Impact of clean delivery kit use on clean delivery practices in Beni Suef Governorate, Egypt.
OBJECTIVE
A major factor contributing to neonatal and maternal infections is unhygienic delivery practices. This study explores the impact of clean delivery kit (CDK) use on clean delivery practices during home and facility deliveries.


METHODS
Kits were distributed from primary care facilities and mothers and birth attendants received training on kit importance and use. The study was designed as a cross-sectional cohort study. Raedat (community health workers) visited 349 women during the postpartum period to administer a structured questionnaire.


METHODS
The study was conducted from mid-March through mid-July 2001 in two rural areas of Ihnasia district in Beni Suef Governorate (Upper Egypt).


RESULTS
In bivariate analysis, CDK users in the home were more likely to report that the birth attendant had clean hands (P<0.001), washed/wiped the mother's perineum (P<0.001), used a sterile cord tie (P=0.001), applied antiseptic to the cord after cutting (P<0.001), and used a sterile cord cover (P<0.001) as compared with non-CDK users. CDK users at the facility were more likely to report that the birth attendant washed/wiped the mothers perineum (P=0.049) and used a sterile cord cover (P=0.030) as compared with non-CDK users.


CONCLUSIONS
In settings in which unhygienic practices during home as well as facility deliveries are prevalent, use of inexpensive CDKs can promote clean delivery practices.
Balsara
Z P
ZP
International Center for Advancing Neonatal Health, Bloomberg School of Public Health, Department of International Health, The Johns Hopkins University, Baltimore, MD 21205, USA.
Hussein
M H
MH
Winch
P J
PJ
Gipson
R
R
Santosham
M
M
Darmstadt
G L
GL
D000293:Adolescent; D000328:Adult; D002983:Clinical Competence; D003153:Community Health Services; D003428:Cross Infection / Q000517:prevention & control*; D004534:Egypt; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006293:Health Promotion; D006700:Home Childbirth; D006801:Humans; D007318:Inservice Training; D008427:Maternal Health Services; D008880:Midwifery / Q000193:education; D011247:Pregnancy; D011645:Puerperal Infection / Q000517:prevention & control*; D012424:Rural Population; D013242:Sterilization; D013523:Surgical Equipment; D055815:Young Adult