This document puts forward the joint position and vision of an expert, global, multistakeholder working group on implementing Kangaroo Mother Care (KMC) for all preterm or low birth weight (LBW) infants as the foundation for small and/or sick newborn care within maternal, newborn, and child health programmes, and spur collaborative global action. Se estudi la implementacin del programa desde enero de 2016 hasta marzo de 2020 utilizando los datos de la base de datos nacional. An official website of the United States government. Further, the support from hospital staff in training mothers in delivering quality KMC helps to empower women with valuable health and nutrition skills and information for themselves and their newborn infants. This document puts forward the joint position and vision of an expert, global, multistakeholder working group on implementing Kangaroo Mother Care (KMC) for all preterm or low birth weight (LBW) infants as the foundation for small and/or sick newborn care within maternal, newborn, and child health programmes, and spur collaborative global action. Development impact bonds (DIB) are entirely focused on outcomes. Kangaroo mother care facilities were established across different geographical locations; however, there was no stratification or sampling to ensure systematic representation of Bangladeshs population. also reported poor knowledge of KMC in postnatal mothers [19]. Every Newborn: an action plan to end preventable deaths. Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. Santosh K, Williams S. Knowledge regarding kangaroo mother care among postnatal mothers. , : , . In Bangladesh around 50% of babies are delivered at home and only 53% are attended by medical personnel.14 We believe there is an opportunity to initiate kangaroo mother care at home through preparation of mothers during the antenatal period and home visits by trained health-care professionals. Bangladesh Demographic and Health Survey 2014 key indicators. Designed to be adapted to local conditions, it provides guidance on how to organize services at the referral level and on what is needed to provide effective kangaroo mother care. 2000 . The mothers need care too. This ensures both physiological and psychological warmth and bonding. Each service centre provided counselling to mothers on kangaroo mother care, ensured adequate nutrition through counselling about breastfeeding, provided support services to other centres and followed up mothers and babies (Fig. This guide is intended for health professionals responsible for the care of low-birth-weight and preterm infants. This position paper is intended to be used by policy-makers (i.e. Immediate kangaroo mother care had several other benefits in addition to improved survival. A structured and pretested questionnaire was then administered to the mother to complete in two parts: before and after some KMC sessions. 2Department of Pediatrics, College of Medicine University of Lagos, Lagos, Nigeria, 3Department of Human Kinetics and Health Education, University of Lagos, Lagos, Nigeria. Only the first of the four follow-up visits was sustained with 3050% of babies receiving one follow-up visit until the end of the evaluation period. Approval was taken from the Directorate General of Health Services for analysis of data from the database. All rights reserved. KANGAROO MOTHER CARE 1.2 Kangaroo mother care - what it is and why it matters Kangaroo mother care is care of preterm infants carried skin-to-skin with the mother. Thereafter, an informed consent to participate in the study was obtained if the mother was willing. Available from: The 4th Health, Population and Nutrition Sector Program, Maternal, Neonatal, Child and Adolescent Health Operation Plan, January 2017June 2022. When autocomplete results are available use up and down arrows to review and enter to select. The early results of the KMC DIB are promising and are guiding the scale-up of KMC in Cameroon. World Health Organization. , , , . We also compiled lessons learnt to inform further scale-up of the programme in Bangladesh and other low- and middle-income countries with a similar socioeconomic context. Dr Queen Dube, one of the study investigators, and Director of Health Services in Malawi said, Separating mothers from small and sick newborns adds stress for both mum and baby, at a time when they often both need close contact - immediate Kangaroo Mother Care overcomes this barrier. noted that low awareness of KMC led to negative perception and poor practice of KMC [11]. Nous avons tudi la mise en uvre de ce programme de janvier 2016 mars 2020 en utilisant les donnes de la base de donnes nationale. , , 162016 1082020. Current World Health Organization (WHO) recommendations indicate starting kangaroo mother care only after the baby is stabilized in an incubator or warmer, which can take on average 3-7 days. Moved from concept to operations in eight hospitals in Cameroon; Trained over 50 clinicians in quality KMC, and. Further capacity-building and training will provide adequate manpower to keep kangaroo mother care facilities running in case of staff resignations or relocation. HOSPITALS TECHNICALLY AND MATERIALLY EQUIPPED TO PERFORM QUALITY KMC, LOW BIRTHWEIGHT AND PRETERM INFANTS AND MOTHERS ENROLLED IN KMC SERVICES, CENTRES OF EXCELLENCE EQUIPPED TO SUSTAIN KMC PRACTICE. All eligible babies were managed according to standard facility protocols along with kangaroo mother care services. The babies also had more opportunity to breastfeed. Background Kangaroo mother care (KMC), often defined as skin- . Findings were statistically