Abstract:
Abstract
Background: The Community-Based Newborn Care program is is a newborn care package along the
maternal and newborn health continuum of care that has been implemented at the community level in
Ethiopia. This evaluational study helps as an input by identifying the possible barriers and gaps of
program implementation and provide systematic information to stakeholders on the bases of evaluation
dimensions to improve and filling/bridging gaps of the program in the future.
Objective: To assess the process of Community Based Newborn Care program implementation in Tach
Armachiho district, Northwest Ethiopia, 2021.
Method: Community-based case study design with mixed methods and formative approach were used
to evaluate the process of community based newborn care program from April 1 to 30, 2021. The
process was assessed using availability, compliance and acceptability dimensions with 33 indicators.
The quantative data was collected from 344 mothers using structured questionnaires and the data was
coded and entered to Epi data version 4.6 and export to Stata version 14 for analysis. Both bivariable
and multivariable logistic regression were employed to idenfiy factors associated with mother’s
satisfaction. Adjusted odds ratio with 95% confidence interval was reported to show the association and
p-value less than 0.05 considered as stastically siginificant. The data were presented in the form of
descriptions, tables and figures. Qualitative data were transcribed, translated, coded and analyzed
manually in themes. The overall process of program implementation was determined based on pre-set
criteria of judgment.
Result: According to judgment parameter, the overall process of community based newborn care
program implementation was 65.35. In this study the resources availability, compliance and satisfaction
of caregivers were found to be 69%, 65.8% and 61.7% respectively. The finding of this evaluation
show that educational status and length of new born first visit after delivery were siginificantly
associated with the satisfaction level of caregivers towards the implementation process of community
based newborn care services.
Conclusion: The overall implementation of community based newborn care program was judged as
fair. All assessed dimensions were judged as fair, which needs improvements. There were gaps in the
provision of essential drugs and supplies, regular program specific supervision to health posts,
continuous refreshment trainings and feedback.
Key words: CBNC, process, evaluation, satisfaction, implementation
