Dietetics Department, Meadowbrook, Q4131, Australia;1. Department of Maternal and Child Health Nursing, Princess Muna College of Nursing, Mutah University, Jordan;2. Department of Maternal and Child Health Nursing, School of Nursing, The University of Jordan, Queen Rania Street - 11942, Amman, Jordan;3. Department of Maternal and Child Health Nursing, Faculty of Nursing, Mutah University, Al-Karak, Jordan |
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| Abstract: | Within the context of Chlorhexidine scale-up, this cross-sectional study explores umbilical cord-stump care practices of mothers of infants in Enugu-North, and their perspectives on specific issues fueling unhygienic cord-stump care practices. Quantitative data were collected from 397 participants using a structured questionnaire. Cumulatively, 29.2% of the respondents resorted to unhygienic substances for cord-stump-care, and 11.3% of them used Chlorhexidine for care. Compared to mothers within the ‘22-26-year-old’ category, mothers within the ‘17-21-year-old’ category were more likely to desire a short time-to-cord-separation (OR = 2.1; 95% CI = 1.0–4.5). First-time mothers (OR = 5.9; 95% CI = 3.5–10.2) and younger mothers (OR = 152.8; 95% CI = 36.2–891.1) were more likely to yield to gatekeepers' opinions on newborn-care compared to non-first-time mothers and older mothers (32-40-year-old category), respectively. This study identifies putative predictors of newborn-care decisions within the context of Chlorhexidine scale-up. Further, the prevalence of Chlorhexidine use was low, and the use of unhygienic substances was significant. |
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| Keywords: | Chlorhexidine Umbilical cord-stump care Scale-up Practices |
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