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Background: Globally, more than 7 million children die under the age of five and the highest proportion of death is during the first 28 days of life. For babies who do not breathe at birth, neonatal resuscitation is critical in reducing intra-partum related neonatal deaths by 30%. Yet, there is a dearth of studies on the provision of neonatal resuscitation in Ethiopia. So, this study aimed to assess health facilities provision of neonatal resuscitation with bag and mask and its factors among asphyxiated newborns. Materials and Methods: Data used were from the Ethiopian 2016 Emergency Obstetric Newborn Care survey, conducted in 3,804 health facilities providing maternal and newborn health services. The analysis included neonatal resuscitation with bag and mask in the previous 3 months before the survey. Descriptive statistics, simple and multivariable regression analyses were performed using SPSS-21 version. Results: The analysis findings show that 72.2% of the health facilities were providing neonatal resuscitation with bag and mask. The result showed that hospitals (adjusted odds ratio (AOR): 3.90; 95% confidence interval (CI) [2.05, 7.49]), health-care providers not trained in neonatal resuscitation (AOR: 0.64; 95% CI [0.42, 0.99]) and availability of essential equipment (AOR: 1.32; 95% CI [1.15, 1.51]) were more likely to practice neonatal resuscitation. Conclusion: Overall practice of health facilities on neonatal resuscitation with bag and mask was at 72.2%. Type of facility, providers trained in neonatal resuscitation and availability of essential equipments were independently affecting the practice of neonatal resuscitation. Incorporating competency-based training, refresher training, and clinical mentorship will improve the practice.
This was a secondary analysis of the data collected by the 2016 Ethiopian Emergency Obstetrics and Newborn care (EmONC) survey. The survey was a national cross-sectional census of health facilities, both public and private, that provided maternal and newborn health services. A total of 3,804 eligible public hospitals (referral, general, primary), health centers and all eligible private (for-profit and not-for-profit) facilities (hospitals, MCH Specialty Centers, MCH Specialty Clinics, and Higher Clinics) of all nine regions were included in the study. Practice of neonatal resuscitation with bag and mask in the 3 months before the survey was assessed.14 From the eligible health facilities one health professional working in the maternity ward ( a medical doctor, a health officer, a midwife or a nurse) was interviewed and asked whether newborn resuscitation with bag and mask had been performed in the last 3 months. The outcome variable was provision of neonatal resuscitation with bag and mask in all health facilities and health-care providers’ characteristics and health facility characteristics were independent factors. The data were analyzed using SPSS version 21. Descriptive characteristics of the participants were tabulated using frequencies, percentage, mean and standard deviation after normality was checked with Shapiro–Wilk test. Forward Likelihood Ratio multivariable logistic regression was conducted for those independent variables with p-value <0.25 at bi-variable regression analysis. Finally, variables with a p-value <0.05 in the multivariable analysis were considered to pronounce an independent association between covariates and the practice of neonatal resuscitation. Model assumption fulfillment and multi-collinearity test were done prior to multivariate logistic regression. The final logistic model goodness of fit was assessed using the Hosmer-Lemeshow goodness of fit test and an omnibus test of model coefficients. The result shows the model is fit. The primary researchers of the 2016 Ethiopia EmONC survey obtained ethical clearance from Ethiopian Public Health Institute and letter of permission from FMOH, and there was no need of ethical clearance for this secondary analysis. However, permission to access the data was obtained from FMOH of Ethiopia.
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