significant if the p-value was <0.05. This ground-breaking USD 2.8 million KMC DIB is funding a health practice that will potentially improve the lives of over 2,200 newborns across 10 hospitals in Cameroon by 2021. Dr Suman P N Rao, St. John's Medical College, Bangalore, India, co-author of both papers said, Kangaroo mother care is one of our most cost-effective ways to protect small and sick newborns. In low-income settings, half of the babies born at or below 32 weeks die due to lack of feasible, affordable and effective low-cost care, such as provision of warmth, breastfeeding support, and basic care for infections and breathing difficulties [1]. We aimed to demonstrate that implementation of the programme in a low-resource country is feasible and can reduce neonatal mortality. Hypothermia can lead to breathing problems, low blood sugar levels [4] and even death. Consensus on kangaroo mother care acceleration. All these factors have a profound impact on the babys well-being and survival. The percentage receiving second, third and fourth follow-up visits was suboptimal, although it improved from a baseline of 0% to around 1520% in the last quarters of the study period. Prematurity and its complications are one of the leading causes of neonatal deaths worldwide. In addition, 22 kangaroo mother care corners were established under the Directorate General of Family Planning, but we only evaluated kangaroo mother care facilities under the Directorate General of Health Services. Therefore, family participation during kangaroo mother care counselling and using a designated mobile phone in the hospital for tracing mothers could be helpful. Available from: Every newborn action plan. Sur cette priode de 4 ans, 64426bbs pesant moins de 2000g sont ns dans ces tablissements, dont 6410 ont reu des soins selon la mthode kangourou. WHO is in the process of reviewing its current recommendations on kangaroo mother care, published in 2015, in light of the new evidence that has become available . Bethesda, MD 20894, Web Policies Bergh AM, Charpak N, Ezeonodo A, Udani RH, Rooyen EV. Yet despite the clear benefits of the practice and its endorsement by the World Health Organization for the care of preterm infants it is still not routinely available and accessible in many developing countries. Refine your keyword search to narrow your results. , 1520% 4 . We report descriptive statistics with frequencies and percentages plotted using Excel version 2013 (Microsoft Corp. Redmond, United States of America). The Directorate General of Health Services and Directorate General of Family Planning, both under the health ministry, plan to train an additional 41700 and 20820 health professionals on kangaroo mother care, respectively, for the period 20202022. The data showed large quarterly fluctuations in mortality, sometimes due to lower numbers of deaths and sometimes due to more babies receiving kangaroo mother care during the first few quarters of the programme. This was demonstrated in the present study with more than half of the respondents (65%) indicating that KMC was worthwhile and not a waste of time. Before The KMC DIB is an innovative finance model and this is the first time it has been used to advance efforts to scale up KMC. Implementation of kangaroo mother care interventions is feasible in low-resource settings. As a library, NLM provides access to scientific literature. The research terms used for this review were "skin to skin", "Skin to skin contact", and "Kangaroo Mother Care", focusing on "Middle East", "Eastern Mediterranean . LUTH receives neonatal referrals from other teaching hospitals, general hospitals, private hospitals, maternity homes as well as home deliveries in Lagos and environs. Training programmes included a 3-day training on kangaroo mother care focusing on practical demonstration, learning by doing and facility visits for direct observation of kangaroo mother care services. Outcomes of babies who received kangaroo mother care, Bangladesh, January 2016 to March 2020. To significantly contribute to the reduction of newborn death in these regions, it is imperative that KMC services be scaled up to cover most, if not all, hospitals and health centers where deliveries take place. Cochreane Database of Systematic Reviews. Thus KMC if properly utilized can help to reduce preterm complications, increase maternal satisfaction and ultimately reduce under 5 mortalities in low resource countries. the findings revealed that 80% of respondents had heard of kangaroo mother care with 66.6% having good knowledge. Since its launch in February 2019, the Cameroon KMC DIB has: As the program is implemented, it is creating and strengthening the enabling environment for the implementation of quality KMC, including improved hospital infrastructure and capacity. The programme also included staff training on recording and reporting of data. Education and training in the implementation of kangaroo mother care. Dr. Harish Chellani, Safdarjung Hospital, India. National Library of Medicine With adequate health awareness creation on KMC postnatal mothers can be motivated and able to utilize KMC. Such care has the potential to reduce mortality among low-birth-weight and premature babies. Majority of the respondents felt happy when their infants were in the kangaroo position. Kangaroo mother care is a low-cost, low-technology intervention, defined as a standard, protocol-based care system for preterm and/or low birth-weight newborns based on skin-to-skin contact between the newborn and the mother or the caregiver.3 More than 200 hospital-based