{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T21:16:09Z","timestamp":1792876569955,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Globally, newborn death accounted for 46% of under-five deaths and more than 80% of newborn deaths are the result of preventable and treatable conditions. Findings on the prevalence and associated factors of essential newborn care utilization are highly variable and inconsistent across Ethiopia. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of essential newborn care utilization and associated factors in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The international databases accessed included MEDLINE\/PubMed, EMBASE, Web of Sciences, Scopus, and Grey literature databases, Google Scholar, Science Direct and Cochrane library were scientifically explored. We considered all primary studies reporting the prevalence of essential newborn care utilization and associated factors in Ethiopia. We retrieved all necessary data by using a standardized data extraction format spreadsheet. STATA 14 statistical software was used to analyze the data and Cochrane Q test statistics and I\n                      <jats:sup>2<\/jats:sup>\n                      test was used to assess the heterogeneity between the studies. There significant heterogeneity between the studies so a random effect model was employed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The pooled estimate of essential newborn care utilization from 11 studies in Ethiopia was 48.77% (95% CI: 27.89, 69.65). Residence [OR\u2009=\u20092.50 (95% CI: 1.64, 3.88)], Postnatal care [OR\u2009=\u20095.53, 95% CI\u2009=\u2009(3.02, 10.13], counseling during pregnancy and delivery [OR\u2009=\u20094.39, 95% CI\u2009=\u2009(2.99, 6.45], antenatal care follows up (OR\u2009=\u20096.84; 95% CI: 1.15, 4.70) and maternal educational status [OR\u2009=\u20091.63 (95% CI: 1.12, 2.37)] were identified as associated factors of essential newborn care utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on the current study essential newborn care utilization in Ethiopia was significantly low in comparison with the current global recommendation on essential newborn care utilization. Place of residence, Postnatal care, counseling during pregnancy and delivery, antenatal care follow up, and maternal educational status were associated risk factors. Therefore, on the basis of the results, it is suggested that special attention should be given to attempts to ensure that education should focus on women during ante and postnatal follow-up, counseling during pregnancy and delivery, as well as rural and illiterate mothers. Finally, appropriate newborn services at health facilities and raising mother\u2019s level of awareness about newborn care practices are imperative in addressing the gaps in essential newborn care utilization in Ethiopia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12884-020-2804-7","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T11:09:09Z","timestamp":1582542549000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Essential newborn care utilization and associated factors in Ethiopia: a systematic review and meta-analysis"],"prefix":"10.1186","volume":"20","author":[{"given":"Yoseph","family":"Alamneh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fentahun","family":"Adane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadesse","family":"Yirga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melaku","family":"Desta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"issue":"3","key":"2804_CR1","first-page":"176","volume":"17","author":"Y Mohammadi","year":"2014","unstructured":"Mohammadi Y, Parsaeian M, Farzadfar F, Kasaeian A, Mehdipour P, Sheidaei A, Mansouri A, Moghaddam SS, Djalalinia S, Mahmoudi M. Levels and trends of child and adult mortality rates in the Islamic Republic of Iran, 1990\u20132013; protocol of the NASBOD study. Arch Iran Med. 2014;17(3):176\u201381.","journal-title":"Arch Iran Med"},{"key":"2804_CR2","volume-title":"Disease control priorities in developing countries: the World Bank","author":"DT Jamison","year":"2006","unstructured":"Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A, Musgrove P. Disease control priorities in developing countries: the World Bank; 2006."},{"issue":"4","key":"2804_CR3","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1159\/000320332","volume":"99","author":"OD Saugstad","year":"2011","unstructured":"Saugstad OD. Reducing global neonatal mortality is possible. Neonatology. 