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BBB Aaa Sss Eee Lll Iii Nnn Eee SSS Uuu Rrr Vvv Eee y y y e e e v v v r r r u u u S KNOWLEDGE, ATTITUDES AND PRACTICES IN RELATION TO S KNOWLEDGE, ATTITUDES AND PRACTICES IN RELATION TO S NEWBORNS e e e n n n i i i l l l e e e ANGOCHE, MOGINCUAL AND MONAPO – NAMPULA, MOZAMBIQUE s s s a a a B B B FINAL REPORT RESEARCH TEAM Lead Researcher: CARLOS ARNALDO Researcher: SANDRA GONÇALVES Researcher: KÁTIA NGALE Database: KÁTIA NGALE Sampling Design: BASÍLIO CUBULA PHOTOS & MAPS Maps: KÁTIA NGALE REFERENCE GROUP Save the Children: CATARINA REGINA Save the Children: ARSÉNIO XAVIER MAPUTO, SEPTEMBER 2008 FINAL REPORT BASELINE SURVEY ON KNOWLEDGE, ATTITUDES AND PRACTICES IN RELATION TO NEWBORN BABIES CONTENTS ACKNOWLEDGEMENTS...................................................................................................................................... 5 ACRONYMS ...................................................................................................................................................... 6 EXECUTIVE SUMMARY ...................................................................................................................................... 7 I. INTRODUCTION .............................................................................................................................................. 9 I.1. Background...................................................................................................................... 9 I.2. Literature review ............................................................................................................ 10 II. OBJECTIVES................................................................................................................................................13 II.1. General......................................................................................................................... 13 II.2. Specific Objectives ....................................................................................................... 13 III. METHODOLOGY ..........................................................................................................................................15 III.1. Questionnaire design.................................................................................................. 15 III.2. Sample Design ............................................................................................................ 15 III.3. Recruitment and training of the research team members ............................................ 16 III.4. Data collection ............................................................................................................. 16 III.5. Data entry, processing and cleaning............................................................................ 17 IV. SAMPLE PROFILE .......................................................................................................................................18 IV.1. Research sites............................................................................................................. 18 IV.1.1 Angoche................................................................................................................ 19 IV.1.2 Mogincual.............................................................................................................. 19 IV.1.3 Monapo................................................................................................................. 19 IV.2. Socioeconomic characteristics of households ............................................................. 21 IV.3. Characteristics of Respondents................................................................................... 24 IV.3.1 Results of Pregnancy............................................................................................ 24 IV.3.1 Women’s and Children’s Age................................................................................ 25 IV.3.2 Socio-economic Characteristics of Mothers .......................................................... 27 V. ANTENATAL CARE.......................................................................................................................................28 V.1. Antenatal Consultations................................................................................................ 28 V.2. Provider of antenatal care ............................................................................................ 29 V.3. Counselling and procedures during the antenatal consultation .................................... 29 V.4. Medications during the antenatal consultation.............................................................. 30 V.5. Anti-tetanus vaccination (VAT) ..................................................................................... 31 V.6. Level of knowledge of danger SIGNS during pregnancy.............................................. 33 VI. BIRTH ATTENDANCE...................................................................................................................................35 VI.1. Place of delivery .......................................................................................................... 35 VI.2. Birth attendance by qualified staff................................................................................ 36 VI.3. Level of knowledge of danger signs during delivery .................................................... 37 VI.4. Preparations for Delivery............................................................................................. 38 VII. POST-PARTUM CARE .................................................................................................................................40 VII.1. Post-partum observation ............................................................................................ 40 VII.2. Post-partum Consultation........................................................................................... 41 VII.3. Level of knowledge of danger signs during the post-partum period............................ 42 VIII. NEW-BORN BABIES ..................................................................................................................................44 VIII.1. Tool used for cutting the umbilical cord ..................................................................... 44 VIII.2. Post-partum CONSULTATION.................................................................................. 44 VIII.3. Place and who examined the baby............................................................................ 46 VIII.4. Baby’s weight at birth ................................................................................................ 47 VIII.5. Breastfeeding ............................................................................................................ 48 VIII.7. Vaccination against BCG........................................................................................... 49 FINAL REPORT BASELINE SURVEY ON KNOWLEDGE, ATTITUDES AND PRACTICES IN RELATION TO NEWBORN BABIES VIII.8. Level of knowledge of danger signs of the newborn baby......................................... 49 VIII.9. Knowledge of at least two danger signs during pregnancy, delivery and post-partum period................................................................................................................................... 51 IX. HIV/AIDS ..................................................................................................................................................52 IX.1. Knowledge of mother-to-child transmission................................................................ 52 IX.2. HIV Testing................................................................................................................. 53 IX.2. Prevention of mother-to-child transmission of HIV...................................................... 54 X. CONCLUSION ..............................................................................................................................................55 X. REFERENCES ..............................................................................................................................................57 XI. ANNEXES ...................................................................................................................................................58 Annex 1: List of knowledge and practice indicators on new-born babies in Angoche, Mogincual e Monapo, 2008................................................................................................. 58 Annex 2: List of research teams .......................................................................................... 60 4 KULA: ESTUDOS E PESQUISAS APLICADAS, LTDA FINAL REPORT BASELINE SURVEY ON KNOWLEDGE, ATTITUDES AND PRACTICES IN RELATION TO NEWBORN BABIES ACKNOWLEDGEMENTS Our acknowledgements go to institutions, persons and households that accepted to receive the research team in the districts of Monapo, Angoche and Mogincual; in Nampula province. Outstanding remarks to the women who made this study possible. Special thankful wishes go to the Health Provincial Directorate in Nampula, the local Delegation of the National Institute of Statistics and Save the Children for the constant collaboration and facilities made available during recruitment and training of field enumerators. To all institutions and individuals, that are not mentioned that directly or indirectly have given their unconditional support, our sincere gratitude. FINAL REPORT BASELINE SURVEY
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