{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:33Z","timestamp":1787016933206,"version":"build-2736575974"},"reference-count":32,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,10,16]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A decrease in obtaining quality healthcare is a major cause of maternal and newborn deaths in low-income and middle-income countries. Ethiopia has one of the highest neonatal mortality rates. Increasing mothers\u2019 health-seeking practices related to neonatal danger signs is an essential strategy for reducing the death rate of newborns. However, the pooled prevalence of mothers\u2019 health-seeking practices related to neonatal danger signs is not well known in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The main aim of this systematic review and meta-analysis is to assess the mothers\u2019 health-seeking practices and associated factors towards neonatal danger signs in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcomes<\/jats:title>\n                    <jats:p>The primary outcome was to assess the mothers\u2019 health-seeking practices towards neonatal danger signs and the secondary outcome was to identify factors associated with health-seeking practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In total, comprehensive literature was searched in the PubMed, Google Scholar, HINARI, Embase and CINAHL databases published up to 30 December 2023. A random effect model was used to estimate the pooled prevalence and adjusted OR (AOR). Stata (V.17.0) was used to analyse the data. I\n                      <jats:sup>2<\/jats:sup>\n                      statistics were computed to assess heterogeneity among studies. To minimise the underlying heterogeneity, a subgroup analysis was conducted based on the study region and year of publication. To assess publication bias, Egger\u2019s test and funnel plots were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 1011 articles were retrieved, and 11 cross-sectional studies, with a total of 5066 study participants, were included in this systematic review. The overall pooled prevalence of mothers\u2019 health-seeking practices for neonatal danger signs in Ethiopia was 52.15%. Postnatal care follow-up (AOR 2.72; 95%\u2009CI 1.62 to 4.56), good maternal knowledge (AOR 3.20, 95%\u2009CI 2.24 to 4.56), educational status of secondary school and above (AOR 4.17, 95%\u2009CI 2.04 to 8.55), women\u2019s decision-making autonomy (AOR 3.59, 95%\u2009CI 1.60 to 8.06) and place of delivery (AOR 2.71, 95%\u2009CI 1.21 to 6.04) were significantly associated with mothers\u2019 health-seeking practices for neonatal danger signs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The maternal health-seeking practices of women towards neonatal danger signs were found to be low in Ethiopia. When barriers to seeking care for newborn danger signs are successfully removed, women\u2019s practices for seeking care for neonatal danger signs could decrease perinatal mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-086729","type":"journal-article","created":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T13:15:47Z","timestamp":1731417347000},"page":"e086729","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Mothers\u2019 health-seeking practices and associated factors towards neonatal danger signs in Ethiopia: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5993-9958","authenticated-orcid":false,"given":"Wassie Yazie","family":"Ferede","sequence":"first","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tigist Seid","family":"Yimer","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiruset","family":"Gelaw","sequence":"additional","affiliation":[{"name":"Wollo University, Dessie, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maru","family":"Mekie","sequence":"additional","affiliation":[{"name":"Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimeles Biru","family":"Zewude","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1463-3222","authenticated-orcid":false,"given":"Getachew","family":"Mekete","sequence":"additional","affiliation":[{"name":"Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habtam Desse","family":"Alemayehu","sequence":"additional","affiliation":[{"name":"Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fillorenes Ayalew","family":"Sisay","sequence":"additional","affiliation":[{"name":"Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5684-8444","authenticated-orcid":false,"given":"Abeba Belay","family":"Ayalew","sequence":"additional","affiliation":[{"name":"Clinical Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5192-6220","authenticated-orcid":false,"given":"Assefa Kebie","family":"Mitiku","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enyew Dagnew","family":"Yehuala","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8075-6294","authenticated-orcid":false,"given":"Besfat Berihun","family":"Erega","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"2025121400403138000_14.11.e086729.1","unstructured":"WHO Guidelines Approved by the Guidelines Review Committee . 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