2011;99(4):250\u20137.","journal-title":"Neonatology"},{"issue":"171","key":"2804_CR4","first-page":"2161","volume":"2","author":"S Ahmad","year":"2012","unstructured":"Ahmad S, Goel K, Agarwal G, Goel P, Kumar V, Prakash A. Assessment of the newborn care practices in home deliveries among urban slums of Meerut, UP India. J Community Med Health Educ. 2012;2(171):2161\u20130711.1000171.","journal-title":"J Community Med Health Educ"},{"key":"2804_CR5","unstructured":"Khan MH, Noman N, Hashmi G, Gul S, Ali A, Babar KS. Essential newborn care practice in the hospital versus home deliveries. Gomal J Med Sci. 2004;4(1):7-9."},{"issue":"9730","key":"2804_CR6","doi-asserted-by":"publisher","first-page":"1988","DOI":"10.1016\/S0140-6736(10)60703-9","volume":"375","author":"JK Rajaratnam","year":"2010","unstructured":"Rajaratnam JK, Marcus JR, Flaxman AD, Wang H, Levin-Rector A, Dwyer L, Costa M, Lopez AD, Murray CJ. Neonatal, postneonatal, childhood, and under-5 mortality for 187 countries, 1970\u20132010: a systematic analysis of progress towards millennium development goal 4. Lancet. 2010;375(9730):1988\u20132008.","journal-title":"Lancet"},{"key":"2804_CR7","volume-title":"United Nations Children's Fund. Levels & Trends in Child Mortality-Report 2015 Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation.[Internet]. New York (NY)","author":"Organization WH","year":"2015","unstructured":"Organization WH: United Nations Children's Fund. Levels & Trends in Child Mortality-Report 2015 Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation.[Internet]. New York (NY); 2015 [cited 2016 Sep 10]. In."},{"key":"2804_CR8","volume-title":"New born care training participants manual","author":"W Bogale","year":"2012","unstructured":"Bogale W, Mulualem G. New born care training participants manual. Addis Ababa: FMOH; 2012."},{"key":"2804_CR9","volume-title":"The components of essential newborn care","author":"I Narayanan","year":"2004","unstructured":"Narayanan I, Rose M, Cordero D, Faillace S, Sanghvi T. The components of essential newborn care; 2004."},{"issue":"01","key":"2804_CR10","doi-asserted-by":"publisher","first-page":"17","DOI":"10.7439\/ijasr.v1i1.1637","volume":"1","author":"T Kokebie","year":"2015","unstructured":"Kokebie T. Community based essential newborn care practices and associated factors among women in the rural community of Awabel district. Int J Adv Sci Res. 2015;1(01):17\u201327.","journal-title":"Int J Adv Sci Res"},{"key":"2804_CR11","volume-title":"Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice","author":"Organization WH, UNICEF","year":"2015","unstructured":"Organization WH, UNICEF: Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. 2015."},{"issue":"1","key":"2804_CR12","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1186\/s12978-018-0609-1","volume":"15","author":"TY Chichiabellu","year":"2018","unstructured":"Chichiabellu TY, Mekonnen B, Astawesegn FH, Demissie BW, Anjulo AA. Essential newborn care practices and associated factors among home delivered mothers in Damot pulasa Woreda, southern Ethiopia. Reprod Health. 2018;15(1):162.","journal-title":"Reprod Health"},{"key":"2804_CR13","doi-asserted-by":"crossref","unstructured":"Saaka M, Iddrisu M. Patterns and determinants of essential newborn care practices in rural areas of northern Ghana. Int J Popul Res. 2014;2014:4(1):1-10.","DOI":"10.1155\/2014\/404387"},{"key":"2804_CR14","volume-title":"Newborn care practice and associated factors among mothers who gave birth within one year in Mandura District, Northwest Ethiopia. Clinics in Mother and Child Health","author":"T Tegene","year":"2015","unstructured":"Tegene T, Andargie G, Nega A, Yimam K. Newborn care practice and associated factors among mothers who gave birth within one year in Mandura District, Northwest Ethiopia. Clinics in Mother and Child Health; 2015."},{"issue":"4","key":"2804_CR15","doi-asserted-by":"publisher","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","volume":"151","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264\u20139.","journal-title":"Ann Intern Med"},{"issue":"1","key":"2804_CR16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0147601","volume":"11","author":"PA Modesti","year":"2016","unstructured":"Modesti PA, Reboldi G, Cappuccio FP, Agyemang C, Remuzzi G, Rapi S, Perruolo E, Parati G. Panethnic differences in blood pressure in Europe: a systematic review and meta-analysis. PLoS One. 2016;11(1):e0147601.","journal-title":"PLoS One"},{"issue":"7414","key":"2804_CR17","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","volume":"327","author":"JP