Introduction: High maternal and new-born deaths in Pakistan call for
behavioral change pertaining to pregnancy and new born care. This study
gauged these behaviours to guide for specific interventions.
Methods: 813 mothers of neonates were interviewed in 5 districts of
Sindh to assess eight key family practices.Results: 79% mothers had
antenatal care (ANC) from skilled birth attendants (66% from private
facilities). 69% had institutional deliveries. 16% had C-section. Among
neonates, 62% were exclusively breastfed, 46% were reported to be
appropriately immunized, 13% had diarrhoea, of which 97% had continued
breast milk and 11% received ORS. 27% had fever of which, 57% received
medicine at home. More than 52% mothers reported to rinse away neonatal
faeces and 60% threw garbage outside home.
Conclusions: The study produced important evidence about family
practices affecting maternal and neonatal health. The study found
increasing trend of institutional births and many healthy practices like
continuous breast feeding during diarrhoea and identified few
undesirable practices by the health care providers like increased
tendencies of C-sections.
Recommendations include; need for advocacy on enforcing more female
decision making to seek health care outside home, strengthening of
out-reach services to ensure accessibility of MNH services and
implementation of effective referral health facilities, adoption of
protocol/guidelines along with monitoring to ensure healthy practices.
Ansari, M.S.; Rabia Manzoor; Siddiqui, N. Prevalence of 8 key family practices regarding neonatal health in Sindh. Pakistan Journal of Public Health (2012) 2 (1) No.8.
Prevalence of 8 key family practices regarding neonatal health in Sindh.