Author:
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1.
Rahman S, El Ansari W, 2012. Neonatal Mortality: Incidence, Correlates and Improvement Strategies, Perinatal Mortality. Ezechi O, ed. Perinatal Mortality. Rijeka, Crosatia: InTech, 31–72. Available at: http://www.intechopen.com/books/perinatal-mortality/neonatal-mortality. Accessed February 27, 2017.
-
2.
Bay G, Miller T, Faijer DJ, 2014. Levels and Trends in Child Mortality. Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation.
-
3.
Tran HT, Doyle LW, Lee KJ, Graham SM, 2012. A systematic review of the burden of neonatal mortality and morbidity in the ASEAN region. WHO South East Asia J Public Health 1: 239–248.
-
4.
Bhutta ZA et al. 2014. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet 384: 8–22.
-
5.
Beyrer C, 2011. Stillbirths: breaking the silence of a hidden grief. Lancet 377: 1386–1388.
-
6.
Frøen JF, Cacciatore J, McClure EM, Kuti O, Jokhio AH, Islam, M, Shiffman J; Lancet’s Stillbirths Series Steering Committee, 2011. Stillbirths: why they matter. Lancet 377: 1353–1366.
-
7.
Samarasekera U, Horton R, 2014. The world we want for every newborn child. Lancet 384: 107–9.
-
8.
Lawn JE, Kerber K, Enweronu-Laryea C, Cousens S, 2010. 3.6 million neonatal deaths—what is progressing and what is not? Semin Perinatol 34: 371–386.
-
9.
Kananura RM, Tetui M, Mutebi A, Bua JN, Waiswa P, Kiwanuka SN, Ekirapa-Kiracho E, Makumbi F, 2016. The neonatal mortality and its determinants in rural communities of eastern Uganda. Reprod Health 13: 13.
-
10.
Abdullah A, Hort K, Butu Y, Simpson L, 2016. Risk factors associated with neonatal deaths: a matched case-control study in Indonesia. Glob Health Action 9: 1–12.
-
11.
Li C, Yan H, Zeng L, Dibley MJ, Wang D, 2015. Predictors for neonatal death in the rural areas of Shaanxi Province of northwestern China: a cross-sectional study. BMC Public Health 15: 387.
-
12.
Olayinka O, 2012. Predictors of neonatal morbidity and mortality in tertiary hospital in Ogun. Arch Appl Sceince Res 4: 1511–1516.
-
13.
Lassi ZS, Dean SV, Mallick D, Bhutta ZA, 2014. Preconception care: delivery strategies and packages for care. Reprod Health 11 (Suppl 3): S7.
-
14.
O’Neill S, Gryseels C, Dierickx S, Mwesigwa J, Okebe J, d’Alessandro U, Peeters Grietens K, 2015. Foul wind, spirits and witchcraft: illness conceptions and health-seeking behaviour for malaria in the Gambia. Malar J 14: 167.
-
15.
Webair HH, Bin Ghouth AS, 2014. “This diarrhea is not a disease…” local illness concepts and their effects on mothers’ health seeking behaviour: a qualitative study, Shuhair, Yemen. BMC Public Health 14: 1–8.
-
16.
Brooks S, Rowley S, Broadbent E, Petrie KJ, 2012. Illness perception ratings of high-risk newborns by mothers and clinicians: relationship to illness severity and maternal stress. Health Psychol 31: 632–639.
-
17.
Burtscher D, Burza S, 2015. Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study. Public Health Nutr 18: 3234–3243.
-
18.
Chibwana AI, Mathanga DP, Chinkhumba J, Campbell CH Jr., 2009. Socio-cultural predictors of health-seeking behaviour for febrile under-five children in Mwanza-Neno district, Malawi. Malar J 8: 1–8.
-
19.
Ba A, 2014. Mothers’ recognition of newborn danger signs and health seeking behaviour. Niger J Paediatr 41: 199–203.
-
20.
Källander K et al. 2011. Social autopsy: INDEPTH network experiences of utility, process, practices, and challenges in investigating causes and contributors to mortality. Popul Health Metr 9: 44.
-
21.
Alhojailan M, 2012. Thematic analysis: a critical review of its process and evaluation. West East J Soc Sci 1: 39–47.
-
22.
Dongre AR, Deshmukh PR, 2008. Perceptions and health care seeking about newborn danger signs among mothers in rural Wardha. Indian J Pediatr 75: 325–329.
-
23.
Dharel D, Bhattarai A, 2017. Maternal perception about neonatal jaundice in eastern Nepal: a qualitative study. Health Prospect 16: 1–6.
-
24.
Warren C, 2010. Care of the newborn: community perceptions and health seeking behavior. Ethiop J Health Dev 24: 110–114.
-
25.
Syed U, Khadka N, Khan A, Wall S, 2008. Care-seeking practices in south Asia: using formative research to design program interventions to save newborn lives. J Perinatol 28 (Suppl 2): S9–S13.
