Neonatal jaundice in Ghanaian children: Assessing maternal knowledge, attitude, and perceptions

• Published in: PloS one Vol. 17; no. 3; p. e0264694
• Main Authors: Seneadza, Nana Ayegua Hagan, Insaidoo, Genevieve, Boye, Hilda, Ani-Amponsah, Mary, Leung, Terence, Meek, Judith, Enweronu-Laryea, Christabel
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 03.03.2022; Public Library of Science (PLoS)
• Subjects: Attitudes; Babies; Beliefs, opinions and attitudes; Biology and Life Sciences; Births; Care and treatment; Cerebral palsy; Chi-square test; Children; Childrens health; Complications; Evaluation; Gestational age; Glucose 6 phosphate dehydrogenase; Glucosephosphate dehydrogenase; Health care; Health care facilities; Health facilities; Health literacy; Health sciences; Hospitals; Jaundice; Knowledge; Medicine and Health Sciences; Mortality; Mothers; Neonatal jaundice; Neonates; Newborn babies; Pediatric research; People and Places; Perceptions; Pregnant women; Prenatal care; Risk factors; Social Sciences; Statistical tests; Workers; Ghana; United Kingdom > UK; Accra Ghana
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0264694

Neonatal jaundice (NNJ) is a major cause of preventable childhood mortality and long-term impairment especially in countries with significant prevalence of the inherited condition, glucose-6-phosphate dehydrogenase (G6PD) defect. In Ghana, routine screening of pregnant women for G6PD defect is standard care. Prevention of poor health outcomes from NNJ is contingent on population health literacy and early diagnosis. As part of a project to evaluate a screening tool for NNJ, we assessed the knowledge, attitude, and perceptions of Ghanaian mothers on NNJ at baseline. Using a cross-sectional design, mothers attending antenatal and postnatal clinics at 3 selected health facilities in 2 geographical regions of Ghana were interviewed. Data on mothers' understanding, perceptions, beliefs, and actions towards NNJ were evaluated. Chi-square test was used to determine the association between selected maternal characteristics and knowledge, attitude, and perception to NNJ. Of the 504 mothers interviewed, 428(85.4%) had heard about NNJ, 346 (68.7%) said the earliest signs are seen in the eyes, 384(76.2%) knew NNJ may be harmful and 467(92.7%) recommended seeking healthcare for the jaundiced newborn. None of the women knew about G6PD or their G6PD status following antenatal screening. Most did not know the signs/symptoms of severe NNJ. Of the 15 mothers who had had a jaundiced neonate, cost was the most perceived (8 out of 15) barrier to accessing health care. There were significant associations (p-value ≤ 0.05) between maternal age, educational level, and knowledge of NNJ. Despite the high level of awareness of NNJ, gaps still exit in the knowledge, attitudes and perceptions of mothers concerning NNJ. Improving education of women about the causes, symptoms/signs, and the role of G6PD in severe NNJ is recommended. Addressing barriers to accessing healthcare for the jaundiced infant may enhance timely management of NNJ and reduce the associated complications and mortality.