{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:23:28Z","timestamp":1791901408050,"version":"4.3.4"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Knowledge of neonatal danger signs is crucial for timely care-seeking and improved newborn survival. This study assessed this knowledge among pregnant women in rural western Gujarat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>A mixed methods study was conducted among 390 pregnant women selected through a two-stage sampling procedure. Quantitative data were collected using a structured questionnaire. Qualitative data were gathered via in-depth interviews with 20 purposively sampled women. Logistic regression identified determinants of knowledge. Thematic analysis was done for qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The majority of women were young (220, 56.5% \u226425 years), literate (333, 85%), and from rural backgrounds (320, 82%). Overall, 232 (59.5%) knew about cord care, and 301 (77.2%) correctly identified breastfeeding initiation time. Recognition of key danger signs such as fever (311, 79.7%), vomiting (292, 74.8%), and jaundice (275, 70.5%) was high, but only 70 (18%) identified chest in-drawing. Multiparity (adjusted odds ratio (AOR): 1.4, 95% confidence interval (95% CI): 1.2\u20133.9), lower age (AOR: 3.8, 95% CI: 2.4\u20135.8), education (AOR: 3.1, 95% CI: 1.5\u20136.4), inadequate counseling (AOR: 2.2, 95% CI: 1.82\u20135.190), and normative delivery (AOR: 2.4, 95% CI: 1.16\u20135.006) were associated with poor knowledge. Qualitative findings revealed reliance on informal sources, family elders, and financial constraints as key barriers along with limited comprehension of some danger signs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Focused interventions via health workers, family members, and community platforms are needed to increase neonatal danger signs awareness among vulnerable women in the region to enable timely care-seeking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_66_24","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T12:00:31Z","timestamp":1720180831000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Identifying gaps in maternal knowledge and care-seeking for neonatal health: A mixed methods study in rural pregnant women"],"prefix":"10.4103","volume":"13","author":[{"given":"M","family":"Yogesh","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Shri MPShah Government Medical College, Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B M","family":"Bhavana","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanveet","family":"Padhiyar","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Shri MPShah Government Medical College, Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohankumar","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Shri MPShah Government Medical College, Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Misra","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Shri M Pshah Government Medical College Jamnagar, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5]]},"reference":[{"key":"R1-20240828","article-title":"Mortality rate, neonatal (per 1,000 live births)\u2014India | Data [Internet]","year":"2019"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1038\/jp.2016.183","article-title":"State of newborn health in India","volume":"36","author":"Sankar","year":"2016","journal-title":"J Perinatol"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/S0140-6736(08)61483-X","article-title":"Effect of community-based behaviour change management on neonatal mortality in Shivgarh, Uttar Pradesh, India: A cluster-randomized controlled trial","volume":"372","author":"Kumar","year":"2008","journal-title":"Lancet"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/9180314","article-title":"et al. 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