Accelerated scale-up of Kangaroo Mother Care: Evidence and experience from an implementation-research initiative in south India.
Acta Paediatr
; 112 Suppl 473: 15-26, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-35146803
ABSTRACT
AIM:
Though Kangaroo Mother Care (KMC) has demonstrated benefits for low birth weight newborns, coverage continues to be low in India. As part of a World Health Organization (WHO) multi-country study, we explored intervention models to accelerate KMC coverage in a high priority district of Karnataka, India.METHODS:
We used implementation-research methods, formative assessments and quality improvement approaches to design and scale-up interventions. Evaluation was done using prospective cohort study design; data were collected from facility records, and client interviews during KMC initiation, at discharge and at home after discharge.RESULTS:
KMC was initiated at health facilities for 87.6% of LBW babies under 2000 g. At discharge, 85.0% received KMC; 67.9% continued to receive KMC at home on the 7th day post-discharge. The interventions included training, mentoring and constant advocacy at many levels public health facilities, private sector and the community. Innovations like a KMC case sheet, counselling, peer support group triggered KMC in the facilities; a KMC-link card, a microplanning and communication tool for CHWs helped to sustain practice at homes.CONCLUSION:
The study provides a novel approach to designing and scaling up interventions and suggests lessons that are applicable to KMC as well as to broader reproductive, maternal, neonatal and child health programmes.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Método Canguru
Tipo de estudo:
Observational_studies
Limite:
Child
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Índia