Higgins","year":"2003","unstructured":"Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557.","journal-title":"BMJ"},{"key":"2804_CR18","doi-asserted-by":"crossref","unstructured":"Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994:50(4):1088-101.","DOI":"10.2307\/2533446"},{"issue":"7109","key":"2804_CR19","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","volume":"315","author":"M Egger","year":"1997","unstructured":"Egger M, Smith GD, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. Bmj. 1997;315(7109):629\u201334.","journal-title":"Bmj"},{"issue":"6","key":"2804_CR20","first-page":"360","volume":"25","author":"Y Yemaneh","year":"2017","unstructured":"Yemaneh Y, Dagnachew E. Knowledge and practice of immediate new born care (Inc.) among health professionals in governmental health facilities of Bahir Dar City, North Ethiopia 2016. Qual Prim Care. 2017;25(6):360\u20137.","journal-title":"Qual Prim Care"},{"key":"2804_CR21","doi-asserted-by":"crossref","unstructured":"Berhan D, Gulema H. Level of knowledge and associated factors of postnatal Mmothers\u2019 towards essential newborn care practices at Governmental Health Centers in Addis Ababa, Ethiopia. Adv Public Health. 2018;2018:1-10.","DOI":"10.1155\/2018\/8921818"},{"issue":"1","key":"2804_CR22","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1186\/s13104-019-4465-z","volume":"12","author":"H Tasew","year":"2019","unstructured":"Tasew H, Teshale T, Bahrey D, Mariye T, Teklay G. Immediate newborn care of knowledge, practice and associated factors among health care providers in northwestern zonal health facilities Tigray, Ethiopia, 2018. BMC Res Notes. 2019;12(1):427.","journal-title":"BMC Res Notes"},{"issue":"1","key":"2804_CR23","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1186\/s12884-019-2465-6","volume":"19","author":"K Sanjel","year":"2019","unstructured":"Sanjel K, Onta SR, Amatya A, Basel P. Patterns and determinants of essential neonatal care utilization among underprivileged ethnic groups in Midwest Nepal: a mixed method study. BMC Pregnancy Childbirth. 2019;19(1):310.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"9","key":"2804_CR24","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0222582","volume":"14","author":"DR Singh","year":"2019","unstructured":"Singh DR, Harvey CM, Bohara P, Nath D, Singh S, Szabo S, Karki K. Factors associated with newborn care knowledge and practices in the upper Himalayas. PLoS One. 2019;14(9):e0222582.","journal-title":"PLoS One"},{"issue":"1","key":"2804_CR25","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1186\/s12884-016-0931-y","volume":"16","author":"HG Misgna","year":"2016","unstructured":"Misgna HG, Gebru HB, Birhanu MM. Knowledge, practice and associated factors of essential newborn care at home among mothers in Gulomekada District, eastern Tigray, Ethiopia, 2014. BMC Pregnancy Childbirth. 2016;16(1):144.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"4","key":"2804_CR26","first-page":"53","volume":"3","author":"DT Asnakew","year":"2019","unstructured":"Asnakew DT, Engidaw MT, Gebremariam AD. Level of knowledge about neonatal danger signs and associated factors among mothers who delivered at home in Fogera District, south west, Ethiopia. Biomed Stat Inform. 2019;3(4):53.","journal-title":"Biomed Stat Inform"},{"issue":"2","key":"2804_CR27","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1111\/j.0006-341X.2000.00455.x","volume":"56","author":"S Duval","year":"2000","unstructured":"Duval S, Tweedie R. Trim and fill: a simple funnel-plot\u2013based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56(2):455\u201363.","journal-title":"Biometrics"},{"issue":"1","key":"2804_CR28","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s13006-018-0173-x","volume":"13","author":"A Alebel","year":"2018","unstructured":"Alebel A, Tesma C, Temesgen B, Ferede A, Kibret GD. Exclusive breastfeeding practice in Ethiopia and its association with antenatal care and institutional delivery: a systematic review and meta-analysis. Int Breastfeed J. 2018;13(1):31.","journal-title":"Int Breastfeed J"},{"key":"2804_CR29","doi-asserted-by":"crossref","unstructured":"Uxa F, Bacci A, Mangiaterra V, Chiaffoni GP. Essential newborn care training activities: 8 years of experience in Eastern European, Caucasian and Central Asian countries. In: Seminars in Fetal and Neonatal Medicine 2006 Feb 1 (Vol. 11, No. 1, pp. 58-64). WB Saunders.","DOI":"10.1016\/j.siny.2005.10.006"},{"key":"2804_CR30","volume-title":"The determinants of good newborn care practices in the rural areas of Nepal","author":"S Tuladhar","year":"2010","unstructured":"Tuladhar S. The determinants of good newborn care practices in the rural areas of Nepal; 2010."