-
26.
Amare Y, Degefie T, Mulligan B, 2008. Original article newborn care seeking practices in central and southern Ethiopia and implications for community based programming. Ethiop J Health Dev 27: 3–7.
-
27.
Awasthi S, Srivastava NM, Pant S, 2008. Symptom-specific care-seeking behavior for sick neonates among urban poor in Lucknow, northern India. J Perinatol 28: S69–S75.
-
28.
Assefa T, Belachew T, Tegegn A, Deribew A, 2008. Mothers’ health care seeking behavior for childhood illnesses in Derra district, Northshoa zone, Oromia Regional State, Ethiopia. Ethiop J Health Sci 18: 87–94.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1742 | 1565 | 55 |
| Full Text Views | 1171 | 7 | 2 |
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Causal Beliefs Affect Treatment Practices and Preferences for Neonatal Danger Signs in Northwest Ethiopia: A Qualitative Study
Tariku Nigatu Bogale
Tariku Nigatu Bogale
Institute of Public Health, University of Gondar, Gondar, Ethiopia;
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Abebaw Gebeyehu Worku
Abebaw Gebeyehu Worku
Institute of Public Health, University of Gondar, Gondar, Ethiopia;
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Alemayehu Worku Yalew
Alemayehu Worku Yalew
School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia;
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Gashaw Andargie Biks
Gashaw Andargie Biks
Institute of Public Health, University of Gondar, Gondar, Ethiopia;
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Zemene Tigabu Kebede
Zemene Tigabu Kebede
Department of Pediatrics and Child Health, University of Gondar, Gondar, Ethiopia
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This study was conducted to explore the experiences of community members, particularly mothers, concerning their beliefs about the causes, treatment practices, and preferences for World Health Organization-defined neonatal danger signs in northwest Ethiopia. A phenomenological qualitative study was conducted in three districts of north Gondar Zone, Amhara region, Ethiopia, from March 10 to 28, 2016. Twelve focus group discussions were conducted involving 98 individuals. In-depth interviews were conducted with six health extension workers and 30 women who were either pregnant or who delivered in the past 6 months. Six subthemes emerged explaining the causes of neonatal danger signs. The causes varied from danger sign to danger sign and from person to person. Most of the perceived causes of danger signs in neonates do not align with the current biomedical science. Causal assumptions and perceived seriousness of danger signs influenced treatment practices and preferences. Four subthemes also emerged for treatment practices and preferences. In some cases, respondents indicated that non-biomedical sources of treatment were superior in outcome compared with biomedical treatment options. Unsatisfactory outcomes were mentioned as major reasons to opt for treatments from non-biomedical sources. Religious and cultural reasons were reported to be major impediments for treatment seeking for newborn danger signs. There is an urgent need to introduce or expand locally modified program interventions, such as community-based newborn care, to educate the community on the causes of neonatal danger signs and the need for prompt care seeking from qualified providers.
Author Notes
Financial support: This is part of a PhD study supported by the University of Gondar projects. All the statements and findings are the responsibility of the investigators.
Authors’ addresses: Tariku Nigatu Bogale, Institute of Public Health, University of Gondar, Gondar, Ethiopia, E-mail: trknigatu@gmail.com. Abebaw Gebeyehu Worku, Department of Reproductive Health, College of Medicine and Health Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia, E-mail: gabebaw2worku@gmail.com. Alemayehu Worku Yalew, Department of Public Health, Addis Ababa University, Addis Ababa, Ethiopia, E-mail: alemayehuwy@yahoo.com. Gashaw Andargie Biks, Department of Health Service Management and Health Economics, University of Gondar, Gondar, Ethiopia, E-mail: gashawab@gmail.com. Zemene Tigabu Kebede, Department of Pediatrics, University of Gondar, Gondar, Ethiopia, E-mail: zemene.tigabu@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
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-
1.
Rahman S, El Ansari W, 2012. Neonatal Mortality: Incidence, Correlates and Improvement Strategies, Perinatal Mortality. Ezechi O, ed. Perinatal Mortality. Rijeka, Crosatia: InTech, 31–72. Available at: http://www.intechopen.com/books/perinatal-mortality/neonatal-mortality. Accessed February 27, 2017.
-
2.
Bay G, Miller T, Faijer DJ, 2014. Levels and Trends in Child Mortality. Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation.
-
3.
Tran HT, Doyle LW, Lee KJ, Graham SM, 2012. A systematic review of the burden of neonatal mortality and morbidity in the ASEAN region. WHO South East Asia J Public Health 1: 239–248.
-
4.
Bhutta ZA et al. 2014. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet 384: 8–22.
-
5.
Beyrer C, 2011. Stillbirths: breaking the silence of a hidden grief. Lancet 377: 1386–1388.
-
6.
