title: The determinants of essential newborn care for home births in Bangladesh.
abstract: OBJECTIVE
  To examine the association of sociodemographic, antenatal and delivery care factors with the essential newborn care (ENC) practices of neonates born at home in Bangladesh.
  
  
  METHODS
  This study analyzed data of a cross-sectional survey-the Bangladesh Demographic and Health Survey, 2011.
  
  
  METHODS
  This analysis considered 3190 most recent live-born infants who were delivered at home within three years of the survey. Logistic regression models were used to identify the factors affecting the implementation of six ENC practices, namely using disinfected instruments to cut the umbilical cord, avoidance of application of any substances to the umbilical cord stump, immediate drying and wrapping of newborns, delayed bathing of newborns, and immediate initiation of breastfeeding.
  
  
  RESULTS
  Factors affecting ENC practices in Bangladesh are low parental education, low utilization of antenatal care services, the absence of skilled birth attendants, smaller size at birth, higher birth order and mother's age at birth. Regional factors also seem to considerably affect ENC practices.
  
  
  CONCLUSIONS
  There is ample scope to improve the coverage of ENC practices in Bangladesh. Health promotion programmes that target parents with low education and older mothers may help to build awareness of ENC practices. This investigation provides insight into the key determinants of ENC practices, which require consideration when scaling up ENC practices in low-income and lower middle-income countries.
authors.affiliation: Faculty of Health, University of Technology, Sydney, Building 10, 235-253 Jones St, Ultimo, NSW 2007, Australia. Electronic address: tasnima_akter@yahoo.com.
authors.forename: T
authors.initials: T
authors.lastname: Akter
authors.affiliation: Faculty of Health, University of Technology, Sydney, Building 10, 235-253 Jones St, Ultimo, NSW 2007, Australia. Electronic address: Angela.Dawson@uts.edu.au.
authors.forename: A
authors.initials: A
authors.lastname: Dawson
authors.affiliation: Faculty of Health, University of Technology, Sydney, Building 10, 235-253 Jones St, Ultimo, NSW 2007, Australia. Electronic address: David.Sibbritt@uts.edu.au.
authors.forename: D
authors.initials: D
authors.lastname: Sibbritt
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006700:Home Childbirth; D006801:Humans; D007224:Infant Care / Q000592:standards*; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000706:statistics & numerical data; D011247:Pregnancy; D064890:Social Determinants of Health; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Breastfeeding; Cord care; Delayed bathing; Newborn care; Newborn drying and wrapping