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Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: Analysis of census data from programme evaluation in three remote districts of the Loreto region

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dc.contributor.author Reinders, Stefan Alexander
dc.contributor.author Blas Blas, Magaly Marlitz
dc.contributor.author Neuman, Melissa
dc.contributor.author Huicho Oriundo, Luis
dc.contributor.author Ronsmans, Carine
dc.coverage.spatial Nauta, Loreto, Perú
dc.coverage.spatial Parinari, Loreto, Perú
dc.coverage.spatial Saquena, Loreto, Perú
dc.date.accessioned 2023-02-20T13:28:10Z
dc.date.available 2023-02-20T13:28:10Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13146
dc.description.abstract Background Essential newborn care (ENC) covers optimal breastfeeding, thermal care, and hygienic cord care. These practices are fundamental to save newborn lives. Despite neonatal mortality remaining high in some parts of Peru, no comprehensive data on ENC is available. We sought to estimate the prevalence of ENC and assess differences between facility and home births in the remote Peruvian Amazon. Methods We used baseline data from a household census of rural communities of three districts in Loreto region, collected as part of the evaluation of a maternal-neonatal health (MNH) programme. Women between 15 and 49 years with a live birth in the last 12 months were invited to complete a questionnaire about MNH-related care and ENC. Prevalence of ENC was calculated for all births and disaggregated by place of birth. Adjusted prevalence differences (PD) were post-estimated from logistic regression models on the effect of place of birth on ENC. Findings All 79 rural communities with a population of 14,474 were censused. Among 324 (>99%) women inter-viewed, 70% gave birth at home, most (93%) without skilled birth assistance. Among all births, prevalence was lowest for immediate skin-to-skin contact (24%), colostrum feeding (47%), and early breastfeeding (64%). ENC was consistently lower in home compared to facility births. After adjusting for confounders, largest PD were found for immediate skin-to-skin contact (50% [95% CI: 38-62]), colostrum feeding (26% [16-36]), and clean cord care (23% [14-32]). ENC prevalence in facilities ranged between 58 and 93%; delayed bathing was lower compared to home births (-19% [-31 to -7]). Interpretation Low prevalence of ENC practices among home births in a setting with high neonatal mortality and difficult access to quality care in facilities suggests potential for a community-based intervention to promote ENC practices at home, along with promotion of healthcare seeking and simultaneous strengthening of routine facility care. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet Regional Health. Americas
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Essential newborn care en_US
dc.subject Prevalence en_US
dc.subject Peru en_US
dc.subject Indigenous en_US
dc.subject Amazon en_US
dc.subject Maternal-neonatal health en_US
dc.subject Thermal care en_US
dc.subject Cord care en_US
dc.subject Breastfeeding en_US
dc.subject.mesh Intensive Care, Neonatal
dc.subject.mesh Prevalence
dc.subject.mesh Peru
dc.subject.mesh Indigenous Peoples
dc.subject.mesh Maternal and Child Health
dc.subject.mesh Umbilical Cord
dc.subject.mesh Breast Feeding
dc.title Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: Analysis of census data from programme evaluation in three remote districts of the Loreto region en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.lana.2022.100404
dc.relation.issn 2667-193X

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