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Review
. 2024 Oct 28:12:1432582.
doi: 10.3389/fped.2024.1432582. eCollection 2024.

Knowledge and practice of healthcare providers and associated factors of essential newborn care in Ethiopia: a systematic review and meta-analysis

Temesgen Geta Hardido  1 , Bizuayehu Atinafu Ataro  1 , Eshetu Elfios  1 , Tewodros Alemayehu Abuye  1 , Christian Kebede  1
Affiliations
Review

Knowledge and practice of healthcare providers and associated factors of essential newborn care in Ethiopia: a systematic review and meta-analysis

Temesgen Geta Hardido et al. Front Pediatr. .

Abstract

Background: Preventing neonatal mortality and morbidity in developing countries such as Ethiopia requires improved practices and knowledge among healthcare providers. Several studies have been conducted in Ethiopia, but the overall level has not been estimated based on essential newborn care practices, knowledge of health care providers, and associated factors. Therefore, the objective of this review is to assess the overall practice and knowledge of essential newborn care and associated factors among healthcare providers in Ethiopia.

Methods and materials: Only articles published in English were included in this review. Medline/PubMed, Web of Science, Google Scholar, EMBASE, and CINAHL, Scopus, Ethiopian University Repository Online, and the Cochrane Library are the main databases. The review included cross-sectional studies written in English that met the inclusion requirements. Using a random-effects model, the overall practice and knowledge level was estimated. Additionally, funnel plots and Eggers' test were used to assess publication bias. STATA version 14 was used to perform all statistical analysis.

Results: This review included 15 studies involving 3,210 health care providers in Ethiopia. In Ethiopia, overall health care providers had a good practice and knowledge level of essential newborn care of 57.38% [95% CI (49.56; 65.20); I 2 = 95.3%, P < 0.001] and 54.06% [95% CI (45.07; 63.05); I 2 = 95.5%, P < 0.001], respectively. Knowledge, training status, and material availability of healthcare professional were significantly associated with their practice of essential newborn care, while educational qualification and training status were significantly associated with the knowledge of healthcare providers of essential newborn care.

Conclusions: Overall, 57% and 54% of healthcare providers had good ENC practices and knowledge. So, the Ethiopian government and other stakeholders should take immediate measures to improve essential neonatal care practice and knowledge among healthcare providers, and improve identified factors.

Keywords: Ethiopia; essential newborn care; healthcare providers; knowledge; practice; systematic review and meta-analysis.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram of study selection for systematic review of health professionals’ practice and knowledge on ENC in Ethiopia, 2024(n = 15).
Figure 2
Figure 2
Forest plot showing the pooled prevalence of health care providers’ practice on ENC in Ethiopia (n = 14).
Figure 3
Figure 3
Forest plot showing the pooled prevalence of health care providers’ knowledge on ENC in Ethiopia (n = 11).
Figure 4
Figure 4
Subgroup analysis of providers’ practice about ENCs in Ethiopia (n = 14).
Figure 5
Figure 5
Subgroup analysis of the review on providers’ knowledge of ENCs in each region (n = 11).
Figure 6
Figure 6
Funnel plot of the studies included in review on the providers’ practice about ENCs.
Figure 7
Figure 7
Funnel plot of studies included in the review on health care providers’ knowledge on ENCs in Ethiopia (n = 11).
See this image and copyright information in PMC

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