a large cross-sectional community-based study of newborn care practices in southern tanzania一大截在坦桑尼亚南部地区的新生儿护理实践的以社区为基础的研究.pdfVIP
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a large cross-sectional community-based study of newborn care practices in southern tanzania一大截在坦桑尼亚南部地区的新生儿护理实践的以社区为基础的研究
A Large Cross-Sectional Community-Based Study of
Newborn Care Practices in Southern Tanzania
1 2 3 3 4 5
Suzanne Penfold *, Zelee Hill , Mwifadhi Mrisho , Fatuma Manzi , Marcel Tanner , Hassan Mshinda ,
David Schellenberg1, Joanna R. M. Armstrong Schellenberg1
1 Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom, 2 Institute of Child Health, University College
London, London, United Kingdom, 3 Ifakara Health Institute, Dar es Salaam, Tanzania, 4 Swiss Tropical and Public Health Institute, Basel, Switzerland and University of
Basel, Basel, Switzerland, 5 COSTECH, Dar es Salaam, Tanzania
Abstract
Despite recent improvements in child survival in sub-Saharan Africa, neonatal mortality rates remain largely unchanged. This
study aimed to determine the frequency of delivery and newborn-care practices in southern Tanzania, where neonatal
mortality is higher than the national average. All households in five districts of Southern Tanzania were approached to
participate. Of 213,220 female residents aged 13–49 years, 92% participated. Cross-sectional, retrospective data on
childbirth and newborn care practices were collected from 22,243 female respondents who had delivered a live baby in the
preceding year. Health facility deliveries accounted for 41% of births, with nearly all non-facility deliveries occurring at home
(57% of deliveries). Skilled attendants assisted 40% of births. Over half of women reported drying the baby and over a third
reported wrapping the baby within 5 minutes of delivery. The majority of mothers delivering at home reported that they
had made preparations for delivery, including buying soap (84%) and p
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