Barriers and facilitators to kangaroo mother care implementation in Cote d'Ivoire: a qualitative study
Kadidiatou Raissa Kourouma,Marie Laurette Agbre-Yace,Daouda Doukouré,Lassina Cisse,Chantière Some-Méazieu,Joseph Ouattara,Akoua Tano-Kamelan,Virginie Konan Kouakou +7 more
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TLDR
The study highlighted the challenges to implement KMC in Côte d’Ivoire with unique and specific barriers to implementation and recommended to researchers and decision makers to respectively design strategies and adopt intervention that specifically address these barriers and facilitators to a better uptake of KMC.Abstract:
Background Kangaroo Mother Care (KMC) is a high impact, low technology and cost-effective intervention for the care of preterm and low birth weight newborn. Cote d'Ivoire adopted the intervention and opened the first KMC unit in 2019. This study aimed to assess barriers and facilitators of KMC implementation in Cote d'Ivoire, a year after its introduction, as well as proposed solutions for improving KMC implementation in the country. Method This was a qualitative study, using semi-structured interviews, carried out in September 2020 in the first KMC unit opened at the Teaching Hospital of Treichville. The study involved healthcare providers providing KMC and mothers of newborn who were receiving or received KMC at the unit. A thematic analysis was performed using both inductive and deductive (Consolidated Framework for Implementation Research-driven) approaches. NVivo 12 was used to assist with coding. Results A total of 44 semi-structured interviews were conducted, 12 with healthcare providers and 32 with mothers. The barriers identified were lack of supplies, insufficiency of human resources, lack of space for admission, lack of home visits, lack of food for mothers, lack of collaboration between health services involved in newborn care, increased workload, the beliefs of carrying the baby on the chest, father's resistance, low rate of exclusive breastfeeding, lack of community awareness. Facilitators identified were training of healthcare providers, strong leadership, the low cost of KMC, healthcare providers' perceived value of KMC, mothers-healthcare providers' relationship, mothers' adherence to KMC and the capacity of the KMC unit to network with external organizations. The proposed solutions for improving KMC implementation were volunteer staff motivation, intensifying education and counselling of mothers and families, the recruitment of a psychologist and the involvement of all stakeholders. Conclusion Our study highlighted the challenges to implement KMC in Cote d'Ivoire with unique and specific barriers to implementation. We recommend to researchers and decision makers to respectively design strategies and adopt intervention that specifically address these barriers and facilitators to a better uptake of KMC. Decision makers should also take into account the proposed solutions for a better implementation and scaling up of KMC.read more
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We are facing some barriers: A qualitative study on the implementation of kangaroo mother care from the perspectives of healthcare providers
Qory Tifani Rahmatika,Ronal Surya Aditya,Ah Yusuf,Reem Almutairi,Daifallah M. Al Razeeni,Siti Kotijah,Anita Sulistyorini +6 more
TL;DR: In this paper , the authors explore healthcare providers' perspectives of kangaroo mother care implementation in perinatology ward in the rural surgical hospital of East Java Province, Indonesia.
Journal ArticleDOI
Strengthening Kangaroo Mother Care at a tertiary level hospital in Zambia: A prospective descriptive study
Nobutu Muttau,Martha Mwendafilumba,Branishka Lewis,Keilya Kasprzyk,Colm P. Travers,Anitha Menon,Kunda Mutesu-Kapembwa,Aaron Mangangu,Herbert Kapesa,Albert Manasyan +9 more
TL;DR: Based on the RE-AIM metrics, the results show that KMC is a feasible intervention that can improve neonatal outcomes among preterm infants in Zambia.
Journal ArticleDOI
A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
TL;DR: Wang et al. as discussed by the authors analyzed the facilitators and barriers to implementing Kangaroo Mother Care (KMC) in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale.
Posted ContentDOI
Health system intervention packages on improving coverage of kangaroo mother care for preterm or LBW infants: a mixed-methods systematic review
TL;DR: In this article , a systematic review of studies evaluating the effect of health system intervention strategies for Kangaroo mother care (KMC) implementation compared to no or different interventions, on KMC coverage in preterm or LBW infants was conducted.
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