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. 2022 Jan 7;17(1):e0262446.
doi: 10.1371/journal.pone.0262446. eCollection 2022.

Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria

Fatima Usman  1 , Fatimah I Tsiga-Ahmed  2 , Mohammed Abdulsalam  1 , Zubaida L Farouk  1 , Binta W Jibir  3 , Muktar H Aliyu  4
Affiliations

Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria

Fatima Usman et al. PLoS One. .

Abstract

Introduction: The knowledge, attitude, and practice of emergency neonatal resuscitation are critical requirements in any facility that offers obstetric and neonatal services. This study aims to conduct a needs assessment survey and obtain individual and facility-level data on expertise and readiness for neonatal resuscitation. We hypothesize that neonatal emergency preparedness among healthcare providers in Kano, Nigeria is associated with the level of knowledge, attitudinal disposition, practice and equipment availability at the facility level.

Methods: A semi-structured, self-administered questionnaire was administered to a cross-section of health providers directly involved with neonatal care (n = 112) and attending a neonatal resuscitation workshop in Kano state. Information regarding knowledge, attitude, practice and facility preparedness for neonatal resuscitation was obtained. Bloom's cut-off score and a validated basic emergency obstetric and neonatal care assessment tool were adopted to categorize outcomes. Multivariable logistic regression was employed to determine independent predictors of knowledge and practice.

Results: Almost half (48% and 42% respectively) of the respondents reported average level of self-assessed knowledge and comfort during resuscitation. Only 7% (95% CI:3.2-13.7) and 5% (95% CI:2.0-11.4) of health providers demonstrated good knowledge and practice scores respectively, with an overall facility preparedness of 46%. Respondents' profession as a physician compared to nurses and midwives predicted good knowledge (aOR = 0.08, 95% CI: 0.01-0.69; p = 0.01), but not practice.

Conclusion: Healthcare provider's knowledge and practice including facility preparedness for emergency neonatal resuscitation were suboptimal, despite the respondents' relatively high self-assessed attitudinal perception. Physicians demonstrated higher knowledge compared to other health professionals. The low level of respondents' awareness, practice, and facility readiness suggest the current weak state of secondary health systems in Kano.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Schematic representation of the respondents from secondary health facilities in Kano, Nigeria during neonatal resuscitation training.
See this image and copyright information in PMC

References

    1. Wall SN, Lee AC, Niermeyer S, English M, Keenan WJ, Carlo W, et al.. Neonatal Resuscitation in Low-Resource Settings: What, Who, and How to Overcome Challenges to Scale Up? Int J Gynaecol Obs 2009;107:S47–64. doi: 10.1016/j.ijgo.2009.07.013 - DOI - PMC - PubMed
    1. Berkelhamer SK, Kamath-Rayne BD, Niermeyer S. Neonatal Resuscitation in Low-Resource Settings. Clin Perinatol 2016;43:573–91. doi: 10.1016/j.clp.2016.04.013 - DOI - PubMed
    1. UN Inter Agency Group for Child Mortality Estimation. Levels & Trends in Child Mortality 2019. New York: 2019.
    1. Usman F, Imam A, Farouk ZL, Dayyabu AL. Newborn Mortality in Sub-Saharan Africa: Why is Perinatal Asphyxia Still a Major Cause? Ann Glob Heal 2019;85:1–6. doi: 10.5334/aogh.2541 - DOI - PMC - PubMed
    1. Lawn JE, Lee AC, Kinney M, Sibley L, Carlo WA, Paul VK, et al.. Two Million Intrapartum-Related Stillbirths and Neonatal Deaths: Where, Why, and What Can Be Done? Int J Gynecol Obstet 2009;107:S5–19. - PubMed