PMID- 32563243
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1471-2431 (Electronic)
IS  - 1471-2431 (Linking)
VI  - 20
IP  - 1
DP  - 2020 Jun 20
TI  - Exploration of facilitators of and barriers to the community-based service 
      utilization for newborn possible serious bacterial infection management in Debre 
      Libanos District, Ethiopia: descriptive qualitative study.
PG  - 303
LID - 10.1186/s12887-020-02211-9 [doi]
LID - 303
AB  - BACKGROUND: Globally, possible serious bacterial infection [PSBI] is a cause for 
      about 600,000 newborn deaths per year. To decrease the burden of this infection, 
      a community-based management newborn PSBI when referral to hospital is not 
      possible has been on implementation. Studies showed gaps in the service 
      utilization and this study was aimed at exploring its barriers and facilitators. 
      METHODS: A descriptive qualitative study was conducted from March 11- April 7, 
      2019, in Debre Libanos District, Ethiopia. Study participants were recruited 
      purposively. Women who gave birth within 2 months before data collection, health 
      extension workers [HEW], health workers, religious leader, kebele chairman, and 
      other community members were involved in the study. Five in-depth interviews, 
      seven key informant interviews, and four focused group discussions were conducted 
      with a total of fifty-two participants. The data were audio-recorded, transcribed 
      verbatim and translated, and inductive thematic analysis was done using Atlas 
      ti.7.1 software. RESULT: The availability of health workers trained on 
      community-based newborn care [CBNC], Integrated Management of Newborn and 
      Childhood Illness guidelines, availability of medical supplies and job aids, and 
      performance review meetings were identified as facilitators. Communities 
      perception that the newborn illness has no medical treatment, newborn illness is 
      not severe and is self-resolution; the belief in healing power of traditional 
      medicines, socio-cultural and religious beliefs, lack of awareness about service 
      availability at the health post, poor supportive supervision or monitoring, 
      shortage of HEW, the residency of HEWs outside the health post, a poor commitment 
      of health workers and HEWs, and non-functionality of health developmental army 
      were explored as barriers. CONCLUSIONS: The findings provided insight into the 
      facilitators of and barriers to community-based service utilization for newborn 
      PSBI management. There is a need to develop strategies to address the barriers. 
      Therefore, health care providers should have to develop strategies, and conduct a 
      behavioral change communication to change the perception of community members 
      towards newborn illnesses, promote the availability of the service at the health 
      post, and the HEWs provide the service staying at the health post.
FAU - Tareke, Kasahun Girma
AU  - Tareke KG
AD  - Department of Health, Behavior and Society, Jimma University, P. O. Box 378, 
      Jimma, Ethiopia. kasahungirmadera@gmail.com.
FAU - Lemu, Yohannes Kebede
AU  - Lemu YK
AD  - Department of Health, Behavior and Society, Jimma University, P. O. Box 378, 
      Jimma, Ethiopia.
FAU - Feyissa, Garumma Tolu
AU  - Feyissa GT
AD  - Department of Health, Behavior and Society, Jimma University, P. O. Box 378, 
      Jimma, Ethiopia.
LA  - eng
PT  - Journal Article
DEP - 20200620
PL  - England
TA  - BMC Pediatr
JT  - BMC pediatrics
JID - 100967804
SB  - IM
MH  - *Bacterial Infections
MH  - Child
MH  - *Communicable Diseases
MH  - Community Health Services
MH  - Ethiopia
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Qualitative Research
PMC - PMC7305601
OTO - NOTNLM
OT  - Barriers
OT  - Community-based newborn care
OT  - Ethiopia
OT  - Newborn serious illness
OT  - Possible serious bacterial infection
COIS- The authors declare that they have no competing interests.
EDAT- 2020/06/22 06:00
MHDA- 2021/05/15 06:00
PMCR- 2020/06/20
CRDT- 2020/06/22 06:00
PHST- 2020/01/28 00:00 [received]
PHST- 2020/06/16 00:00 [accepted]
PHST- 2020/06/22 06:00 [entrez]
PHST- 2020/06/22 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/06/20 00:00 [pmc-release]
AID - 10.1186/s12887-020-02211-9 [pii]
AID - 2211 [pii]
AID - 10.1186/s12887-020-02211-9 [doi]
PST - epublish
SO  - BMC Pediatr. 2020 Jun 20;20(1):303. doi: 10.1186/s12887-020-02211-9.