BackgroundKangaroo mother care has been highlighted as an effective intervention package to address high neonatal mortality pertaining to preterm births and low birth weight. However, KMC uptake and service coverage have not progressed well in many countries. The aim of this case study was to understand the institutionalisation processes of facility-based KMC services in three Asian countries (India, Indonesia and the Philippines) and the reasons for the slow uptake of KMC in these countries.MethodsThree main data sources were available: background documents providing insight in the state of implementation of KMC in the three countries; visits to a selection of health facilities to gauge their progress with KMC implementation; and data from interviews and meetings with key stakeholders.ResultsThe establishment of KMC services at individual facilities began many years before official prioritisation for scale-up. Three major themes were identified: pioneers of facility-based KMC; patterns of KMC knowledge and skills dissemination; and uptake and expansion of KMC services in relation to global trends and national policies.Pioneers of facility-based KMC were introduced to the concept in the 1990s and established the practice in a few individual tertiary or teaching hospitals, without further spread. A training method beneficial to the initial establishment of KMC services in a country was to send institutional health-professional teams to learn abroad, notably in Colombia. Further in-country cascading took place afterwards and still later on KMC was integrated into newborn and obstetric care programs.The patchy uptake and expansion of KMC services took place in three phases aligned with global trends of the time: the pioneer phase with individual champions while the global focus was on child survival (1998–2006); the newborn-care phase (2007–2012); and lastly the current phase where small babies are also included in action plans.ConclusionsThis paper illustrates the complexities of implementing a new healthcare intervention. Although preterm care is currently in the limelight, clear and concerted country-led KMC scale-up strategies with associated operational plans and budgets are essential for successful scale-up.

Background Kangaroo mother care (KMC) was introduced to Objective and barriers to KMC implementation. Methodstraining centers, six hospitals were supported to implement KMC and two other hospitals were supported to strengthen existing KMC practices. The four phases were comprised of a baseline to each hospital, and an end-line assessment. Resultswere record keeping and data collection, human resources and staff issues, infrastructure and budgets, discharge and follow-up, as well as family issues. Challenges related to the family were the inability KMC, and the affordability of hospital user fees for the infant to stay in the hospital for a sufficient period of time. ConclusionKMC appeared to be well accepted in most hospitals. communication systems. [Paediatr Indones. 2012;52:43-50].

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Latar Belakang: Pada akhir 2019, virus Corona baru diidentifikasi sebagai penyebab sekelompok kasus pneumonia dan virus ini menyebar dengan cepat. Kemenkes RI mengeluarkan pedoman yang ditujukan bagi petugas kesehatan sebagai acuan dalam melakukan kesiapsiagaan menghadapi pandemik COVID-19. Tujuan: menilai persepsi (daya tarik, pemahaman, penerimaan, keterlibatan, keyakinan) tenaga kesehatan di Puskesmas terhadap Pedoman Pencegahan dan Pengendalian COVID-19. Metode: Penelitian ini menggunakan metode kualitatif. Informan yang dipilih adalah tenaga kesehatan yang bekerja di Puskesmas pedesaan dan perkotaan. Informan diambil sebanyak 8 orang yang berprofesi sebagai kepala Puskesmas, bidan, petugas surveilens dan analis kesehatan. Hasil: Dari aspek daya tarik dan pemahaman secara keseluruhan informan mengatakan pedoman ini cukup menarik. Semua informan menyatakan bahwa setiap bab dalam pedoman dapat diterima. Pedoman ini dinilai sangat bermanfaat bagi tenaga kesehatan serta dapat dijadikan acuan dalam memberikan pelayanan di Puskesmas. Informan menyatakan bahwa pedoman ini ditujukan bagi tenaga kesehatan. Informasi dalam pedoman dipersepsikan dapat dipercaya serta meyakinkan. Kesimpulan: Persepsi tenaga kesehatan secara umum cukup baik dalam aspek daya tarik, pemahaman, penerimaan, keterlibatan individu dan keyakinan. Agar sesuai dengan perkembangan situasi saat ini, pedoman ini perlu diperbaharui. Disarankan juga menggunakan tata bahasa yang lebih teknis dan praktis, serta ada butir-butir, diagram/alur/bagan sehingga tidak menggunakan terlalu banyak kata-kata.[A1]  [A1]Udah dikurangi jadi 200 kata

Kangaroo mother care (KMC) is an effective and safe method of caring for low-birthweight infants. This article describes the results of a health systems strengthening intervention in KMC involving 10 hospitals in Java, Indonesia. Implementation progress was measured with an instrument scoring hospitals out of 100. Hospital scores ranged from 28 to 85, with a mean score of 62.1. One hospital had not reached the level of 'evidence of practice'; five hospitals had reached the expected level of 'evidence of practice' and two hospitals already scored on the level of 'evidence of routine and integration'. The two training hospitals were on the border of 'evidence of sustainable practice'. The implementation of KMC is a long-term process that requires dedication and support for a number of years. Some items in the progress-monitoring tool could be used to set standards for KMC that hospitals must meet for accreditation purposes.