Implementation experience of a 12-month intervention to introduce intermittent kangaroo mother care to eight Chinese neonatal intensive care units

Liu, Xin; Chen, Xiaohui; Li, Zhankui; Cao, Bei; Yue, Shaojie; Liu, Qiongyu; Yang, Chuanzhong; Yang, Changyi; Zhao, Yingxi; Zhao, Gengli; Feng, Qi

doi:10.1007/s12519-022-00607-4

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…In 2014, the Department of Maternal and Child Health of the National Health Commission of China established the Premature Birth and Preterm Infants Intervention, recruiting 10 hospitals to pilot KMC implementation [ 11 ]. From 2014 to 2018, the Premature Birth and Preterm Infants Intervention actively raised awareness and promoted KMC amongst its network of 50 hospitals [ 11 , 12 ], and a 12-month prospective multicenter study was conducted in 8 of these hospitals [ 13 ]. In 2017, the “Guidelines for Health Care Services for Premature Infants” was released, which further promoted the scale-up of KMC in China [ 14 ].…”

Section: Introductionmentioning

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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