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Government-led initiative increased the effective use of Kangaroo Mother Care in a region of North India. | LitMetric

AI Article Synopsis

  • The study aimed to implement and evaluate a high-quality model of Kangaroo Mother Care (KMC) in Sonipat, North India, focusing on achieving 8 hours of skin-to-skin contact and exclusive breastfeeding for newborns.
  • Using a mixed-methods approach, researchers conducted formative research and iterative cycles of implementation to refine the KMC model over a 12-month period.
  • Results showed significant success, with 87% of eligible babies receiving KMC at discharge, and high rates of skin-to-skin care and exclusive breastfeeding both in the hospital and at home, demonstrating the model's effectiveness in the local context.

Article Abstract

Aim: 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.

Methods: 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.

Results: 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.

Conclusion: Achieving high KMC coverage is feasible in the study setting using a model responsive to the local context and led by the Government.

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Source
http://dx.doi.org/10.1111/apa.16376DOI Listing

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