Implementation of kangaroo mother care: A randomized trial of two outreach strategies

Pattinson, Robert Clive; Arsalo, Irmeli; Bergh, Anne‐Marie; Malan, Arnaud G.; Patrick, Mark; Phillips, Noel

doi:10.1080/08035250510028399

Cited by 25 publications

(17 citation statements)

References 9 publications

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“…For example, providers in one of the first hospitals to undertake Child PIP used the data to guide them to improve quality of counselling for prevention of mother-to-child transmission of HIV; a substantial 37% drop in the inpatient death rate was recorded the next year. [13] and [14] PPIP data helped to catalyse the scale-up of Kangaroo Mother Care (KMC)-a method of caring for small babies whereby the baby is tied to the mother's front, promoting warmth and breastfeeding, and preventing infections-in 70 hospitals across South Africa and to provide a before and after assessment of mortality reduction. In addition to local action, national action can be taken through recommendations in the reports.…”

Section: Mortality Audit For Mothers Babies and Childrenmentioning

confidence: 99%

See 1 more Smart Citation

Every death counts: use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa

Bradshaw¹,

Chopra²,

Kerber³

et al. 2008

The Lancet

100

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Section: Mortality Audit For Mothers Babies and Childrenmentioning

confidence: 99%

“…Example at the policy and province level with high population coverage [13] and [14] Problem: Complications of preterm birth account for 45% of all neonatal deaths in South Africa, which is the largest cause of such deaths. These small babies need extra care and warmth, and incubators are not always available.…”

Section: Saving Babies (Ppip)mentioning

confidence: 99%

Every death counts: use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa

Bradshaw¹,

Chopra²,

Kerber³

et al. 2008

The Lancet

100

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“…Embedding practices – initially driven as interventions funded in a project mode – into the existing health system when a project ends or when funding is cut remains problematic [34,35]. One category of facilitators of KMC implementation is opinion leaders, a category that includes people in leadership and management positions at all levels of the health system and the so-called grass-roots “champions” that make KMC work [15,16,32,36]. In our study the support from managers, especially at the district and facility levels, was also found to be a facilitating factor for implementing KMC.…”

Section: Discussionmentioning

confidence: 99%

“…The tool, available as an online supplement (Additional file 1 ), had previously been applied in South African KMC outreach trials [15,16] and had been adapted for use in Malawi [17], Ghana [18], Nigeria [19], and Indonesia [20]. …”

Section: Methodsmentioning

confidence: 99%

Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa

Bergh

Kerber²,

Abwao

et al. 2014

BMC Health Serv Res

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131

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BackgroundSome countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda.MethodsA cross-sectional, mixed-method research design was used. Stakeholders provided background information at national meetings and in individual interviews. Facilities were assessed by means of a standardized tool previously applied in other settings, employing semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Each facility received a score out of a total of 30 according to six stages of implementation progress.ResultsAcross the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. Institutions that fared better had a longer history of kangaroo mother care implementation or had been developed as centres of excellence or had strong leaders championing the implementation process. Variation existed in the quality of implementation between facilities and across countries. Important factors identified in implementation are: training and orientation; supportive supervision; integrating kangaroo mother care into quality improvement; continuity of care; high-level buy in and support for kangaroo mother care implementation; and client-oriented care.ConclusionThe integration of kangaroo mother care into routine newborn care services should be part of all maternal and newborn care initiatives and packages. Engaging ministries of health and other implementing partners from the outset may promote buy in and assist with the mobilization of resources for scaling up kangaroo mother care services. Mechanisms for monitoring these services should be integrated into existing health management information systems.

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“…10,13,18,19 Além do mais, o hospital apresentava como facilitadores o serviço de Banco de Leite Humano e a implantação dos Dez Passos da Iniciativa Hospital Amigo da Criança. Na unidade de cuidados intermediários também já se permitia às mães manter seus bebês em posição canguru.…”

Section: Resultsunclassified

Percepção das mães sobre o cuidado do bebê de baixo peso antes e após implantação do Método Mãe-Canguru em hospital público da cidade de São Paulo, Brasil

Toma

Venâncio

Andretto

2007

Rev. Bras. Saude Mater. Infant.

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OBJETIVOS: aumentar a compreensão sobre os diferentes modos que as famílias de baixa renda lidam com o nascimento de um bebê pré-termo, com vistas a aprimorar a implantação do Método Mãe-Canguru (MMC). MÉTODO: estudo qualitativo realizado em São Paulo, estado de São Paulo, em 2004, no qual foram entrevistadas 19 mães antes e 22 mães após implantação do MMC. O roteiro de entrevistas incluía questões abertas, das quais emergiram as informações sobre como as mães cuidaram de seus bebês de baixo peso, os arranjos domésticos e outras medidas a que recorreram. Para análise utilizou-se a abordagem da Grounded Theory. RESULTADOS: a necessidade de cuidar de outros filhos parece ser um dos principais limitadores para a opção ao MMC. Em comparação às mães entrevistadas antes da implantação do programa, as mães-cangurus eram mais jovens, mais escolarizadas, sem outros filhos, recebiam mais ajuda nas tarefas domésticas e relataram menos dificuldades na amamentação. CONCLUSÕES: a oferta do MMC em uma maternidade da periferia de São Paulo sugere efeitos positivos sobre a amamentação. A tendência à conformação de famílias nucleares dificulta a participação das mulheres no programa. Conhecer as limitações e possibilidades de cada família pode contribuir para o aperfeiçoamento do processo de implantação.

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Implementation of kangaroo mother care: A randomized trial of two outreach strategies

Abstract: Successful implementation was achieved in most of the hospitals irrespective of the strategy used. However, facilitation with an implementation package was clearly superior to using a package alone. Some sites do not need facilitation for successful implementation.

Cited by 25 publications

References 9 publications

Every death counts: use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa

Every death counts: use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa

Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa

Percepção das mães sobre o cuidado do bebê de baixo peso antes e após implantação do Método Mãe-Canguru em hospital público da cidade de São Paulo, Brasil

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