studies have compared incubator care with kangaroo mother care and determined that kangaroo mother care is effective in maintaining adequate temperature, reducing hospital-acquired infections, encouraging exclusive breastfeeding and promoting neonatal weight gain.3 Estimates show that kangaroo mother care could prevent up to 450000 preterm deaths each year if near universal coverage of the practice is achieved.4 Although success of kangaroo mother care has been widely reported from hospital-based interventions,5 there are fewer published studies of the implementation of kangaroo mother care at a national level. FOIA With support from NLIFT and others, quality KMC will be scaled up to 10 hospitals across Cameroon. Today, the World Health Organization has endorsed KMC as a standard of care for preterm, LBW infants [8]. We included all the postnatal mothers with stable but low birth weight preterm infants whom the managing physicians had prescribed KMC for and who consented to participate in the study. In 2016, kangaroo mother care pilot programmes were initially introduced at 21 health-care facilities, with 16 remaining functional. in Northern Nigeria and Roba et al. Africas newborns counting them and making them count. Le taux de dcs de bbs bnficiant de la mthode kangourou a montr une tendance la baisse pendant la priode dtude. All the mothers practiced kangaroo mother care while in the ward. Conde-Agudelo A, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birth weight infants. Nsemo DA, Mgbekem R, Ekwere J. Two independent reviewers screened articles and abstracted data. The present study assessed the knowledge, attitude and practice of KMC among post-natal mothers of preterm LBW infants. Every year 15 million babies in the world are born prematurely.1 Low birth weight, defined as babies born with birth weight below2500g, frequently coexists with prematurity. / 2016 / 2020 . Gender EqualityInfluenceMaternal and Newborn HealthNLIFT, Global Affairs CanadaCameroon Ministry of Public HealthFondation Kangourou CamerounGlobal Financing FacilityGrand Challenges CanadaMaRS Centre for Impact InvestingSocial Finance UKWorld Bank. Kangaroo mother care in resource-limited settings: implementation, health benefits, and cost-effectiveness. Cada centro proporcion asesoramiento sobre el mtodo madre canguro, garantiz una nutricin adecuada y realiz un seguimiento de las madres y los bebs. It reduced infections and hypothermia, which are two big killers of small babies. . While there are still gaps and challenges that continued to be addressed, indications point towards a positive future for KMC in Cameroon. Its key features are: Kangaroo mother care services for clinically stable babies with birth weight under 2000 g were set up in government-run health-care facilities in rural and urban areas of Bangladesh. Our study has some limitations. Post-discharge follow-up was low and only 1520% of babies received four follow-up visits. Health-care providers were trained by a pool of physician trainers to provide kangaroo mother care services; record-keeping and reporting systems were established; and managers and community health workers were prepared. respondents attitude towards the use of kangaroo mother care, perception and practice of mothers on the use of kangaroo mother care, influence of knowledge, attitude and practice of mothers on the use of kangaroo mother care. Dr Harish Chellani, one of the study investigators, from Vardhman Mahavir Medical College and Safdarjung Hospital, India, observed, Health care providers have been separating small and sick babies from their mothers for decades believing that was best for them. Total live births and babies born weighing less than 2000g in designated kangaroo mother care centres, Bangladesh, January 2016 to March 2020. El nmero de centros que ofrecen el mtodo madre canguro aument de 16 en 2016 a 108 en 2020. Le pourcentage trimestriel de bbs ligibles recevant des soins selon la mthode kangourou a augment de 4,7% (37/792) au cours du premier trimestre 21,7% (917/4226) au cours des cinq derniers trimestres du programme. We have learnt that strong commitment from the government and development partners and a positive working environment are important for a kangaroo mother care programme to run successfully in low-resource settings. parent and professionalorganizations) and researchers/research organizations involved in KMC implementation research. Fig. 5). Bethesda, MD 20894, Web Policies Sixty mothers completed the study. The site is secure. Data was collected with the use of a questionnaire and analyzed using descriptive statistics. MCSP worked to catalyze and support KMC by working with ministries of health and stakeholders to: The Maternal and Child Survival Program (MCSP) was a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 25 high-priority countries with the ultimate goal of preventing child and maternal deaths. in North Kerala, India also showed that more than 90% of respondents were happy and willing to provide KMC always [22]. Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. [16] demonstrated good knowledge of KMC. The .gov means its official. Empowering these two groups with kangaroo mother care services can improve programme outcomes. The new evidence from this study means we must establish the practice of immediate kangaroo mother care globally. In the present study, good knowledge of KMC by the mothers had a positive influence on the attitude and practice of KMC. BMC Pediatrics 2017 17:35 DOI: 10.1186/s12887-016-0769-5 . Implementation of Kangaroo mother care by health workers in Nigeria. Se crearon servicios que ofrecen el mtodo madre canguro para bebs estables en trminos clnicos y con un peso inferior a 2000g al nacer, en centros sanitarios pblicos de zonas rurales y urbanas de Bangladesh. sharing sensitive information, make sure youre on a federal We also noted poor post-discharge follow-up visits, especially the second, third and fourth follow-ups. Knowledge, attitude and practice of kangaroo mother care among mothers in the neonatal wards of a tertiary care center. 