Sökning: WFRF:(Tamhankar Ashish) >
Identifying the kno...
Identifying the know-do gap in evidence-based neonatal care practices among informal health care providers-a cross-sectional study from Ujjain, India
-
- Mungai, Isaac Gikandi (författare)
- Karolinska Inst, Dept Global Publ Hlth, Hlth Syst & Policy HSP Med Focusing Antibiot, S-17177 Stockholm, Sweden.
-
- Baghel, Sumit Singh (författare)
- RD Gardi Med Coll, Dept Pediat, Ujjain 456010, MP, India.
-
- Soni, Shuchi (författare)
- Karolinska Institutet
-
visa fler...
-
- Vagela, Shailja (författare)
- RD Gardi Med Coll, Dept Pediat, Ujjain 456010, MP, India.
-
- Sharma, Megha (författare)
- Karolinska Institutet
-
- Diwan, Vishal (författare)
- Karolinska Institutet
-
- Tamhankar, Ashok J. (författare)
- Karolinska Institutet
-
- Lundborg, Cecilia Stålsby (författare)
- Karolinska Inst, Dept Global Publ Hlth, Hlth Syst & Policy HSP Med Focusing Antibiot, S-17177 Stockholm, Sweden.
-
- Pathak, Ashish, 1973- (författare)
- Karolinska Institutet,Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Karolinska Inst, Dept Global Publ Hlth, Hlth Syst & Policy HSP Med Focusing Antibiot, S-17177 Stockholm, Sweden.;RD Gardi Med Coll, Dept Pediat, Ujjain 456010, MP, India.
-
visa färre...
-
Karolinska Inst, Dept Global Publ Hlth, Hlth Syst & Policy HSP Med Focusing Antibiot, S-17177 Stockholm, Sweden RD Gardi Med Coll, Dept Pediat, Ujjain 456010, MP, India. (creator_code:org_t)
- 2020-10-21
- 2020
- Engelska.
-
Ingår i: BMC Health Services Research. - : BMC. - 1472-6963. ; 20:1
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://uu.diva-port... (primary) (Raw object)
-
https://bmchealthser...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background More than a quarter of global neonatal deaths are reported from India, and a large proportion of these deaths are preventable. However, in the absence of robust public health care systems in several states in India, informal health care providers (IHCPs) with no formal medical education are the first contact service providers. The aim of this study was to assess the knowledge of IHCPs in basic evidence-based practices in neonatal care in Ujjain district and investigated factors associated with differences in levels of knowledge. Methods A cross-sectional survey was conducted using a questionnaire with multiple-choice questions covering the basic elements of neonatal care. The total score of the IHCPs was calculated. Multivariate quantile regression model was used to look for association of IHCPs knowledge score with: the practitioners' age, years of experience, number of patients treated per day, and whether they attended children in their practice. Results Of the 945 IHCPs approached, 830 (88%) participated in the study. The mean +/- SD score achieved was 22.3 +/- 7.7, with a median score of 21 out of maximum score of 48. Although IHCPs could identify key tenets of enhancing survival chances of neonates, they scored low on the specifics of cord care, breastfeeding, vitamin K use to prevent neonatal hemorrhage, and identification and care of low-birth-weight babies. The practitioners particularly lacked knowledge about neonatal resuscitation, and only a small proportion reported following up on immunizations. Results of quantile regression analysis showed that more than 5 years of practice experience and treating more than 20 patients per day had a statistically significant positive association with the knowledge score at higher quantiles (q75(th) and q90th) only. IHCPs treating children had significantly better scores across quantiles accept at the highest quantile (90(th)). Conclusions The present study highlighted that know-do gap exists in evidence-based practices for all key areas of neonatal care tested among the IHCPs. The study provides the evidence that some IHCPs do possess knowledge in basic evidence-based practices in neonatal care, which could be built upon by future educational interventions. Targeting IHCPs can be an innovative way to reach a large rural population in the study setting and to improve neonatal care services.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Informal healthcare providers
- Knowledge
- Neonatal care
- Evidence-based practice
- India
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Mungai, Isaac Gi ...
-
Baghel, Sumit Si ...
-
Soni, Shuchi
-
Vagela, Shailja
-
Sharma, Megha
-
Diwan, Vishal
-
visa fler...
-
Tamhankar, Ashok ...
-
Lundborg, Cecili ...
-
Pathak, Ashish, ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Folkhälsovetensk ...
- Artiklar i publikationen
-
BMC Health Servi ...
- Av lärosätet
-
Uppsala universitet
-
Karolinska Institutet