Critical analyses of the implications of Kangaroo Mother Care on a preterm infant

Donald, Sonya K.

doi:10.1016/j.jnn.2016.10.001

Cited by 4 publications

(7 citation statements)

References 56 publications

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“…Empirical evidence concedes to our nding that antenatal care clinic is an equally important service delivery point to disseminate KMC message to pregnant women, for an informed decision making (21). Positive outcome of KMC found to be a propeller for the PLBWI in utilization of KMC, this nding is similar to several studies done that have proven KMC as an effective intervention on LBWIs lives' outcomes (42)(43)(44)(45)(46)(47)(48).…”

Section: Buy-insupporting

confidence: 63%

Community Leaders’ Perspectives on Barriers and Facilitating Factors to Kangaroo Mother Care in Mangochi, Malawi: A Qualitative Study

Mathias

Mianda

Ginindza

2021

Preprint

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Background Low-and middle-income countries widely utilize Kangaroo Mother Care (KMC) to care for the Low-Birth Weight Infants (LBWIs). Worldwide, LBWIs is the leading cause of neonatal and child mortality. In Malawi, the government and the notable non-governmental organizations coordinate and collaborate in implementing KMC interventions to reduce neonatal deaths due to LBWIs’ complications. The incorporation of the community leaders’ (CLs) views on KMC access and utilization is optimal in the effective KMC implementation. Therefore, this study aimed to assess CLs perspectives on barriers and facilitating factors to KMC utilization by parents of low birth weight infants (PLBWIs) in Mangochi District, Malawi. Methods The study used purposive and simple random sampling to identify twelve CLs (N = 12) who participated in the two focused group (n = 6) discussions (FGD) conducted in April 2018 in Mangochi district. A structured FGD guide used to obtain the CLs’ perspectives on barriers and facilitating factors to KMC access and utilization by PLBWIs. Thematic content analysis used to analyse the findings. Results Four major themes and sub-themes were established from the study. These included Access (availability of KMC providers, place of delivery, strengthen referral systems, cost, health seeking behaviour, women empowerment and quality of obstetric care), Buy-in (KMC knowledge, causes of LBWIs birth, advantages/outcomes of KMC, attitude towards LBWI and KMC, stigma towards mother with a LBWI and preference of LBWI care), Medical issues (safety and maternal health) and traditional/cultural norms (social obligation and gender roles). Conclusions Despite the identified facilitating and barriers to KMC utilization, the CLs indirectly supported PLBWIs access to KMC by their influential and participatory role in the Malawi National Safe Motherhood approaches, which facilitated women deliver by the skilled birth attendants and utilized KMC. As such, incorporating the CLs in KMC implementation through KMC capacity building and strengthening linkage of local government structures to health local government structures may enhance KMC access and utilization by the community, through the CLs’ influential role in the communities’ uptake of health services. In a way strengthening the Malawi National Community Health Strategy 2017–2022 approaches.

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Section: Buy-insupporting

confidence: 63%

Community Leaders’ Perspectives on Barriers and Facilitating Factors to Kangaroo Mother Care in Mangochi, Malawi: A Qualitative Study

Mathias

Mianda

Ginindza

2021

Preprint

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“…The uptake of, and evidence for, KMC in the UK is poor 26 and no study has been conducted only and specifically on KMC implementation and its potential barriers and facilitators in the UK so far. Therefore, this study aims to address this gap.…”

Section: Define the Review Scopementioning

confidence: 99%

“…The included studies involved one controlled trial, 28 one review 26 and two commentaries. 47 48 All included studies aimed to analyse KMC 26 28 47 48 but only Donald provided an accurate definition of KMC 26 and also explored the benefits of SSC, using its evidence to provide information on KMC. 26 Platonos et al did not include KMC in their methodology but, instead, SSC.…”

Section: Kangaroo Mother Carementioning

confidence: 99%

“…47 48 All included studies aimed to analyse KMC 26 28 47 48 but only Donald provided an accurate definition of KMC 26 and also explored the benefits of SSC, using its evidence to provide information on KMC. 26 Platonos et al did not include KMC in their methodology but, instead, SSC. 48 The other commentary used references both on KMC and SSC to provide information on the KMC benefits.…”

