Background: Neonatal morbidity and mortaliy in India continues to
be high. Among other reasons, newborn care practices are major contributors for
such high rates.
Objective: To assess the effect of behavior change communication
(BCC) package among pregnant women regarding neonatal care.
Material and methods: Semi-structured and pre-tested schedule was used
to interview 200 multigravidas on various aspects of neonatal care. Based on
the preliminary data BCC package was designed and implemented in intervention
block in the community. Follow up was done to find out change in their
behaviour.
Statistical Analysis: Data
was analyzed using Epi – info and Fischer exact test and chi-square test
were applied in the baseline data. A p value of less than 0.05 was considered
significant. Effect of the BCC package
is given in terms of relative risk.
Results: BCC package increased 1.76 times higher number of deliveries
conducted by trained dais in intervention group. There was significant
improvement in using sterile cord tie (p=0.01), applied nothing to the cord and giving bath to their baby within 6 hour of birth (p=0.02) in intervention group as compared to non-intervention group. Significant difference was found between the two groups with regard to breast-feeding practices of baby. Harmful practices were reduced in intervention group. Significant improvement was found in intervention group as compared to non-intervention group with regards to knowledge of danger signals, physiological variants, management of breastfeeding related problems, and awareness of skin-to-skin technique for the management of hypothermic baby.
Conclusion:
Inadequate
knowledge and adverse practices regarding neonatal care among mothers in study
areas were found. BCC package had favorable impact on behavior of mothers for
neonatal care in intervention group.
Keyword: Neonatal Health
Care, Behavior Change Communication, Community Intervention, Breastfeeding,
Hypothermia. http://www.ijcm.org.in/text.asp?2013/38/1/42/106627
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