Low knowledge of newborn danger signs among pregnant women in Papua New Guinea and implications for health seeking behaviour in early infancy - findings from a longitudinal study.

Eghrari, D; Scoullar, MJL; Wilson, AN; Peach, E; Elijah, A; Melepia, P; SupSup, H; Vallely, LM; Siba, PM; Kennedy, EC; Vogel, JP; Homer, CSE; Robinson, LJ; Fowkes, FJI; Pomat, W; Crabb, BS; Beeson, JG; Morgan, CJ

Low knowledge of newborn danger signs among pregnant women in Papua New Guinea and implications for health seeking behaviour in early infancy - findings from a longitudinal study.

Eghrari, D Scoullar, MJL Wilson, AN Peach, E Elijah, A Melepia, P SupSup, H Vallely, LM Siba, PM Kennedy, EC Vogel, JP Homer, CSE Robinson, LJ Fowkes, FJI Pomat, W Crabb, BS Beeson, JG Morgan, CJ

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: BMC Pregnancy Childbirth, 2023, 23, (1), pp. 71
Issue Date:: 2023-01-26

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Field	Value	Language
dc.contributor.author	Eghrari, D
dc.contributor.author	Scoullar, MJL
dc.contributor.author	Wilson, AN
dc.contributor.author	Peach, E
dc.contributor.author	Elijah, A
dc.contributor.author	Melepia, P
dc.contributor.author	SupSup, H
dc.contributor.author	Vallely, LM
dc.contributor.author	Siba, PM
dc.contributor.author	Kennedy, EC
dc.contributor.author	Vogel, JP
dc.contributor.author	Homer, CSE
dc.contributor.author	Robinson, LJ
dc.contributor.author	Fowkes, FJI
dc.contributor.author	Pomat, W
dc.contributor.author	Crabb, BS
dc.contributor.author	Beeson, JG
dc.contributor.author	Morgan, CJ
dc.date.accessioned	2023-09-04T06:05:57Z
dc.date.available	2022-12-20
dc.date.available	2023-09-04T06:05:57Z
dc.date.issued	2023-01-26
dc.identifier.citation	BMC Pregnancy Childbirth, 2023, 23, (1), pp. 71
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/171899
dc.description.abstract	BACKGROUND: Globally, 2.5 million babies die in the first 28 days of life each year with most of these deaths occurring in low- and middle-income countries. Early recognition of newborn danger signs is important in prompting timely care seeking behaviour. Little is known about women's knowledge of newborn danger signs in Papua New Guinea. This study aims to assess this knowledge gap among a cohort of women in East New Britain Province. METHODS: This study assessed knowledge of newborn danger signs (as defined by the World Health Organization) at three time points from a prospective cohort study of women in East New Britain Province, factors associated with knowledge of danger signs after childbirth were assessed using logistic regression. This study includes quantitative and qualitative interview data from 699 pregnant women enrolled at their first antenatal clinic visit, followed up after childbirth (n = 638) and again at one-month post-partum (n = 599). RESULTS: Knowledge of newborn danger signs was very low. Among the 638 women, only 9.4% knew three newborn danger signs after childbirth and only one knew all four essential danger signs defined by Johns Hopkins University 'Birth Preparedness and Complication Readiness' Index. Higher knowledge scores were associated with higher gravidity, income level, partner involvement in antenatal care, and education. CONCLUSION: Low levels of knowledge of newborn danger signs among pregnant women are a potential obstacle to timely care-seeking in rural Papua New Guinea. Antenatal and postnatal education, and policies that support enhanced education and decision-making powers for women and their families, are urgently needed.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	BMC Pregnancy Childbirth
dc.relation.isbasedon	10.1186/s12884-022-05322-6
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant
dc.subject.mesh	Humans
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Parturition
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Female
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant
dc.subject.mesh	Humans
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Parturition
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.title	Low knowledge of newborn danger signs among pregnant women in Papua New Guinea and implications for health seeking behaviour in early infancy - findings from a longitudinal study.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
dc.date.updated	2023-09-04T06:05:54Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	23
utslib.citation.issue	1

Abstract:

BACKGROUND: Globally, 2.5 million babies die in the first 28 days of life each year with most of these deaths occurring in low- and middle-income countries. Early recognition of newborn danger signs is important in prompting timely care seeking behaviour. Little is known about women's knowledge of newborn danger signs in Papua New Guinea. This study aims to assess this knowledge gap among a cohort of women in East New Britain Province. METHODS: This study assessed knowledge of newborn danger signs (as defined by the World Health Organization) at three time points from a prospective cohort study of women in East New Britain Province, factors associated with knowledge of danger signs after childbirth were assessed using logistic regression. This study includes quantitative and qualitative interview data from 699 pregnant women enrolled at their first antenatal clinic visit, followed up after childbirth (n = 638) and again at one-month post-partum (n = 599). RESULTS: Knowledge of newborn danger signs was very low. Among the 638 women, only 9.4% knew three newborn danger signs after childbirth and only one knew all four essential danger signs defined by Johns Hopkins University 'Birth Preparedness and Complication Readiness' Index. Higher knowledge scores were associated with higher gravidity, income level, partner involvement in antenatal care, and education. CONCLUSION: Low levels of knowledge of newborn danger signs among pregnant women are a potential obstacle to timely care-seeking in rural Papua New Guinea. Antenatal and postnatal education, and policies that support enhanced education and decision-making powers for women and their families, are urgently needed.

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http://hdl.handle.net/10453/171899