Section: Kangaroo Mother Carementioning

confidence: 99%

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Why is Kangaroo Mother Care not yet scaled in the UK? A systematic review and realist synthesis of a frugal innovation for newborn care

et al. 2021

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ObjectiveKangaroo Mother Care (KMC) is a frugal innovation improving newborn health at a reduced cost compared with incubator use. KMC is widely recommended; however, in the UK, poor evidence exists on KMC, and its implementation remains inconsistent.DesignThis Systematic Review and Realist Synthesis explores the barriers and facilitators in the implementation of KMC in the UK.Data sourceOVID databases, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and Google Scholar were searched.Eligibility criteriaStudies were UK based, in maternity/neonatal units, for full-term/preterm children. First screening included studies on (1) KMC, Kangaroo Care (KC) or skin-to-skin contact (SSC) or (2) Baby Friendly Initiative, Small Wonders Change Program or family-centred care if in relation to KMC/KC/SSC. Full texts were reviewed for evidence regarding KMC/KC/SSC implementation.ResultsThe paucity of KMC research in the UK did not permit a realist review. However, expanded review of available published studies on KC and SSC, used as a proxy to understand KMC implementation, demonstrated that the main barriers are the lack of training, knowledge, confidence and clear guidelines.ConclusionThe lack of KMC implementation research in the UK stands in contrast to the already well-proven benefits of KMC for stable babies in low-income contexts and highlights the need for further research, especially in sick and small newborn population. Implementation of, and research into, KC/SSC is inconsistent and of low quality. Improvements are needed to enhance staff training and parental support, and to develop guidelines to properly implement KC/SSC. It should be used as an opportunity to emphasise the focus on KMC as a potential cost-effective alternative to reduce the need for incubator use in the UK.

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“…Perawatan Metode Kanguru (PMK) adalah perawatan pada BBLR dengan kontak skin to skin antara ibu dan bayi. Kontak ini bertujuan agar bayi dalam kondisi hangat (Donald, 2017). PMK dapat dimulai di rumah sakit segera setelah kondisi bayi stabil/memungkinkan dilakukan perawatan dan dapat dilanjutkan di rumah (Kanodia, Bora and Gupta, 2016).…”

Section: Pendahuluanunclassified

Maternal Characterisctics of Low Birth Weight With Kangaroo Mother Care and Plastic Wrap

Mufidah¹,

Husada

Yunitasari

et al. 2021

IMHSJ

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Background: Most Infant mortality due to low weight birth (42%). The babies need care to reduce mortality/morbidity such us Kangaroo methode and Plastic Wrap. Both of these methods aim to prevent hypothermia. This research to describes implementation of the Kangaroo Method and Plastic Wrap including input (mother, father and baby), process (staff and duration of care) and outcomes (hypothermia and Lenght of Stay). Method: Descriptive-Cross Sectional with number of sample of low birth weight are 96 (Kangaroo) and 98 babies (Plastic Wrap). The variables research are maternal age, parity, education, risk factor, complications and National health insurance’s participant. The instrument used medical records. Data analysis with frequency distribution. Result: Maternal age majority in Kangaroo Method and Plastic Wrap 20-35 years old (77,08% and 70,41%), multiparity (57,30% and 60,2%), Middle education (43,75% and 60,20%),high risk (71,87% and 55,10%), Preeclampsia (33,33% and 43,88%), Health Insuranse’s participant (79,17% and 63,27). Conclusion: data shows input, process and output of KMC and Plastic Wrap.

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Critical analyses of the implications of Kangaroo Mother Care on a preterm infant

Cited by 4 publications

References 56 publications

Community Leaders’ Perspectives on Barriers and Facilitating Factors to Kangaroo Mother Care in Mangochi, Malawi: A Qualitative Study

Community Leaders’ Perspectives on Barriers and Facilitating Factors to Kangaroo Mother Care in Mangochi, Malawi: A Qualitative Study

Why is Kangaroo Mother Care not yet scaled in the UK? A systematic review and realist synthesis of a frugal innovation for newborn care

Maternal Characterisctics of Low Birth Weight With Kangaroo Mother Care and Plastic Wrap

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