2023-09-28 14:46:10 +00:00
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abstract: 'Background: Urbanization is occurring at a rapid pace, especially in
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low-income countries. Dhaka, Bangladesh, is estimated to grow to 50
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million by 2015, with 21 million living in urban slums. Although health
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services are available, neonatal mortality is higher in slum areas than
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in urban non-slum areas. The Manoshi program works to improve maternal,
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newborn, and child health in urban slums in Bangladesh. This paper
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describes newborn care practices in urban slums in Dhaka and provides
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program recommendations.
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Methods: A quantitative baseline survey was conducted in six urban slum
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areas to measure newborn care practices among recently delivered women
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(n = 1,256). Thirty-six in-depth semi-structured interviews were
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conducted to explore newborn care practices among currently pregnant
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women (n = 18) and women who had at least one delivery (n = 18).
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Results: In the baseline survey, the majority of women gave birth at
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home (84\%). Most women reported having knowledge about drying the baby
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(64\%), wrapping the baby after birth (59\%), and cord care (46\%). In
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the in-depth interviews, almost all women reported using sterilized
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instruments to cut the cord. Babies are typically bathed soon after
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birth to purify them from the birth process. There was extensive care
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given to the umbilical cord including massage and/or applying
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substances, as well as a variety of practices to keep the baby warm.
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Exclusive breastfeeding was rare; most women reported first giving their
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babies sweet water, honey and/or other foods.
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Conclusion: These reported newborn care practices are similar to those
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in rural areas of Bangladesh and to urban and rural areas in the South
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Asia region. There are several program implications. Educational
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messages to promote providing newborn care immediately after birth,
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using sterile thread, delaying bathing, and ensuring dry cord care and
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exclusive breastfeeding are needed. Programs in urban slum areas should
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also consider interventions to improve social support for women,
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especially first time mothers. These interventions may improve newborn
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survival and help achieve MDG4.'
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affiliation: 'Moran, AC (Corresponding Author), ICDDR B, Reprod Hlth Unit, Dhaka,
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Bangladesh.
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Moran, Allisyn C.; Wahed, Tasnuva, ICDDR B, Reprod Hlth Unit, Dhaka, Bangladesh.
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Moran, Allisyn C., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore,
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MD USA.
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Choudhury, Nuzhat, BRAC, Res \& Evaluat Div, Dhaka, Bangladesh.
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Khan, Nazib Uz Zaman; Alam, M. Ashraful, ICDDR B, Int Ctr Diarrhoeal Dis Res, Social
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\& Behav Sci Unit, Dhaka, Bangladesh.
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Rashid, Sabina Faiz, BRAC Univ, James P Grant Sch Publ Hlth, Dhaka, Bangladesh.
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Karar, Zunaid Ahsan, World Bank, Dhaka, Bangladesh.'
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article-number: '54'
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author: Moran, Allisyn C. and Choudhury, Nuzhat and Khan, Nazib Uz Zaman and Karar,
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Zunaid Ahsan and Wahed, Tasnuva and Rashid, Sabina Faiz and Alam, M. Ashraful
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author-email: 'allisynmoran@gmail.com
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nuzhat.choudhury@yahoo.com
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nazib@icddrb.org
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kzunaid@gmail.com
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tasnuva@icddrb.org
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sabina@bracuniversity.ac.bd
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aneeloy@yahoo.com'
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author_list:
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- family: Moran
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given: Allisyn C.
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- family: Choudhury
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given: Nuzhat
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- family: Khan
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given: Nazib Uz Zaman
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- family: Karar
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given: Zunaid Ahsan
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- family: Wahed
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given: Tasnuva
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- family: Rashid
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given: Sabina Faiz
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- family: Alam
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given: M. Ashraful
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da: '2023-09-28'
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doi: 10.1186/1471-2393-9-54
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eissn: 1471-2393
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files: []
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journal: BMC PREGNANCY AND CHILDBIRTH
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keywords-plus: 'SYLHET DISTRICT; NEONATAL-MORTALITY; CHILDHOOD DEATHS; PRETERM INFANTS;
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SKIN BARRIER; HEALTH; INFECTIONS; MANAGEMENT; IMPACT'
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language: English
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number-of-cited-references: '40'
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orcid-numbers: 'Ahsan, Karar/0000-0001-7630-288X
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Rashid, Sabina Faiz/0000-0003-0916-2631
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Alam, Neeloy Ashraful/0000-0001-7034-1095
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Moran, Allisyn C/0000-0002-4826-1475'
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papis_id: 733e52d08eb2876874ff15bb49ebbeaa
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ref: Moran2009newborncare
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researcherid-numbers: 'Ahsan, Karar/ABB-2160-2020
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'
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times-cited: '48'
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title: 'Newborn care practices among slum dwellers in Dhaka, Bangladesh: a quantitative
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and qualitative exploratory study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000208106900054
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usage-count-last-180-days: '0'
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usage-count-since-2013: '16'
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volume: '9'
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web-of-science-categories: Obstetrics \& Gynecology
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year: '2009'
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