Utilization of essential newborn care services among mothers

Kavitha, P (2011) Utilization of essential newborn care services among mothers. Masters thesis, Apollo College of Nursing, Chennai.

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Abstract

The heart of the research project lies in reporting the findings. This is the most creative and developing part of the study. This chapter gives a brief account of the present study including the conclusion drawn from the findings, recommendations, suggestions and nursing applications of the study. The present study was indented to analyze the utilization of essential newborn care services among the mothers. The study was conducted to assess upon 100 mothers of newborn who were found to be in need of essential newborn care on the day of data collection. OBJECTIVES: 1. To assess the level of knowledge, attitude and utilization of essential newborn care services rendered by NRHM among mothers. 2. To correlate the knowledge, attitude and utilization of essential newborn care services rendered by NRHM among mothers. 3. To determine the association between selected demographic variables and the level of knowledge, attitude and utilization of essential newborn care services rendered by NRHM among mothers. NULL HYPOTHESES: Ho1: There will be no significant relationship between knowledge, attitude and utilization of essential newborn care services rendered by NRHM among mothers. Ho2: There will be no significant association between selected demographic variables of mothers and the level of knowledge, attitude and utilization of essential newborn care services rendered by NRHM among mothers. Extensive review of literature, guidance from experts in the field of nursing and medical leads the investigator to design the methodology and to develop the tools for data collection. The tool used were demographic and obstetrical variable proforma, self structured questionnaire on knowledge, Likert scale to assess the attitude and check list on utilization of essential newborn care services. The conceptual frame work was developed on the basis of Kurt Lewin “Planned Change Model”-an evaluative approach and non experimental descriptive design was adopted for the study. The study setting was the selected primary health centre at Thiruppukuzhi, Kanchipuram district. Mothers who came for minor ailments of their child, immunization, follow ups were the study samples on the data collection. Convenient sampling was adopted to select the sample. Ethical aspect of the research was maintained throughout the study by setting formal permission from the authorities and informed consent from the participants. The information collected from the participants was kept confidential and it was used only for the research purpose. The data were interpreted and discussed based on the objectives of the study. The data collected were analyzed by descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: ❖ Frequency and Percentage Distribution of Demographic Variables of Mothers. Majority of the mothers were Hindus (88%). Most of the mothers were multiparous (51%), in the age group of 21-25years (57%), were delivered their children through normal delivery (67%). Significant percentage of the mothers had babies in the age group of 0-28 days old (41%) ,completed higher secondary education (45%) and they were living in the same village for more than six years (40%), were home makers (49%) had a family income per month ranged from Rs.3001- Rs.5000 (43%). ❖ Frequency and percentage distribution of level of knowledge of essential new born care services. Most of the mothers had adequate knowledge on weaning (57%). Significant percentage of mothers had adequate knowledge on immunization and essential newborn care services (42%, 30%) respectively. Knowledge on essential newborn care services and breast feeding was found to be moderately adequate (48%), (47%). ❖ Frequency and percentage distribution of level of attitude of essential newborn care services among mothers. Majority of the mothers have moderately positive attitude (79%) regarding essential newborn care services. Only few16% of the mothers have low positive attitude. ❖ Frequency and percentage distribution of level of utilization of essential newborn care services among mothers. While determining the overall utilization of essential newborn care services, it was found that majority of the mothers did not utilize the essential newborn care services (84%). Only (15%) of the mothers partially utilized the services. Counselling on exclusive breast feeding services was found to be utilized completely (7%). The referral services were found to be partially utilized (22%). ❖ Mean and standard deviation of utilization, knowledge, attitude of essential newborn care services among mothers. The mean and standard deviation of overall knowledge of mothers was found to be (M=16.34, SD=3.82).Attitude towards the essential newborn care services among mothers was found to be (M=39.27, SD=6.60).While utilization of essential newborn care services was found to be (M=30.57, SD=6.29). ❖ Correlation between knowledge and attitude of essential newborn care services among mothers A positive correlation existed between knowledge and attitude. The correlation was found statistically significant at p<0.01 level of confidence. Thus, the null hypothesis Ho1 was rejected. ❖ Correlation between knowledge and utilization of essential newborn care services among mothers. A positive correlation existed between knowledge and utilization of essential newborn care services. The correlation was found statistically significant at p<0.01 level of confidence. Hence, null hypothesis Ho1 was rejected. ❖ Correlation between attitude and utilization of essential newborn care services among mothers. A positive correlation existed between attitude and utilization of essential newborn care services. The correlation was found to be statistically significant at p<0.01 level of confidence. Hence, the null hypothesis HO1 was rejected. ❖ Association between selected demographic variables and level of knowledge of essential newborn care among mothers. Age and family income were significantly associated with the level of knowledge. The values was found statistically significant at p<0.05 level. Hence the null hypothesis Ho2 was rejected. ❖ Association between selected demographic variables and level of attitude regarding essential newborn care services among mothers. Age and source of information were significantly associated with the level of attitude. The value was found to be statistically significant at p<0.001 and p<0.05 level. Hence the null hypothesis Ho2 was rejected. ❖ Association between demographic variables and level of utilization of essential newborn care services among mothers. Occupation and religion were significantly associated with the level of utilization at the level of p<0.001 and p<0.05 level. Hence the null hypothesis Ho2 was rejected. Thus, the investigator concluded that age, family income per month was significantly associated with the level of knowledge. Age and source of information were significantly associated with the level of attitude. Occupation and religion were significantly associated with the level of utilization. Hence the null hypothesis HO2 was rejected. CONCLUSION: The ages, family income per month were significantly associated with the level of knowledge. Age and source of information were significantly associated with the level of attitude. Occupation and religion were significantly associated with the level of utilization. There will be no significant association between selected demographic variables of mothers and the level of knowledge, attitude and utilization of essential newborn care services. Hence the null hypothesis Ho2 was rejected.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Newborn Care; Services; Mothers
Subjects: NURSING > Paediatric Nursing
Depositing User: Ramakrishnan J
Date Deposited: 29 Dec 2017 05:54
Last Modified: 18 Aug 2020 02:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/4935

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