We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Government‐led initiative increased the effective use of Kangaroo Mother Care in a region of North India.
- Authors
Jadaun, Arun S.; Dalpath, Suresh K.; Trikha, Sonia; Upadhyay, Ravi P.; Bhandari, Nita; Punia, Jaswant Singh; Rawal, Manoj; Martines, Jose Carlos; Bahl, Rajiv; Agarwal, Ramesh; Mazumder, Sarmila
- 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.
- Subjects
INDIA; MOTHERS; LOW birth weight; PSEUDOPOTENTIAL method
- Publication
Acta Paediatrica, 2023, Vol 112, p6
- ISSN
0803-5253
- Publication type
Article
- DOI
10.1111/apa.16376