{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:32:44Z","timestamp":1791225164096,"version":"4.1.0"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T00:00:00Z","timestamp":1655251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"bule hora university","award":["PRD\/124\/11"],"award-info":[{"award-number":["PRD\/124\/11"]}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>A newborn has a limited capacity to maintain temperature when exposed to cold environment. Neonatal hypothermia, a common neonatal problem, carries high case fatality rate particularly if concurrently occurs with other neonatal problems. This study assessed neonatal thermal care practices and beliefs among rural women in west Guji Zone, south Ethiopia. A community based cross sectional quantitative study combined with qualitative study was undertaken in rural areas of west Guji Zone, Ethiopia. Randomly selected 388 rural mothers of infants less than 6 months old were participated in the quantitative study. Three focus group discussions were conducted among mothers of infants less than 6 months old. Quantitative data were collected by using structured and pretested Afaan Oromo version questionnaire adapted from relevant literatures. Qualitative data were collected by focus group discussion guide. The quantitative data were cleaned, coded and analyzed by SPSS version 20. Qualitative data were transcribed, translated, coded, and analyzed by thematic analysis approach. In general rural women believe that thermal protection of newborn is important. The findings show that approximately 75% and 85% of newborns were dried and wrapped respectively after delivery. However drying and wrapping of newborn are usually done after the first newborn\u2019s bath. Just over 84% of newborns were bathed within the first 6 hours of delivery and majority of them were bathed with warm water. About 69.1% and 57.7% of women put head cover to their newborns immediately after birth, and initiated breast feeding within one hour of delivery respectively. Skin to skin care of newborn is non-existent in the study area and perceived as an odd, frightening and potentially dangerous practice. Studied women practice some of the recommended neonatal thermal cares and believe in their importance in keeping newborn warm. However, practice and beliefs about delayed first bath is against standard recommendation, whereas skin to skin care is non-existent and perceived as an odd practice. Interventions to familiarize skin to skin care and reduce misconceptions surrounding it should be introduced into the study area to improve thermal cares of high risk newborns.<\/jats:p>","DOI":"10.1371\/journal.pgph.0000568","type":"journal-article","created":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T17:57:18Z","timestamp":1655315838000},"page":"e0000568","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Assessment of neonatal thermal cares: Practices and beliefs among rural women in West Guji Zone, South Ethiopia: A cross-sectional study"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4438-4304","authenticated-orcid":true,"given":"Wako Golicha","family":"Wako","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0586-0080","authenticated-orcid":true,"given":"Belda Negesa","family":"Beyene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3416-6810","authenticated-orcid":true,"given":"Zelalem Jabessa","family":"Wayessa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-3326","authenticated-orcid":true,"given":"Aneteneh","family":"Fikrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8991-9579","authenticated-orcid":true,"given":"Elias","family":"Amaje","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,6,15]]},"reference":[{"key":"pgph.0000568.ref001","volume-title":"Obstetrics: Normal and Problem Preganacies","author":"Steven G. Gabbe","year":"2007","edition":"5"},{"key":"pgph.0000568.ref002","first-page":"3","volume-title":"Hypothermia in Infants","author":"World Health Organization(WHO)","year":"1994"},{"key":"pgph.0000568.ref003","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.26719\/2007.13.6.1308","article-title":"Incidence and Risk Factors of Neonatal Hypothermia at Referral Hopitals in Tehran, Islamic Republic of Iran","volume":"13","author":"F. Zayeri","year":"2007","journal-title":"Eastern Mediterranean Health Journal"},{"issue":"1","key":"pgph.0000568.ref004","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/archpediatrics.2009.239","article-title":"Incidence and Seasonality of Hypothermia Among Newborns in Southern Nepal","volume":"164","author":"LC Mullany","year":"2010","journal-title":"Arch Pediatr Adolesc Med"},{"key":"pgph.0000568.ref005","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/1741-7015-8-43","article-title":"Neonatal hypothermia and associated risk factors among newborns of southern Nepal","volume":"8","author":"LC Mullany","year":"2010","journal-title":"BMC Medicine"},{"issue":"2","key":"pgph.0000568.ref006","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/1119-3077.110120","article-title":"Neonatal hypothermia in sub-Saharan Africa: A review","volume":"16","author":"R Onalo","year":"2013","journal-title":"Nigerian Journal of Clinical Practice"},{"key":"pgph.0000568.ref007","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1741-7015-11-24","article-title":"The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival","volume":"11","author":"K. Lunze","year":"2013","journal-title":"BMC