},{"issue":"2","key":"2804_CR31","first-page":"98","volume":"4","author":"F Castalino","year":"2014","unstructured":"Castalino F, Nayak BS, D'Souza A. Knowledge and practices of postnatal mothers on newborn care in tertiary care hospital of Udupi District. Nitte Univ J Health Sci. 2014;4(2):98.","journal-title":"Nitte Univ J Health Sci"},{"issue":"1","key":"2804_CR32","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/1471-2393-14-114","volume":"14","author":"RM Ayiasi","year":"2014","unstructured":"Ayiasi RM, Kasasa S, Criel B, Orach CG, Kolsteren P. Is antenatal care preparing mothers to care for their newborns? A community-based cross-sectional study among lactating women in Masindi, Uganda. BMC Pregnancy Childbirth. 2014;14(1):114.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"2804_CR33","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/s41043-017-0107-z","volume":"36","author":"N Devasenapathy","year":"2017","unstructured":"Devasenapathy N, Neogi SB, Soundararajan S, Ahmad D, Hazra A, Ahmad J, Mann N, Mavalankar D. Association of antenatal care and place of delivery with newborn care practices: evidence from a cross-sectional survey in rural Uttar Pradesh, India. J Health Popul Nutr. 2017;36(1):30.","journal-title":"J Health Popul Nutr"},{"issue":"1","key":"2804_CR34","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1186\/s13052-018-0544-3","volume":"44","author":"TE Tafere","year":"2018","unstructured":"Tafere TE, Afework MF, Yalew AW. Does antenatal care service quality influence essential newborn care (ENC) practices? In Bahir Dar City Administration, north West Ethiopia: a prospective follow up study. Ital J Pediatr. 2018;44(1):105.","journal-title":"Ital J Pediatr"},{"issue":"3","key":"2804_CR35","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1007\/s12098-007-0038-6","volume":"74","author":"AH Baqui","year":"2007","unstructured":"Baqui AH, Williams E, Darmstadt G, Kumar V, Kiran T, Panwar D, Sharma R, Ahmed S, Sreevasta V, Ahuja R. Newborn care in rural Uttar Pradesh. Indian J Pediatr. 2007;74(3):241\u20137.","journal-title":"Indian J Pediatr"},{"key":"2804_CR36","unstructured":"Health NMo, Population, ERA N, Kathmandu, Nepal), ERA N: Nepal demographic and health survey, 2006: population division, Ministry of Health and Population; 2007."},{"issue":"8","key":"2804_CR37","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1016\/j.trstmh.2007.03.003","volume":"101","author":"U Senarath","year":"2007","unstructured":"Senarath U, Fernando DN, Vimpani G, Rodrigo I. Factors associated with maternal knowledge of newborn care among hospital-delivered mothers in Sri Lanka. Trans R Soc Trop Med Hyg. 2007;101(8):823\u201330.","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"1","key":"2804_CR38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13052-018-0596-4","volume":"45","author":"G Serra","year":"2019","unstructured":"Serra G, Miceli V, Albano S, Corsello G. Perinatal and newborn care in a two years retrospective study in a first level peripheral hospital in Sicily (Italy). Ital J Pediatr. 2019;45(1):1\u20138.","journal-title":"Ital J Pediatr"},{"issue":"3","key":"2804_CR39","first-page":"187","volume":"14","author":"M Rashid","year":"2014","unstructured":"Rashid M, Antai D. Socioeconomic position as a determinant of maternal healthcare utilization: a population-based study in Namibia. J Res Health Sci. 2014;14(3):187\u201392.","journal-title":"J Res Health Sci"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-2804-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12884-020-2804-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-020-2804-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T19:23:02Z","timestamp":1614021782000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-020-2804-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,24]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["2804"],"URL":"https:\/\/doi.org\/10.1186\/s12884-020-2804-7","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.2.18911\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.18911\/v3","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.18911\/v1","asserted-by":"object"}]},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,24]]},"assertion":[{"value":"6 November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 February 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"124"}}