Government-led initiative increased the effective use of Kangaroo Mother Care in a region of North India.
Health systems
Implementation research
Kangaroo Mother Care
Low birth weight
Programme scale up
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
revised:
13
04
2022
received:
07
10
2021
accepted:
26
04
2022
medline:
1
8
2023
pubmed:
7
6
2022
entrez:
6
6
2022
Statut:
ppublish
Résumé
To learn how to achieve high-quality, effective coverage of Kangaroo Mother Care (KMC), defined as 8 hours or more of skin-to-skin contact per day and exclusive breastfeeding in district Sonipat in North India, and to develop and evaluate an implementation model. We conducted implementation research using a mixed-methods approach, including formative research, followed by repeated, rapid cycles of implementation, evaluation and refinement until a model with the potential for high and effective coverage was reached. Evaluation of this model was conducted over a 12-month period. Formative research findings informed the final implementation model. Programme learning was critical to achieve high coverage. The model included improving the identification of small babies, creating KMC wards, modification in hospitalisation criteria, private sector engagement and in-built programme learning to refine implementation progress. KMC was initiated in 87% of eligible babies. At discharge, 85% received skin-to-skin contact care, 60% effective KMC and 80% were exclusively breastfed. At home, 7-day post discharge, 81% received skin-to-skin care and 79% were exclusively breastfed in the previous 24 hours. Achieving high KMC coverage is feasible in the study setting using a model responsive to the local context and led by the Government.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6-14Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© 2022 World Health Organization; licensed by Foundation Acta Paediatrica. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
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