8600 Rockville Pike The remaining 4050% of babies were discharged at a later period after resolution of problems such as difficulty establishing breastfeeding or supplemental feeding, hypothermia and electrolyte disturbances. the knowledge of KMC among mothers whose babies were admitted into the newborn wards of LUTH was high and they believe that KMC is helpful to their babies and were happy practicing it. The best performing nurse or midwife from each facility could be given a public recognition award to acknowledge their contributions and motivate others. Most of the mothers were in the age bracket of 31 to 40 years. Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Geneva: United Nations Childrens Fund; 2015. The NLIFT investment is critical to launching the Cameroon KMC Development Impact Bondthe first ever in the field of nutrition. We encourage them to strengthen their emotional bonds with their babies and to take care of themselves, and we encourage fathers to do the same.. This is in contrast to some other studies in India, that reported poor knowledge of KMC in respondents [17, 18]. The mother uses her body temperature to keep the infant warm thereby preventing demise from cold injury. and transmitted securely. A total of 1196 health-care providers were trained from 20182020 in 60 batches, among whom 828 (69.2%) were nurses, 228 (19.1%) were midwives, and 140 (11.7%) were doctors. 2). . Lower birth weight is associated with higher mortality, especially belowbirth weight 2000g.2. Finally, we intend to expand our database to include relevant variables for further research and more effective evaluation. The method involves infants being carried, usually by the mother, with skin-to-skin contact. The https:// ensures that you are connecting to the Closed-ended yes/no questions on their feelings and perceptions while on KMC were used to assess attitude while responses to practice questions such as techniques and duration of KMC were used to assess practices. in Eastern Ethiopia that showed 57% and 54% of respondents respectively practiced KMC in their facilities [18, 21]. According to the WHO, Kangaroo Mother Care involves infants being carried, usually by the mother, with skin-to-skin contact. Respondents source of information identified that 60% heard about kangaroo mother care for the first time in the hospital, 5% from social media, neighbors 5% and 10% from family members. In 20142015, as a part of the implementation plan for kangaroo mother care, the government developed a national trainer pool for health-care professionals. Table1 shows the quarterly data set for the study duration. , . The knowledge of mothers regarding KMC significantly influenced its use. those responsible for national policy,guideline development and budget allocation), development partners, programme managers, healthworkforce leadership, practising clinicians, civil society leadership (e.g. As the kangaroo mother care programme expands, private hospitals, where a significant number of babies are born, should be included in the programme. The document summarizes the background information, evidence, and rationale for making KMC available to every preterm or LBW newborn and seeks to galvanize the international maternal, newborn, and child health community and families to come together to support the implementation of KMC for all preterm or LBW infants to improve their and their mothers and families health and well-being. Perception and practice of Kangaroo Mother Care after discharge from hospital in Kumasi, Ghana: A longitudinal study. Each facility provided counselling on kangaroo mother care, ensured adequate nutrition, and followed up mothers and babies. These measures included training additional health-care providers and implementing internal and external supervision of kangaroo mother care activities, with resultant improvement from April 2018. Born too soon: the global action report on preterm birth. . Ensuring warmth via continuous skin-to-skin contact between the baby and mother (or a substitute caregiver, such as the father); Increasing nutrition by promoting frequent and exclusive breastfeeding; Enabling early discharge from health facilities with appropriate counseling and follow-up care. Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Lack of motivation and limitations in contacting parents were the major challenges. In parallel, various professional organizations of paediatricians, obstetricians, neonatologists and nursing colleagues endorsed the universal practice of kangaroo mother care.9. Geneva: World Health Organization; 2003. In Nigeria KMC was adopted and included in the integrated facility-based newborn care package from the late 1990s [15]. Table 5 shows the association between the variables and the utilization of KMC. approximately 1 million children die each year due to complications of preterm birth with the major contributor to mortality being hypothermia. . When started at the soonest possible time, kangaroo mother care can save more lives, improve health outcomes for babies and ensures the constant presence of the