Medicine"},{"key":"pgph.0000568.ref008","first-page":"e26","article-title":"National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010","volume":"1","author":"ACC Lee","year":"2013","journal-title":"Lancet"},{"key":"pgph.0000568.ref009","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1111\/j.1365-3156.2008.02113.x","article-title":"Hypothermia of newborns is associated with excess mortality in the first 2 months of life in Guinea-Bissau, West Africa","volume":"13","author":"M. Sodemann","year":"2008","journal-title":"Tropical Medicine and International Health"},{"key":"pgph.0000568.ref010","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/S0140-6736(13)61753-5","article-title":"Cesar G Victora, and Robert E Black, The unfinished agenda in child survival","volume":"382","author":"Jennifer Bryce","year":"2013","journal-title":"Lancet"},{"key":"pgph.0000568.ref011","volume-title":"Disease Control Priorities","author":"Group., W.B.","year":"2016"},{"key":"pgph.0000568.ref012","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S0140-6736(14)60792-3","article-title":"Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?","volume":"384","author":"ZA. Bhutta","year":"2014","journal-title":"Lancet"},{"key":"pgph.0000568.ref013","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s41043-018-0141-5","article-title":"Neonatal care practices in sub-Saharan Africa: a systematic review of quantitative and qualitative data","volume":"37","author":"M. Bee","year":"2018","journal-title":"Journal of Health, Population and Nutrition"},{"issue":"2","key":"pgph.0000568.ref014","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1177\/1367493516686201","article-title":"Sociocultural factors affecting uptake of home-based neonatal thermal care practices in Africa: A qualitative review","volume":"21","author":"Wendy S Coalter","year":"2017","journal-title":"Journal of Child Health Care"},{"key":"pgph.0000568.ref015","doi-asserted-by":"crossref","first-page":"e025471","DOI":"10.1136\/bmjopen-2018-025471","article-title":"Parent and family perspectives on home-based newborn care practices in lower-income countries: a systematic review of qualitative studies","volume":"9","author":"AN. Bazzano","year":"2019","journal-title":"BMJ Open"},{"key":"pgph.0000568.ref016","unstructured":"Federal Democratic Republic of Ethiopia Ministry of Health, National Strategy for Newborn and Child Survival in Ethiopia 2015\/16-2019\/20, M.a.C.H. Directorate, Editor. 2015: addis ababa, Ethiopia."},{"issue":"12","key":"pgph.0000568.ref017","doi-asserted-by":"crossref","first-page":"e15593","DOI":"10.1371\/journal.pone.0015593","article-title":"A Large Cross-Sectional Community-Based Study of Newborn Care Practices in Southern Tanzania","volume":"5","author":"S. Penfold","year":"2010","journal-title":"PLoS One"},{"issue":"1","key":"pgph.0000568.ref018","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1186\/s12887-019-1616-2","article-title":"Trends, determinants, and newborn mortality related to thermal care and umbilical cord care practices in South Asia","volume":"19","author":"L. Mallick","year":"2019","journal-title":"BMC Pediatr"},{"key":"pgph.0000568.ref019","unstructured":"World Health Organization, Integrated Management of Pregnancy and Childbirth: Pregnancy, Childbirth, Postpartum and Newborn Care: A guide for essential practice Third Edition, World Health Organization, Editor. 2015, World Health Orgnization: Geneva, Switzerland."},{"issue":"10","key":"pgph.0000568.ref020","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1080\/080352505100366750","article-title":"The impact of newborn bathing on the prevalence of neonatal hypothermia in Uganda: a randomized, controlled trial","volume":"94","author":"Anna Bergstr\u00f6m","year":"2005","journal-title":"Acta Paediatr"},{"issue":"1","key":"pgph.0000568.ref021","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1186\/s13104-018-3691-0","article-title":"Determinants of hypothermia on neonates admitted to the intensive care unit of public hospitals of Central Zone, Tigray, Ethiopia 2017: unmatched case-control study","volume":"11","author":"H. Tasew","year":"2018","journal-title":"BMC Res Notes"},{"issue":"6","key":"pgph.0000568.ref022","doi-asserted-by":"crossref","first-page":"e0218020","DOI":"10.1371\/journal.pone.0218020","article-title":"Prevalence and factors associated with neonatal hypothermia on admission to neonatal intensive care units in Southwest Ethiopia\u2014A cross-sectional study","volume":"14","author":"G.G. Ukke","year":"2019","journal-title":"PLoS One"},{"key":"pgph.0000568.ref023","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1186\/1471-2393-14-267","article-title":"Thermal care for newborn babies in rural southern Tanzania: a mixed-method study of barriers, facilitators and potential for behaviour change","volume":"14","author":"D. Shamba","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"pgph.0000568.ref024","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1186\/s12887-019-1632-2","article-title":"Neonatal hypothermia and associated factors within six hours of delivery in eastern part of Ethiopia: a cross-sectional study","volume":"19","author":"WA. Bayih","year":"2019","journal-title":"BMC Pediatr"},{"issue":"1","key":"pgph.0000568.ref025","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1186\/s12887-018-1238-0","article-title":"Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia","volume":"18","author":"BW. 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