Increasing Confidence and Ability in Implementing Kangaroo Mother Care Method Among Young Mothers

Purbasary, Eleni Kenanga; Rustina, Yeni; Budiarti, Tri

doi:10.1080/24694193.2017.1386964

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…The higher LTFU among older adolescents could be associated with change of school address for healthier adolescents. Other possible explanations include adolescents dropping out of care due to stigma and discrimination which is a common challenge in the Ethiopian setting [30]. This area requires more in-depth studies for the different age groups.…”

Section: Discussionmentioning

confidence: 99%

Adolescents living with HIV are at higher risk of death and loss to follow up from care: Analysis of cohort data from eight health facilities in Ethiopia

et al. 2019

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BackgroundThere are limited data on the treatment outcomes of adolescents living with HIV. Our objective was to compare mortality and loss to follow up (LTFU) rates between adolescent and younger age groups at enrollment in care.MethodsThis was a retrospective cohort study carried out in eight health facilities in two regions of Ethiopia. Adolescents (age 10–14 and 15–19 year) and children (age 0–9 year) enrolled in chronic HIV care between 2005 and 2013 constituted the study population. We reviewed the individual patient charts between March and June 2014 and updated the data on the status of each patient through December 2015. We used death and loss-to-follow up as primary endpoints and used the Cox-regression analysis where age, categorized as adolescent versus child, was the main predictor variable.ResultsOf 2058 participants studied, 52.1% were adolescents. The cohort contributed 2422 person-years of observation (PYO) during the pre-ART follow-up, whereas 1531 patients put on ART contributed 5984 PYO. Of those put on ART, 209 (13.7%) LTFU and 92 (6%) deaths were reported. Adolescents in age group 15–19 yr had the highest risk of LTFU [adjusted hazard ratio, aHR (95% CI) = 3.1 2.1, 5.0 ] followed by those in age group 10–14 yr (aHR = 1.5 [0.9, 2.3]) compared with children aged 0–9 yr. Mortality hazard was significantly higher among younger adolescents (aHR = 2.8 [1.4, 5.4]) and older adolescents (aHR = 2.3 [1.1, 4.9]) compared with children.ConclusionsAdolescents are at higher risk of mortality and LTFU as compared to children ages 0–9. Younger adolescents and children had similar LTFU rates. Narrow age band disaggregated analysis can serve as useful guide for tailoring interventions to the specific needs of different age groups.

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Section: Discussionmentioning

confidence: 99%

Adolescents living with HIV are at higher risk of death and loss to follow up from care: Analysis of cohort data from eight health facilities in Ethiopia

et al. 2019

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“…14 Knowledge about the effectiveness of KMC, for both nurses and mothers, is often cited as a barrier to its use. [24][25][26] The availability of continuous monitoring in KMC could allow for closer observation of babies at risk of hypothermia and increase mothers' advocacy if their baby's temperature is outside the normothermic range.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a continuous neonatal temperature monitor for low-resource settings: a device feasibility pilot study

Saenz

Hardy

Heenan

et al. 2020

bmjpo

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ObjectiveEvaluate a novel continuous temperature monitor in a low-resource neonatal ward.DesignWe developed a low-cost continuous neonatal temperature monitor (NTM) for use in low-resource settings. Accuracy of NTM was initially assessed in the laboratory. Clinical evaluation then was performed in a neonatal ward in a central hospital in Malawi; eligible neonates (<1 week of age) were recruited for continuous temperature monitoring with NTM and a Philips Intellivue MP30 Patient Monitor.Interventions and outcome measuresThe temperature probes of NTM and the reference patient monitor were attached to the infant’s abdomen, and core temperature was continuously recorded for up to 3 hours. Axillary temperatures were taken every hour. We compared temperatures measured using NTM, the patient monitor and the axillary thermometer.ResultsLaboratory temperature measurements obtained with NTM were within 0.059°C (range: −0.035°C to 0.195°C) of a reference thermometer. A total of 39 patients were recruited to participate in the clinical evaluation of NTM; data from four patients were excluded due to faulty hardware connections. The mean difference in measured temperatures between the NTM and the Intellivue MP30 was −0.04°C (95% CI −0.52°C to 0.44°C).ConclusionNTM meets ISO 80601-2-56 standards for accuracy and is an appropriate, low-cost continuous temperature monitor for neonatal wards in low-resource settings.Trial registration numbersNCT03965312 and NCT03866122.

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“…Acknowledging findings from scientific studies that highlight the benefits of keeping the baby close to the mother and father is crucial as we strive toward this objective. KMC has a higher impact when the mother’s education is lower, 22 it also serves for decreasing infection rates 23 and increase growth and breastfeeding rates. 24 Therefore, it is essential to involve parents in decisions, educate them on the best practices for their baby, and include the entire family in caring for the fragile infant as they will play a critical role in the baby’s future.…”

Section: What Does Kmc Methods Mean?mentioning

confidence: 99%

KMC and Brain Development: A Plea for Starting KMC as Early as Possible and as Long as Possible

Charpak,

Rivera,

Hernandez

2024

Journal of Neonatology

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The kangaroo mother care (KMC) method is a “45-year-old innovation” in health care to care for premature or low birth weight (LBW) infants: the KMC position with direct skin-to-skin contact on the chest of the mother, KMC nutrition based on breast milk and early home discharge in KMC position with close monitoring are the three key elements of this intervention. Created in 1978 to compensate for the lack of incubators in a huge maternity hospital in Colombia, it has always met with resistance from health professionals. Rigorously studied, it has shown benefits far beyond the reduction in mortality, to ensure a proper quality of life for these fragile babies. KMC has become an example of evidence-based care for premature or LBW infants, and it is no longer ethical not to apply it. Exploratory analysis results on brain growth according to the duration in days of KMC position are presented in this article and should help accelerate the systematic introduction of KMC as early as possible and for as long as possible from birth, as published by the WHO in 2022.

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Increasing Confidence and Ability in Implementing Kangaroo Mother Care Method Among Young Mothers

Cited by 4 publications

References 14 publications

Adolescents living with HIV are at higher risk of death and loss to follow up from care: Analysis of cohort data from eight health facilities in Ethiopia

Adolescents living with HIV are at higher risk of death and loss to follow up from care: Analysis of cohort data from eight health facilities in Ethiopia

Evaluation of a continuous neonatal temperature monitor for low-resource settings: a device feasibility pilot study

KMC and Brain Development: A Plea for Starting KMC as Early as Possible and as Long as Possible

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