Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa
| Autor: | Barbara Rawlins, Elise Van Rooyen, Anne-Marie Bergh, Naamala Hanifah Sengendo, Reuben Ligowe, Nathalie Gamache, Felix Sayinzoga, Rachel Taylor, Fidele Ngabo, Stella Abwao, Patrick Aliganyira, Richard Luhanga, Joseph de Graft Johnson, Kate Kerber, Modibo Kante, Karen Davy, Beata Mukarugwiro, Mariam Sylla, Jeremie Zoungrana |
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| Jazyk: | angličtina |
| Předmět: |
Program evaluation
Adult medicine.medical_specialty Malawi Mali Health informatics Health administration Nursing Health care medicine Humans Delivery of health care Uganda Newborn health Program Development Neonatal mortality Health management system business.industry Public health Nursing research Health Policy Health services research Rwanda Quality Improvement Infant premature Kangaroo-Mother Care Method Cross-Sectional Studies Implementation Female Health Services Research business Kangaroo mother care Program Evaluation Research Article |
| Zdroj: | BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/1472-6963-14-293 |
| Popis: | Background: Some countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda. Methods: A cross-sectional, mixed-method research design was used. Stakeholders provided background information at national meetings and in individual interviews. Facilities were assessed by means of a standardized tool previously applied in other settings, employing semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Each facility received a score out of a total of 30 according to six stages of implementation progress. Results: Across the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. Institutions that fared better had a longer history of kangaroo mother care implementation or had been developed as centres of excellence or had strong leaders championing the implementation process. Variation existed in the quality of implementation between facilities and across countries. Important factors identified in implementation are: training and orientation; supportive supervision; integrating kangaroo mother care into quality improvement; continuity of care; high-level buy in and support for kangaroo mother care implementation; and client-oriented care. Conclusion: The integration of kangaroo mother care into routine newborn care services should be part of all maternal and newborn care initiatives and packages. Engaging ministries of health and other implementing partners from the outset may promote buy in and assist with the mobilization of resources for scaling up kangaroo mother care services. Mechanisms for monitoring these services should be integrated into existing health management information systems. |
| Databáze: | OpenAIRE |
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