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- Title
Kangaroo Mother Care in Vietnam: A National Survey of a Middle-Income Country.
- Authors
Cavallin, Francesco; Trevisanuto, Daniele; Tiep, Tran Viet; Diep, Nguyen Thi Ngoc; Hao, Vuong Thi; Ngan, Doan Thi; Thuy, Nguyen Thi; Hoi, Nguyen Thi Xuan; Moccia, Luciano
- Abstract
Background: Kangaroo mother care (KMC) is a low-cost intervention that is indicated to be a highly effective practice for which adoption and implementation are lacking. We investigated the current provision of KMC in Vietnam and explored differences among levels of healthcare facility. Methods: A survey form was sent to 187 hospitals in Vietnam, representing the three levels (central, provincial and district) of public hospital-based maternity services. Results: Overall response rate was 74% (138/187 hospitals). Routine KMC implementation was estimated in 49% of the hospitals. Where KMC was implemented or was being introduced, half of the hospitals had a written protocol and a KMC-dedicated room, and held educational courses on KMC. KMC was mainly performed by the mother. Skin-to-skin contact was mostly performed for <12 h/day (55%), exclusive breastfeeding at discharge was very frequent (89%) and early discharge was considered in half of the hospitals (54%), while follow-up was not performed in 29% of the hospitals. Participants considered follow-up after discharge as the main barrier to KMC implementation, and indicated education (of both parents and health caregivers) and environment upgrades (KMC-dedicated room and equipment) as the most important facilitators. Conclusions: Our survey estimated a limited implementation of KMC in Vietnamese maternity hospitals, with marked variations across the different levels of maternity services. Areas of improvements include increasing the duration of skin-to-skin contact, arranging dedicated spaces for KMC, involving the relatives (especially at district level), extending the availability of a written protocol, improving the eligibility process, and implementing early discharge and follow-up monitoring.
- Subjects
VIETNAM; EVALUATION of medical care; WORLD Health Organization; CONFIDENCE intervals; MIDDLE-income countries; NEONATAL intensive care; CROSS-sectional method; NEONATAL intensive care units; MEDICAL protocols; DESCRIPTIVE statistics; LOW-income countries; POSTNATAL care; DATA analysis software
- Publication
Children, 2022, Vol 9, Issue 11, p1667
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children9111667