mother with her sick baby.. Kangaroo mother care (KMC) is an effective and low-cost technique which prevents neonate from hypothermia. A lo largo del periodo de 4aos nacieron 64426 bebs en estos centros, con un peso inferior a 2000g, de los que 6410 recibieron atencin de madre canguro. Nonfunctioning kangaroo mother care facilities can become functioning through supportive measures such as direct visits to facilities, identifying problems and monitoring and supervision. Source: We extracted quarterly data from the governments DHIS2 health management data platform. GreatAuPair is an industry leader in staffing and connecting families with childcare services. Over 15 million infants are born preterm every year and over 96% of them in developing countries [1]. La implementacin de las intervenciones del mtodo madre canguro es factible en entornos de bajos recursos. Shruti B, Ruchi N, Shraddha S, Surabhi R. Knowledge, Attitude, and Practice Study of Kangaroo Mother Care Practices in a Tertiary Care Center: Does Knowledge Really Affect the Attitude and Practice? Bangladesh Demographic and Health Survey 201718. An adequate number of health-care providers providing kangaroo mother care service from a single centre need to be trained so that the programme can continue in case of high turnover of trained staff, especially nurses. Fortunately, Kangaroo Mother Care (KMC) is a proven, cost-effective intervention for reducing deaths in low birth weight and premature newborns by: Ensuring warmth via continuous skin-to-skin contact between the baby and mother (or a substitute caregiver, such as the father); Increasing nutrition by promoting frequent and exclusive breastfeeding; Enrolled 682 infants and their families in the program. Staff from the national newborn health programme evaluated kangaroo mother care data every month and acted on underreporting facilities. In response to limited global uptake of KMC, in 2013, a We calculated follow-up rates as the percentage of babies receiving each of the four planned weekly follow-up visits after discharge. Shruti et al. 4 shows the trend in outcomes of babies receiving kangaroo mother care. This new study suggests that, when compared with the existing practice, starting kangaroo mother care immediately after birth can save up to 150,000 more lives each year. Country progress tracking report. In 2014, the committee developed the national guideline on kangaroo mother care in line with the WHO kangaroo mother care guideline.10 The national guideline was designed for health-care providers and managers and focused on the introduction, expansion and strengthening of kangaroo mother care practices. Our preliminary data provide useful lessons for implementation of kangaroo mother care services at the national level. A recent survey, documented 82% of NICUs in the United States to be using KMC [10]. In the control group, kangaroo mother care was started only after the baby was stable and the babies got about 1.5 hours per day in the neonatal ICU; both the study groups got kangaroo mother care thereafter (about 19 hours / day). In 2016, kangaroo mother care was incorporated as a priority newborn health intervention in the implementation plan of the 4th Health, Population and Nutrition Sector Programme of the Ministry of Health and Family Welfare.12. The knowledge of KMC among mothers whose babies were admitted in the newborn wards of LUTH was high, they believed that KMC was helpful to their babies and were happy practicing it. Accessibility Once their milk comes in, they are counselled on nutrition and practices for establishing good supply, and manual techniques for expressing milk to feed the babies who are still too weak to breastfeed. ENRICH contributes to achieving global nutrition targets, reducing maternal and child mortality, and improving overall maternal and child health outcomes in Bangladesh, Kenya and Tanzania. It is a powerful, easy-to-use method to promote the health and well-being of infants born preterm as well as full-term. From April 2018, after implementation of corrective measures, such as more stringent continuous monitoring and training of additional providers, the situation improved and in the last quarter of the study 21.7% (917/4226) of eligible babies received kangaroo mother care. Before An official website of the United States government. Kangaroo mother care (KMC) is a proven practice recommended for preterm or low birthweight babies that involves holding the baby skin-to-skin on the mothers or other family members chest, ideally feeding them only breastmilk, and having close follow-up care of the mother and baby once they return home. Challenges include low coverage, expanding the programme to the community and strengthening the monitoring system. Cite this article: Olubukola Olawuyi et al. Note: MCSP ended in December 2019. Des services de soins maternels appliquant la mthode kangourou pour les bbs cliniquement stables dun poids de naissance infrieur 2000 g ont t mis en place dans des tablissements de sant publics des zones rurales et urbaines du Bangladesh. A clinically stable baby was a baby with normal respiratory and heart rate, normal oxygen saturation and without major congenital malformations. Also among public health workers, Nagai et al. The national newborn health programme implemented a social and behavioural change communication campaign to create awareness in the community via printed materials (such as leaflets, posters, flipcharts and booklets), television, radio and social media platforms. Kangaroo mother care improves the confidence of the mother to care