Frøen JF, Cacciatore J, McClure EM, Kuti O, Jokhio AH, Islam, M, Shiffman J; Lancet’s Stillbirths Series Steering Committee, 2011. Stillbirths: why they matter. Lancet 377: 1353–1366.
-
7.
Samarasekera U, Horton R, 2014. The world we want for every newborn child. Lancet 384: 107–9.
-
8.
Lawn JE, Kerber K, Enweronu-Laryea C, Cousens S, 2010. 3.6 million neonatal deaths—what is progressing and what is not? Semin Perinatol 34: 371–386.
-
9.
Kananura RM, Tetui M, Mutebi A, Bua JN, Waiswa P, Kiwanuka SN, Ekirapa-Kiracho E, Makumbi F, 2016. The neonatal mortality and its determinants in rural communities of eastern Uganda. Reprod Health 13: 13.
-
10.
Abdullah A, Hort K, Butu Y, Simpson L, 2016. Risk factors associated with neonatal deaths: a matched case-control study in Indonesia. Glob Health Action 9: 1–12.
-
11.
Li C, Yan H, Zeng L, Dibley MJ, Wang D, 2015. Predictors for neonatal death in the rural areas of Shaanxi Province of northwestern China: a cross-sectional study. BMC Public Health 15: 387.
-
12.
Olayinka O, 2012. Predictors of neonatal morbidity and mortality in tertiary hospital in Ogun. Arch Appl Sceince Res 4: 1511–1516.
-
13.
Lassi ZS, Dean SV, Mallick D, Bhutta ZA, 2014. Preconception care: delivery strategies and packages for care. Reprod Health 11 (Suppl 3): S7.
-
14.
O’Neill S, Gryseels C, Dierickx S, Mwesigwa J, Okebe J, d’Alessandro U, Peeters Grietens K, 2015. Foul wind, spirits and witchcraft: illness conceptions and health-seeking behaviour for malaria in the Gambia. Malar J 14: 167.
-
15.
Webair HH, Bin Ghouth AS, 2014. “This diarrhea is not a disease…” local illness concepts and their effects on mothers’ health seeking behaviour: a qualitative study, Shuhair, Yemen. BMC Public Health 14: 1–8.
-
16.
Brooks S, Rowley S, Broadbent E, Petrie KJ, 2012. Illness perception ratings of high-risk newborns by mothers and clinicians: relationship to illness severity and maternal stress. Health Psychol 31: 632–639.
-
17.
Burtscher D, Burza S, 2015. Health-seeking behaviour and community perceptions of childhood undernutrition and a community management of acute malnutrition (CMAM) programme in rural Bihar, India: a qualitative study. Public Health Nutr 18: 3234–3243.
-
18.
Chibwana AI, Mathanga DP, Chinkhumba J, Campbell CH Jr., 2009. Socio-cultural predictors of health-seeking behaviour for febrile under-five children in Mwanza-Neno district, Malawi. Malar J 8: 1–8.
-
19.
Ba A, 2014. Mothers’ recognition of newborn danger signs and health seeking behaviour. Niger J Paediatr 41: 199–203.
-
20.
Källander K et al. 2011. Social autopsy: INDEPTH network experiences of utility, process, practices, and challenges in investigating causes and contributors to mortality. Popul Health Metr 9: 44.
-
21.
Alhojailan M, 2012. Thematic analysis: a critical review of its process and evaluation. West East J Soc Sci 1: 39–47.
-
22.
Dongre AR, Deshmukh PR, 2008. Perceptions and health care seeking about newborn danger signs among mothers in rural Wardha. Indian J Pediatr 75: 325–329.
-
23.
Dharel D, Bhattarai A, 2017. Maternal perception about neonatal jaundice in eastern Nepal: a qualitative study. Health Prospect 16: 1–6.
-
24.
Warren C, 2010. Care of the newborn: community perceptions and health seeking behavior. Ethiop J Health Dev 24: 110–114.
-
25.
Syed U, Khadka N, Khan A, Wall S, 2008. Care-seeking practices in south Asia: using formative research to design program interventions to save newborn lives. J Perinatol 28 (Suppl 2): S9–S13.
-
26.
Amare Y, Degefie T, Mulligan B, 2008. Original article newborn care seeking practices in central and southern Ethiopia and implications for community based programming. Ethiop J Health Dev 27: 3–7.
-
27.
Awasthi S, Srivastava NM, Pant S, 2008. Symptom-specific care-seeking behavior for sick neonates among urban poor in Lucknow, northern India. J Perinatol 28: S69–S75.
-
28.
Assefa T, Belachew T, Tegegn A, Deribew A, 2008. Mothers’ health care seeking behavior for childhood illnesses in Derra district, Northshoa zone, Oromia Regional State, Ethiopia. Ethiop J Health Sci 18: 87–94.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1742 | 1565 | 55 |
| Full Text Views | 1171 | 7 | 2 |
| PDF Downloads | 188 | 10 | 4 |