Kangaroo Mother Care Implementation Research for Accelerating Scale-up

Rajiv Bahl3,804 enrolled

Overview

The implementation research project aims to develop and evaluate models for scaling up KMC in health facilities across India and Ethiopia and thereby develop effective approaches to achieve high population coverage

Kangaroo Mother Care (KMC) is the practice of early, continuous and prolonged skin-to-skin contact between the mother and the baby with exclusive breastfeeding. Despite clear evidence of impact in improving survival and health outcomes among low birth weight infants, KMC coverage has remained low and implementation has been limited. The multi-site project includes formative research to identify barriers and contextual factors that affect implementation and utilization of KMC and design scalable models to deliver KMC across the facility-community continuum. This will be followed by implementation and evaluation of these models in routine care settings, in an iterative fashion, with the aim of reaching a successful model for wider district, state and national-level scale-up. The aim is to successfully provide KMC to 80% or more of babies born in the study area weighing under 2000 grammes

Study Type

OBSERVATIONAL

Enrollment

3,804

Conditions

Low Birth Weight

Interventions

Kangaroo Mother Care (KMC)OTHER

Skin to skin contact of newborns with mothers or caregiver for a minimum of at least eight hours over a 24-hours period, along with exclusive breastfeeding or breast milk feeding via tube or spoon

Eligibility

Sex: ALLMax age: 28 Days

Medical Language ↔ Plain English

Inclusion Criteria: • All newborns who are less than 2000 gm born within the study facilities during the study period. Exclusion Criteria: • Newborns who are sick per predefined criteria will not be provided KMC until they have been stabilized. Criteria for delay of initiation include: critical illness including apnea, decreased respiratory rate \<20 breaths per minute, grunting, cyanosis, severe chest in-drawing, convulsions, unconsciousness, and severe hypothermia \<32°F.

Locations (3)

Hawassa University Referral Hospital

Awasa, Ethiopia

Felege Hiwot Hospital

Bahir Dar, Ethiopia

Ayder Comprehensive Specialized Hospital

Mek'ele, Ethiopia

Outcomes

Primary Outcomes

Effective coverage of KMC at 7 days after discharge

Effective coverage will be defined as adoption of skin-to-skin care for at least 8 hours and exclusive breastfeeding in the 24 hours prior to assessment

Time frame: 7 days after discharge

Data from ClinicalTrials.gov

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