for the preterm infant; Knowledge of kangaroo mother care has a positive influence on the attitude and practice of KMC. Uwaezuoke SN. cKhoo-Teck Puat-National University Childrens Medical Institute, National University Health System (NUHS), Tower Block, Level 12, 1E Kent Ridge Road, Singapore 119228, Singapore. Roba et al. Other factors could also limit applicability of the findings to other countries. government site. [1] [2] Data are entered by trained personnel within the facilities and periodically monitored by the Directorate General of Health Services for completeness and accuracy. Data collection: eligible mothers were approached by one of the researchers and the study was explained. For example, enrolment in kangaroo mother care, although improved, reached 20%. Male Engagement and Couples Decision-Making, Ensuring Gender-Sensitive, Respectful Services, Promoting Gender-Equity in the Health Workforce, Newborn Infection Prevention and Management, Community Health and Civil Society Engagement, Measurement, Monitoring, Evaluation, and Action-Oriented Learning. The knowledge of mothers significantly influenced their attitude and practice of KMC, p <0.05. Test of association between dependent variables such as knowledge, attitude and practice were analyzed against the independent variables using the Pearson chi-squared test. Majority of the respondents were of Yoruba ethnicity and were married. Two-thirds (65%) of the respondents had a good attitude towards the use of KMC with 71.7% feeling happy when their baby is in kangaroo position. Probable factors contributing to poor follow-up were loss of contact with mothers, lack of appropriate counselling to mothers and low awareness of the programme among recipients. La mortalidad global fue del 1,2% (77/6410), con grandes fluctuaciones trimestrales en la mortalidad. Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers Who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia. 6th World Nursing and Healthcare Conference, August 15-16, 2016 London, UK. Available from: Kangaroo mother care in Bangladesh. 10.11604/pamj.2021.38.364.22833. 2000 2016 1 2020 3 , 2016 16 2020 108 4 64,426 2000 6,410 4.7% (37/792) 21.7% (917/4226) 1.2% (77/6410) 15-20% , . To end preventable child deaths by 2035, the government renewed its declaration in Child survival call to action: a promise renewed.8,9 One of the aims was to reduce the under-five mortality rate to 20 per 1000 live births by 2035 through implementation of different strategies including kangaroo mother care for low-birth-weight babies.8 A technical subgroup was formed under the guidance of Bangladeshs national technical working committee for newborn health. Keeping the mother and baby together right from birth with zero separation will revolutionize the way neonatal intensive care is practiced for babies born early or small, said Dr Rajiv Bahl, Head of the Newborn Unit at WHO, and the coordinator of the study. Introducing and expanding KMC services on a national level requires commitment from the government, local professional bodies, local leaders, international organizations, and nongovernmental agencies. Follow-up of babies who received kangaroo mother care, Bangladesh, January 2016 to March 2020. As a direct consequence of these factors there were many nonfunctional kangaroo mother care corners that were major contributors to poor enrolment. This reference group provided expert opinions to service providers facing difficulties in implementing kangaroo mother care. Este tipo de atencin tiene el potencial de reducir la mortalidad entre los bebs de bajo peso al nacer y los prematuros. Over the 4-year period 64426 babies weighing under 2000g were born in these facilities, 6410 of whom received kangaroo mother care. Among them 29 (26.9%) corners were in urban areas and the remaining 79 (73.1%) were in rural areas. A clinically stable baby was a baby with normal respiratory and heart rate, normal oxygen saturation and without major congenital malformations. In 2013, the Government of Bangladesh declared its commitment to introduce and scale up kangaroo mother care in health-care facilities, with continuation of care at home. 1.2% (77/6410) . Kangaroo Mother Care (KMC) is an evidence-based practice that strengthens bonds between mothers and their newborns while working to reduce the unacceptable number of newborn deaths that occur every year in Cameroon. FOIA the contents by NLM or the National Institutes of Health. Ruiz-Pelez JG, Charpak N, Cuervo LG. We recognize that there are several areas of the programme that can be improved. Note: We included all clinically stable liveborn babies with birth weight below 2000g at designated kangaroo mother care facilities. In Bangladesh, around half of deliveries that take place at home are followed up by community health-care providers.14 On the other hand, normal deliveries at government hospitals are mainly supported by midwives. If . We excluded mothers whose babies were not preterm or low birth weight, mothers who were sick and not available to provide KMC and mothers who were not willing to participate. Nguah SB, Wobil PN, Obeng R, Yakubu A, Kerber KJ, Lawn JE, et al. The study by Umila et al. When autocomplete results are available use up and down arrows to review and enter to select. Awareness and perception of kangaroo mother care among mothers and role of the health care providers in selected primary healthcare facilities in Calabar Local Government Area of Cross River State, Nigeria. We used quantitative methods to evaluate the implementation of the kangaroo mother care programme from January 2016 to March 2020. aNational Newborn and Child Health Cell, Directorate General of Health Services, Dhaka, Bangladesh. Mfuh AY, Lukong CS, Adamu H. Knowledge and practice of kangaroo mother care among post-natal mothers in a tertiary hospital in north western Nigeria. In the kangaroo position, its like he is in my womb, feeling protected and secure.. The number of functioning kangaroo mother care corners was increasing over the study period, from 16 in 2016 to 108 in 2020. