PREVALENCE OF NEONATAL CORD INFECTION AND CARE AMONG MOTHERS AND CARE GIVERS OF NEONATES IN SALAGA MUNICIPALITY

Abstract

Umbilical cord infections are major contributor to neonatal mortalities and morbidities across the globe with substantial burden in developing countries including Ghana. This study sought to determine the state of neonatal cord infection and care among mothers and care givers of neonates in Salaga district of the Northern Region of Ghana. The research employed a sequential explanatory mixed-method approach, first examining historical data (73 participants) at the facility level to determine the prevalence of umbilical cord infection in the Salaga district, and subsequently interviewed ten caregivers, five traditional birth attendants and five nurses to establish context of neonatal care in the study area. The quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) version 26 while the qualitative data was analyzed manually using thematic analysis. The study found that umbilical cord infections prevalence was 4.13% in the study area and that the prevalence increased in percentage point of 0.65% between 2021 and 2022. Majority of the neonates with umbilical cord infections suffered from cord sepsis while few others suffered from bleeding cord and cord abscess. It was also found that there was inadequate cord care knowledge among mothers. Mothers also relied heavily on traditional birth attendants due to personal connection, trust, or familiarity which reflects a critical nexus of challenges that significantly contribute to adverse outcomes as they resorted to the use of agents such as toothpaste, leaves, shea butter, and salt. The Ministry of Health, Ghana Health Service and Non-Govermental Organizations (NGOs) should develop continuous training and development programs for all Traditional Birth Attendants (TBAs) to enhance their understanding of safe birth practices, promote adherence to recommended healthcare protocols, and safeguard maternal and neonatal health outcomes.