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Table 2 Acceptability and barriers to evidence based newborn care practices as stated in Focus Group discussions in Busoga, Eastern Uganda.

From: Acceptability of evidence-based neonatal care practices in rural Uganda – implications for programming

Recommended Newborn practices Perceived acceptability Barriers to the practice Remarks
Cutting the cord with a clean instrument +++++ - Difficult in home deliveries
- Poor birth preparedness
- Usually a new razorblade is used
Maintenance of warmth +++++ - Lack of money for baby clothes - Some mothers improvise with their own used clothes
Delayed bathing + - Belief that babies are born "dirty" and with blood
- Belief that babies who are not bathed "smell" bad
- Mothers prefer that visitors find babies clean
- Health care workers promote early bathing
- Belief that early bathing prevents infections
- Babies bathed on day of delivery and thereafter an average of three times a day
- Wiping the baby with a wet cloth could be an alternative
Maintenance of cleanliness +++++ - Lack of money
- Practice of hand washing not common
- Some wash but without soap
Exclusive breast feeding +++++ - Colostrum not perceived to be good for the baby
- Perceived lack of milk in the breast at birth
- Babies given water and/or glucose at birth
Skilled care seeking for danger signs +++ - Lack of money
- Married women often have to seek permission from husbands on choice of care
- Lack of access to well equipped facilities
- Health workers lack skills in managing sick newborns
- Child minders report danger signs to mothers
- Both mothers and fathers appreciate importance of seeking immediate care from skilled providers
Practicing clean cord care ++ - Belief that substances applied to cord help it heal fast
- Cultural practice of seclusion till cord falls off
- Health workers encourage do not encourage dry care
- Mothers are under pressure for cord to heal so that they can return to routine chores
- Health workers encourage application of salty water and spirit
Postnatal check up for newborns at health unit in the first week +++++ - Practice not promoted by health system
- Lack of money for transport
- Lack of transport facilities
- Health workers think this will add to their already big work load
Postnatal check up for newborns at home by a volunteer in the first week +++++ - Identifying new deliveries difficult
- Motivating volunteers
- Community expects drugs at home
  1. Key: The number of crosses reflects the degree of acceptability of the practice