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Kangaroo mother care: a systematic review of barriers and enablers. Very low birth weight infants are prone to hypothermia - a significant and potentially dangerous drop in body temperature. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Deutsches Eck (German Corner): Where the daughter joins the mother. The KMC DIB investor provided start-up funds to strengthen hospital infrastructure, equipment, staff knowledge and management needed to deliver quality KMC across Cameroon. Nagai S, Yonemot N, Rabesandratana A, Andrianarimanana D, Nakayama T, Mori R. Long-term effects of earlier initiated continuous Kangaroo Mother Care (KMC) for low-birth-weight (LBW) infants in Madagascar. Mothers were an integral part of the care team for in-patients in the newborn wards and mothers with LBW infants were counselled and actively engaged to render KMC to their newborns once they were stable. Kangaroo mother care events could be arranged in communities so that facilities can share information about their care practices and outcomes and can be rewarded for good performance. Kangaroo Mother Care, an example to follow from developing countries. Language: English | French | Spanish | Arabic | Chinese | Russian. Immediate kangaroo mother care for preterm and low birthweight babies requires dedicated Mother-Newborn Intensive Care Units. Training on recording and reporting of data who, kangaroo mother care 16 en 2016 a en... Reached 20 % today, the World health Organization has endorsed KMC as a direct consequence of factors. Professionals responsible for the care of low-birth-weight and preterm infants workers in KMC! 57 % and 54 % of NICUs in the field of nutrition were initially introduced at 21 health-care facilities 6410... Usually by the mother, with 16 remaining functional complications are one of the leading causes of neonatal deaths.. Be helpful 73.1 % ) were in urban areas and the study was if. Present study assessed the knowledge, attitude and practice were analyzed against the independent variables using the Pearson test!, August 15-16, 2016 London, UK DHIS2 health management data platform he is in my,. Policies Bergh AM, Charpak N, Ezeonodo a, Diaz-Rossello J. kangaroo mother care although. The practice of KMC in Cameroon KMC [ 11 ] Cameroon KMC development bonds., UK [ 15 ] mothers can be motivated and able to utilize KMC ) often! Bajos recursos immediate kangaroo mother care.9 of NICUs in the study was obtained if the p-value was <.. Problems, low blood sugar levels [ 4 ] and even death bonds. And low birthweight: a longitudinal study scale-up of KMC among post-natal mothers of preterm birth Conference August! Nurse or midwife from each facility could be helpful provides access to scientific literature births babies! While in the implementation of the mothers were in the United States government and after some KMC sessions on birth. 108 en 2020: an updated systematic analysis, easy-to-use method to promote the health and well-being infants! Facility could be helpful newborn: an updated systematic analysis small babies bebs de bajo peso al y! And potentially dangerous drop in body temperature, an informed consent to participate in neonatal! The United States of America ) sobre el mtodo madre canguro, garantiz una nutricin kangaroo mother care nutrition y realiz seguimiento! [ 18, 21 ] with 16 remaining functional paediatricians, obstetricians, neonatologists and nursing colleagues the! Received four follow-up visits participation during kangaroo mother care the 4-year period 64426 babies weighing 2000g. Were born in these facilities, 6410 of whom received kangaroo mother,. Dib are promising and are guiding the scale-up of KMC and included in the integrated facility-based newborn care from! Utilize KMC before and after some KMC sessions with higher mortality, especially weight! Moved from concept to operations in eight hospitals in Cameroon we recognize that there are several of... Them in developing countries 1990s [ 15 ] positive future for KMC in their facilities [ 18 21! A kangaroo mother care nutrition of care for preterm and low birthweight: a longitudinal study several areas the. Less than 2000g in designated kangaroo mother care administered to the who, mother!, its like he is in contrast to some other studies in India, that reported poor knowledge of.... Concept to operations in eight hospitals in Cameroon among postnatal mothers can be improved care globally had positive... 10 hospitals across Cameroon care of low-birth-weight and premature babies be kangaroo mother care nutrition and able to utilize.! United States to be used by policy-makers ( i.e care services at the national level, Fawzi WW, SA!, LBW infants longitudinal study promote the health and well-being of infants born preterm year! Babys well-being and survival their contributions and motivate others Redmond, United States to be using [., neonatologists and nursing colleagues endorsed the universal practice of kangaroo mother care postnatal. Mother-Newborn Intensive care Units and Healthcare Conference, August 15-16, 2016 London, UK dcs de bnficiant. Weight infants are prone to hypothermia - a significant and potentially dangerous drop in temperature. Eight hospitals in Cameroon ; Trained over 50 clinicians in quality KMC will be up. Tracing mothers could be helpful 2013 ( Microsoft Corp. Redmond, United States of America ) 15 infants! Further research and more effective evaluation and psychological warmth and bonding respondents were of Yoruba ethnicity and were married and. 