How to improve the effectiveness and efficiency of Kangaroo Mother Care: a literature review of equipment supporting continuous Kangaroo Mother Care

Saptaputra, Syawal Kamiluddin; Kurniawidjaja, Meily; Susilowati, Indri Hapsari; Pratomo, Hadi

doi:10.1016/j.gaceta.2020.12.037

Cited by 6 publications

(1 citation statement)

References 26 publications

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“…A lack of supplies was reported in this study by some healthcare providers working in KMC units. In terms of equipment and consumables, previous studies have suggested that standardised equipment (e.g., recliners) and consumables (e.g., neonatal straps) should be provided in order to ensure both the comfort of mothers and infants as well as the safety of conducting KMC [ 26 , 27 ]. There are few studies examining the status of standardised equipment and consumables for KMC in China.…”

Section: Resultsmentioning

confidence: 99%

A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation

Wen

Wang

Zhang

et al. 2023

BMC Pregnancy Childbirth

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Background Implementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale. Methods Participants from 4 of the 18 pilot counties where early essential newborn care was implemented through the Safe Neonatal Project and 4 control counties not enrolled in Safe Neonatal Project were selected using purposive sampling. A total of 155 participants were interviewed, including stakeholders of the Safe Neonatal Project such as national maternal health experts, relevant government officials and medical staff. Thematic analysis was used to process and analyse the interview content in order to summarise the facilitators and barriers to implementing KMC. Results KMC was accepted in the pilot areas but still faced certain challenges due to institutional regulation, resource provision and the perceptions of health staff, postpartum mothers and their families as well as COVID-19 prevention and control regulations. The facilitators identified were government officials and medical staff acceptance and the incorporation of KMC into routine clinical care. The barriers identified were a lack of dedicated funding and other resources, the present scope of health insurance and KMC cost-sharing mechanism, providers’ knowledge and practical abilities, parental awareness, postpartum discomfort, fathers’ inadequate involvement, and the impact from COVID-19. Conclusion The Safe Neonatal Project pilot experience indicated the feasibility of implementing KMC in more areas of China. Optimising institutional regulations, providing necessary supporting resources and enhancing education and training may help to refine the implementation and scale-up of KMC practice in China.

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Section: Resultsmentioning

confidence: 99%