Original Research Article
Year: 2017 | Month: May | Volume: 7 | Issue: 5 | Pages: 232-242
Effect of Planned Teaching on Practices of Skilled Birth Attendants on 'Facility Based Newborn Care' at Health Care Facilities in Raigad District, Maharashtra
Samruddhi S Bhakare1, Dr Nimain Mohanty2, Dr Sripriya Gopalkrishnan3
1Ph D Scholar, MGM Institute of Health Sciences, Kamothe, Navi Mumbai. Assistant Prof, Sadhu Vaswani College of Nursing, Pune
2M.D.Peds, M.S, MGM Hospital, Kalamboli, MGMIHS, Navi Mumbai.
3PhDN, Principal, Sadhu Vaswani College of Nursing, Koregaon Park, Pune
Corresponding Author: Samruddhi S Bhakare
ABSTRACT
Child survival is a key determinant of any country's development which is indicated by the number of deaths that occur each year in terms of under five and infant mortality. In India, we are losing 1.35 million children annually and majority of these deaths occur during the newborn period. The challenge faced by India is enormous evident in the fact that India contributes to 17.5 % of the world's population, nearly 20 % of the total live births, yet accounts for 26% of global newborn deaths. Saturation of all delivery points with providers trained Skilled Birth Attendance including Essential Newborn Care and Neonatal resuscitation are the top most priority under national programme. This study aims to determine the level of Practices of the Skilled Birth Attendants regarding 'Facility Based Newborn Care' at the Health Care facilities in district of Raigad, Maharashtra.
Materials and Method: Pre- Experimental one group pre-tests, post-tests research design. Samples are 20 Skilled Birth Attendants. Sampling technique used stratified proportionate sampling for regions of Raigad and random sampling for SBAs. Tool consisted of 75 skills used in Immediate Newborn Care, Intensive Newborn Care and Newborn Resuscitation care rated by using checklist for observing the skills practiced by SBAs.
Result: Majority SBAs were age group ≤ 30 years, majority were with 0-5 years of work experience. Only 20% of the SBAs had received training on Newborn. The mean of practice scores is 18.1for Immediate Newborn Care, 6.5 for Intensive Newborn Care and 2.1for Newborn Resuscitation care, which indicates poor skill scores. Te post test score increased to 94% in skills of SBAs. There is a significant difference in the mean score of Practices pretest and post test with p value<0.05. Fisher’s exact test was used for correlation of the demographic variables with the practices. There was significant association in the professional qualification, years of experience and training received in newborn care with practices. The SBAs can apply these improved skills in day to day practices of newborn care.
In order to further reduce newborn mortality and end preventable deaths, intensified actions, equitable and universal coverage of high impact interventions and improved coverage of known interventions are needed to ensure newborn survival, which is the right of every newborn to life, survival, health and development hence reducing neonatal mortality in India.
Key words: Skilled Birth Attendants, Practices of SBAs, Facility Based Newborn Care, Neonatal Mortality, Neonatal outcome, Health care facilities.