142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Essential New-born Care in Rural Setting: The Case of Warrap State in South Sudan

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:18 AM - 11:30 AM

Alfonso Rosales, MD, MPH-TM , World Vision US, Washington, DC
Given the current magnitude of new-born mortality in the developing world, essential new-born care is taking a predominant role in addressing under-five health care delivery interventions. As part of a quasi-experimental design to measure impact of a USAID-funded project, a population-based baseline survey was done in 2013 to evaluate the implementation status of essential new-born care in four payams of Warrap State in South Sudan. Six indicators related to promotion and provision of thermal care, promotion and support of early initiation of exclusive breastfeeding, and promotion and provision of hygienic cord care were measured. A two-stage stratified and weighted random sampling was done. Standard sample calculations were used to determine a sample of 511 respondents. Descriptive results from the population survey showed that the prevalence of new-borns receiving all recommended elements of essential new-born care in the surveyed area was 1 percent. The most common element completed, with nine out of ten respondents, was wrapping the new-born immediately after birth. Among three-quarters of births early initiation of breastfeeding took place, but only half of the respondents reported using a new razor blade to cut the new-born’s cord, and one-third applied an antiseptic solution to the new-born’s cord. Eye ointment or drops were administered within the first hour after delivery in six percent of cases. Survey results confirmed low coverage of systematic application of essential new-born care measures in rural areas of Warrap State in South Sudan. Effective and efficient measures to increase new-born care coverage are needed.

Learning Areas:

Provision of health care to the public
Public health or related research

Learning Objectives:
Demonstrate the status of newborn essential care coverage in a rural setting of South Sudan

Keyword(s): International MCH, Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: MD with masters in public health and tropical medicine with ore than 20 years of international experience in the child survival and maternal care/reproductive health areas, including field and headquarter assignments.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.