TY - JOUR
T1 - Newborn care practices in urban slums
T2 - Evidence from central India
AU - Agarwal, Siddharth
AU - Sethi, Vani
AU - Srivastava, Karishma
AU - Jha, Prabhat K.
AU - Baqui, Abdullah H.
PY - 2009
Y1 - 2009
N2 - One-third of India’s urban population resides in slums and squatters, in extreme poverty conditions. Newborn care is sub-optimal among India’s urban poor, yet scarcely documented. We assessed newborn care practices in 11 urban slums of Indore in Central India. Practices such as clean cord care, thermal care, timely initiation of breastfeeding and exclusive breastfeeding upto neonatal period were enquired from 312 mothers of infants aged 2-4 months. Correlates of these practices were identified using multiple logistic regression. 72.1% births were home births (slum-home: 56.4%, native-village home: 15.7%). Slumbased traditional birth attendants (sTBAs) conducted 77.3% slum-home births. Skilled assistance during slum-home births was low (7.4%). Clean cord care (22.2%) and thermal care (10.2%) practices were also low. Trained or skilled assistance during slum-home births was positively associated with clean cord care (OR 4.8 CI 1.7-13.6) and thermal care (OR 2.0 CI: 1.1-4.1). Timely initiation of breastfeeding was sub-optimal (50.6%) even in facility births. Exclusive breastfeeding upto neonatal period was higher for mothers counselled on exclusive breastfeeding by a health volunteer during neonatal period (OR 2.3, CI 1.4-3.8). Following emerge imperative for improving newborn care in urban slums- i) antenatal and postnatal counselling by trained health volunteers, ii) enhancing competence of sTBAs and linking them to affordable facilities and iii) sensitizing and training public health facility staff.
AB - One-third of India’s urban population resides in slums and squatters, in extreme poverty conditions. Newborn care is sub-optimal among India’s urban poor, yet scarcely documented. We assessed newborn care practices in 11 urban slums of Indore in Central India. Practices such as clean cord care, thermal care, timely initiation of breastfeeding and exclusive breastfeeding upto neonatal period were enquired from 312 mothers of infants aged 2-4 months. Correlates of these practices were identified using multiple logistic regression. 72.1% births were home births (slum-home: 56.4%, native-village home: 15.7%). Slumbased traditional birth attendants (sTBAs) conducted 77.3% slum-home births. Skilled assistance during slum-home births was low (7.4%). Clean cord care (22.2%) and thermal care (10.2%) practices were also low. Trained or skilled assistance during slum-home births was positively associated with clean cord care (OR 4.8 CI 1.7-13.6) and thermal care (OR 2.0 CI: 1.1-4.1). Timely initiation of breastfeeding was sub-optimal (50.6%) even in facility births. Exclusive breastfeeding upto neonatal period was higher for mothers counselled on exclusive breastfeeding by a health volunteer during neonatal period (OR 2.3, CI 1.4-3.8). Following emerge imperative for improving newborn care in urban slums- i) antenatal and postnatal counselling by trained health volunteers, ii) enhancing competence of sTBAs and linking them to affordable facilities and iii) sensitizing and training public health facility staff.
KW - Logistic regression
KW - Newborn care
KW - Slums
KW - Urban poor
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U2 - 10.3233/NPM-2009-0081
DO - 10.3233/NPM-2009-0081
M3 - Article
AN - SCOPUS:85013584897
SN - 1934-5798
VL - 2
SP - 277
EP - 287
JO - Journal of Neonatal-Perinatal Medicine
JF - Journal of Neonatal-Perinatal Medicine
IS - 4
ER -