Evidence map›Paper›PMID 42260439›Full record

ArticleBMC pregnancy and childbirth2026

Maternal knowledge of neonatal danger signs and associated factors among postpartum mothers attending public health facilities in Adama town, Ethiopia.

Gemechu Dereje Feyissa, Addis Begashaw, Tilaye Workneh, Ebrahim Mohammed, Tamrat Endebu

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Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Gemechu Dereje FeyissaPublic Health Department, Faculty of Health Sciences, Rift Valley University, Adama, Ethiopia. gemechudereje80@gmail.com.
Addis BegashawDepartment of Reproductive Health, Adama Hospital Medical College, Adama, Ethiopia.
Tilaye WorknehDepartment of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Ebrahim MohammedDepartment of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Tamrat EndebuDepartment of Public Health, Adama General Hospital and Medical College, Adama, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neonatal period, defined as the first 28 days of life, remains a critical phase for child survival. According to the 2019 Ethiopian Demographic and Health Survey, the neonatal mortality rate was 33 deaths per 1,000 live births. Despite various interventions, neonatal mortality and morbidities related to neonatal danger signs persist. Previous studies on maternal knowledge of neonatal danger signs have reported inconsistent findings.

objectiveThis study replicates established associations between maternal characteristics and neonatal danger sign knowledge in a previously unstudied urban site within Oromia, Ethiopia, and also examines how prompted recognition affects the measured prevalence of knowledge compared with spontaneous-recall approaches.

methodsA facility-based cross-sectional study was conducted from April 1-30, 2022. A total of 426 postpartum women were selected using systematic random sampling. Data were collected through face-to-face exit interviews using a structured questionnaire. Data entry was done with EPI Info, and analysis was performed using SPSS version 26. Knowledge assessed via 9 World Health Organization (WHO) neonatal danger signs (NDS) items (prompted yes/no, mean cutoff ≥ 5 = good). Multivariable logistic regression identified factors (p < 0.05).

results75.5% (95% CI 71.6-79.7%) had good knowledge. Factors significantly associated with good maternal knowledge include educational level of college or above [AOR: 4.83; 95% CI: 1.49, 15.64], secondary educational level [AOR: 3.10; 95% CI: 1.09, 8.78], delivery by caesarean section [AOR: 2.47; 95% CI: 1.28, 4.80], multigravida [AOR: 2.11; 95% CI: 1.26, 3.52], and grand multigravida [AOR: 3.68; 95% CI: 1.08, 12.62].

conclusionMaternal knowledge of neonatal danger signs was relatively high in this urban postnatal sample, but the estimate is influenced by the recognition-based measurement approach. The findings reinforce previously reported associations and provide context-specific evidence from Adama town to inform newborn health education.

Indexed as

Health Knowledge, Attitudes, PracticeMothersPostpartum PeriodAdolescentAdultCross-Sectional StudiesEthiopiaFemaleHealth FacilitiesHumansInfant, NewbornPregnancySurveys and QuestionnairesYoung AdultEthiopiaMaternal knowledgeNeonatal danger signsPostnatal carePostpartum mothers

Identifiers

PMID42260439
PMCPMC13471603

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.