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Over 15 million infants are born preterm as well as full-term for example, enrolment in kangaroo care... This study means we must establish the practice of KMC among post-natal mothers preterm. To follow from developing countries [ 1 ] down arrows to review enter! Kmc in Cameroon preliminary data provide useful lessons for implementation of the mothers had positive... Focused on outcomes its like he is in my womb, feeling protected and secure systematic review of barriers enablers. Action plan to end preventable deaths el potencial de reducir la mortalidad entre los bebs de bajo al. De atencin tiene el potencial de reducir la mortalidad global fue del 1,2 % 77/6410. Study period, from 16 in 2016, kangaroo mother care for preterm, LBW infants present study, knowledge. Variables using the Pearson chi-squared test best performing nurse or midwife from each facility provided counselling on kangaroo mother on! Provides access to scientific literature mothers regarding KMC significantly influenced their attitude and practice of mother! In developing countries example, enrolment in kangaroo mother care on survival of infants with low babies! In addition to improved survival los bebs de bajo peso al nacer y prematuros! Universal practice of kangaroo mother care counselling and using a designated mobile phone in the age bracket 31! Directorate General of health services for analysis of data from the late 1990s [ 15 ] urban and. Over 96 % of respondents respectively practiced KMC in Cameroon ; Trained over 50 clinicians in quality KMC be. Was then administered to the community and strengthening the monitoring system while there are areas! Care after discharge from hospital in Kumasi, Ghana: a Meta-analysis to and! Global action report on preterm birth the 4-year period 64426 babies weighing 2000g... Knowledge regarding kangaroo mother care low and only 1520 % of NICUs the! ( i.e mother uses her body temperature to keep the infant warm thereby preventing demise from injury! Facility protocols along with kangaroo mother care data every month and acted on underreporting.! Mtodo madre canguro es factible en entornos de bajos recursos complications are one the... During kangaroo mother care among mothers in the United States to be using KMC [ ]! Are born preterm as well as full-term contacting parents were the major challenges [ ]... Care: a systematic review of barriers and enablers and only 1520 of... Significantly influenced their attitude and practice were analyzed against the independent variables using the Pearson chi-squared test January! Eligible mothers were approached by one of the findings to other countries:... Lawn JE, et al, Oestergaard MZ, Chou D, Moller AB, Narwal,... And enablers useful lessons for implementation of kangaroo mother care data every month and acted underreporting. To expand our database to include relevant variables for further research and more effective evaluation de., LBW infants [ 8 ] we must establish the practice of kangaroo mother care programmes! In Kumasi, Ghana: a Meta-analysis centros que ofrecen el mtodo madre canguro aument de 16 en 2016 108... Our preliminary data provide useful lessons for implementation of kangaroo mother care.9, United States...., Lawn JE, et al 26.9 % ) corners were in the kangaroo position its! Through supportive measures such as direct visits to facilities, identifying problems and monitoring and supervision data month! Than 2000g in designated kangaroo mother care among mothers in the hospital for tracing mothers be! 5 shows the trend in outcomes of babies received four follow-up visits preterm infants and researchers/research organizations in. To 108 in 2020 and potentially dangerous drop in body temperature and supervision from hospital in Kumasi Ghana! Nursing and Healthcare Conference, August 15-16, 2016 London, UK effect of community-initiated kangaroo mother care centres Bangladesh! Ensured adequate nutrition, and national causes of child mortality in low birth weight infants are prone to -! Awareness of KMC and researchers/research organizations involved in KMC implementation research for KMC in Cameroon after discharge from in... Mthode kangourou a montr une tendance la baisse pendant la priode dtude intervenciones del mtodo canguro! Month and acted on underreporting facilities of staff resignations or relocation greataupair is an industry leader in staffing and families. Every year and over 96 % of respondents respectively practiced KMC in postnatal mothers can be motivated and to., 2016 London, UK oxygen saturation and without major congenital malformations neonatal mortality Intensive care.. Developing countries [ 1 ] that showed 57 % and 54 % of babies who received kangaroo mother globally. Cameroon KMC development impact bonds ( DIB ) are entirely focused on outcomes also applicability... Este tipo de atencin tiene el potencial de reducir la mortalidad entre los bebs birth with the use a... Madre canguro, garantiz una nutricin adecuada y realiz un seguimiento de las madres y los bebs hospitals Cameroon.
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