Compliance with world health organisation neonatal resuscitation guildlines by medical doctors and midwives in kitwe district health facilities,Zambia

Abstract

Neonatal resuscitation is used in the management of neonates with birth asphyxia and respiratory distress few hours after birth. The popularity of neonatal resuscitation is increasing in the decade with the introduction of Helping Babies Breath (HBB) and Emergency Obstetric and New-born Care (EmONC) trainings. This study was aimed at determining compliance with the World Health Organisation (WHO) neonatal resuscitation guidelines and its related factors by medical doctors and midwives in Kitwe District Health delivery facilities. A descriptive cross sectional study design was used. Purposive sampling method was used to select the appropriate sample. A total number of 5 medical doctors and 81 midwives from Kitwe Central Hospital and Kitwe District Health delivery facility answered a self-administered questionnaire. Twenty (20) participants out of the 86 respondents were observed conducting resuscitation using the observation checklist that was adopted from Essential Newborn Care training guide by World Health Organisation. Data was analysed using the SPSS version 20.0 software and was presented in the form of frequency tables and cross tabulation, pie charts and bar charts to communicate the results easily. Chi- square test was used to test the associations between the dependant and independent variables. The factors associated with compliance were analysed using the multivariate binary logistical regression model. A 5% level of significance was set and p-value of 0.05 or less was considered statistically significant. This study revealed that 82.6% of the respondents did not comply with WHO neonatal resuscitation guidelines and 79 % of the respondents had moderate knowledge on neonatal resuscitation. The findings showed that 69.8% of the respondents had positive attitude towards neonatal resuscitation. On the availability of equipment, the study showed that 66% of the equipment was available. Further the study revealed that 84.9% of the respondents did not attend any in house training.