Progress in the Implementation of Kangaroo Mother Care in 10 Hospitals in Indonesia

Bergh, Anne‐Marie; Rogers-Bloch, Quail; Pratomo, Hadi; Uhudiyah, Uut; Sidi, Ieda Poernomo Sigit; Rustina, Yeni; Suradi, Rulina; Gipson, Reginald

doi:10.1093/tropej/fmr114

Cited by 27 publications

(19 citation statements)

References 6 publications

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“…Indeed, implementation of KMC requires organized planning and effort, and lack of these are barriers towards extending the benefits to all babies in need of such care. (2122)…”

Section: Discussionmentioning

confidence: 99%

Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn

Bera¹,

Ghosh²,

Singh³

et al. 2014

Indian J Community Med

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Objectives:Low birth weight (LBW; <2500 g), which is often associated with preterm birth, is a common problem in India. Both are recognized risk factors for neonatal mortality. Kangaroo mother care (KMC) is a non-conventional, low-cost method for newborn care based upon intimate skin-to-skin contact between mother and baby. Our objective was to assess physiological state of LBW babies before and after KMC in a teaching hospital setting.Materials and Methods:Study cohort comprised in-born LBW babies and their mothers - 300 mother-baby pairs were selected through purposive sampling. Initially, KMC was started for 1 hour duration (at a stretch) on first day and then increased by 1 hour each day for next 2 days. Axillary temperature, respiration rate (RR/ min), heart rate (HR/ min), and oxygen saturation (SpO2) were assessed for 3 consecutive days, immediately before and after KMC.Results:Data from 265 mother-baby pairs were analyzed. Improvements occurred in all 4 recorded physiological parameters during the KMC sessions. Mean temperature rose by about 0.4°C, RR by 3 per minute, HR by 5 bpm, and SpO2 by 5% following KMC sessions. Although modest, these changes were statistically significant on all 3 days. Individual abnormalities (e.g. hypothermia, bradycardia, tachycardia, low SpO2) were often corrected during the KMC sessions.Conclusions:Babies receiving KMC showed modest but statistically significant improvement in vital physiological parameters on all 3 days. Thus, without using special equipment, the KMC strategy can offer improved care to LBW babies. These findings support wider implementation of this strategy.

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“…Indeed, implementation of KMC requires organized planning and effort, and lack of these are barriers towards extending the benefits to all babies in need of such care. (2122)…”

Section: Discussionmentioning

confidence: 99%

Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn

Bera¹,

Ghosh²,

Singh³

et al. 2014

Indian J Community Med

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“…Therefore, we cannot claim that better growth and development, with its attendant clinical advantages, would be obtained in any setting. Indeed, implementing KMC requires organised planning and effort and the lack of these become barriers to providing the benefits of KMC to all babies who need such care .…”

Section: Discussionmentioning

confidence: 99%

Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial

et al. 2014

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“…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

127

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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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Progress in the Implementation of Kangaroo Mother Care in 10 Hospitals in Indonesia

Cited by 27 publications

References 6 publications

Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn

Effect of Kangaroo mother care on vital physiological parameters of the low birth weight newborn

Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial

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

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