Newborn Care Practices in Urban Slums: Evidence from Central India

Journal of Neonatal-Perinatal Medicine 2 (2009)

26 Pages Posted: 9 May 2016

See all articles by Siddharth Agarwal

Siddharth Agarwal

Urban Health Resource Centre; Dept. of International Health, JHBSPH

Vani Sethi

Urban Health Resource Centre

Karishma Srivastava

Urban Health Resource Centre

Prabhat K Jha

Urban Health Resource Centre

Abdullah H Baqui

Johns Hopkins University - Bloomberg School of Public Health

Date Written: December 2009

Abstract

One-third of India’s urban population resides in slums and squatters, in extreme poverty conditions. Newborn care is sub-optimal among India’s urban poor, yet scarcely documented. We assessed newborn care practices in 11 urban slums of Indore in Central India. Practices such as clean cord care, thermal care, timely initiation of breastfeeding and exclusive breastfeeding upto neonatal period were enquired from 312 mothers of infants aged 2-4 months. Correlates of these practices were identified using multiple logistic regression. 72.1% births were home births (slum-home: 56.4%, native-village home: 15.7%).

Slum-based traditional birth attendants (sTBAs) conducted 77.3% slum home births. Skilled assistance during slum-home births was low (7.4%). Clean cord care (22.2%) and thermal care (10.2%) practices were also low. Trained or skilled assistance during slum-home births was positively associated with clean cord care (OR 4.8 CI 1.7-13.6) and thermal care (OR 2.0 CI: 1.1-4.1).

Timely initiation of breastfeeding was suboptimal (50.6%) even in facility births. Exclusive breastfeeding upto neonatal period was higher for mothers counselled on exclusive breastfeeding by a health volunteer during neonatal period (OR 2.3, CI 1.4-3.8). Following emerge imperative for improving newborn care in urban slums- i) antenatal and postnatal counselling by trained health volunteers, ii) enhancing competence of sTBAs and linking them to affordable facilities; and iii) sensitizing and training public health facility staff.

Suggested Citation

Agarwal, Siddharth and Sethi, Vani and Srivastava, Karishma and Jha, Prabhat K and Baqui, Abdullah H, Newborn Care Practices in Urban Slums: Evidence from Central India (December 2009). Journal of Neonatal-Perinatal Medicine 2 (2009), Available at SSRN: https://ssrn.com/abstract=2777030 or http://dx.doi.org/10.2139/ssrn.2777030

Siddharth Agarwal (Contact Author)

Urban Health Resource Centre ( email )

136, Humayunpur, First Floor
Safdarjung Enclave
New Delhi, Delhi 110029
India
911126199771 (Phone)

HOME PAGE: http://uhrc.in/name-CmodsDownload.html

Dept. of International Health, JHBSPH ( email )

Wolfe Street
Baltimore, MD 21205
United States

Vani Sethi

Urban Health Resource Centre ( email )

136, Humayunpur, First Floor
Safdarjung Enclave
New Delhi, Delhi 110029
India

Karishma Srivastava

Urban Health Resource Centre ( email )

136, Humayunpur, First Floor
Safdarjung Enclave
New Delhi, Delhi 110029
India

Prabhat K Jha

Urban Health Resource Centre ( email )

136, Humayunpur, First Floor
Safdarjung Enclave
New Delhi, Delhi 110029
India

Abdullah H Baqui

Johns Hopkins University - Bloomberg School of Public Health ( email )

615 North Wolfe Street
Baltimore, MD 21205
United States

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