Management of Newborn Infection: Knowledge and attitude among health care providers of selected sub-district hospitals in Bangladesh
Newborn infection is one of the leading causes of under-five mortality in the developing countries. It is one of the priority areas in Bangladesh, and the Government is trying to manage newborn infection at sub-district health facilities. However, newborn management is found to be a challenge for primary care settings. This study was an attempt to understand the practice-based knowledge of health care providers’ (HCP), and attitude in the management of newborn infection. A cross-sectional study was carried out using semi-structured interview among forty-five HCPs (Medical Physicians, paramedics, and nurse) working in two UHCs (Upazila Health Complex). Collected data were descriptively analysed using STATA (version 13). The respondents’ average work experience was 15.1 years, and 64% of them received formal training on managing newborn. Three-quarters of the respondents successfully identified four to five danger signs of recent infection. However, only one-third respondents were found to know about the standard guidelines. Two-thirds (66.67%) of the service providers reported not to use antiseptic precaution correctly as the process is considered time-consuming. More than one-fourth of the service providers believed the UHCs were not the right place to manage newborn, so they preferred to refer them to a higher facility. Inappropriate knowledge, lack of motivation to understand, to maintain standard protocols and misperceptions with regards to hygiene were found as the main deterrents in providing care on newborn infection.
Keyword: Knowledge, Attitude, Newborn Infection, Healthcare provider, Bangladesh
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