Kangaroo Mother Care implementation research to develop models for accelerating scale-up in India and Ethiopia: study protocol for an adequacy evaluation
| Autor: | Hajira M. Amin, Bogale Worku, Rajiv Bahl, Anteneh Asefa, Vishwajeet Kumar, Khalid Aziz, Addisalem Fikre, Tedros Hailu Abay, Ephrem Tekle Lemango, Birkneh Tilahun Tadesse, Fisseha Ashebir Gebregizabher, Selemawit Asfaw Beyene, Dereje Duguma, Mulusew Lijalem Belew, Aarti Kumar, Gary L. Darmstadt, Raghav Krishna, John N Cranmer, Ravi Prakash Upadhyay, Nalini Singhal, Bizuayehu Gashaw Andualem, Krishnamurthy Jayanna, Fnu Kajal, Habtamu Beyene, Hibret Alemu, Arun Singh Jadaun, Nita Bhandari, Araya Abrha Medhanyie, Arin Kar, Abiy Seifu Estifanos, Thomas Brune, Marta Yemane Hadush, Henok Tadele, Mekonnen Muleta, Lynn M. Sibley, Suman Pn Rao, Sarmila Mazumder, Damen Haile Mariam, Cynthia Pileggi-Castro, Prem Mony, Abraham Tariku, Jose Martines, Abebe Gebremariam Gobezayehu, Rajini M, Grace J Chan, H L Mohan, Tarun Kumar Madhur |
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| Rok vydání: | 2019 |
| Předmět: |
Male
research protocol Breastfeeding India Mothers Health Promotion 03 medical and health sciences 0302 clinical medicine Nursing newborn Kangaroo-Mother Care Method Infant Mortality Protocol Humans Medicine low birth weight 030212 general & internal medicine Protocol (science) kangaroo-mother care method Research ethics business.industry Infant Newborn Infant General Medicine Kangaroo-Mother Care Low birth weight Breast Feeding Health promotion Female Ethiopia Health Services Research Implementation research medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2018-025879 |
| Popis: | IntroductionKangaroo 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. Consequently, only a small fraction of newborns that could benefit from KMC receive it.Methods and analysisThis implementation research project aims to develop and evaluate district-level models for scaling up KMC in India and Ethiopia that can achieve high population coverage. The project includes formative research to identify barriers and contextual factors that affect implementation and utilisation 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. Implementation actions would happen at three levels: ‘pre-KMC facility’—to maximise the number of newborns getting to a facility that provides KMC; ‘KMC facility’—for initiation and maintenance of KMC; and ‘post-KMC facility’—for continuation of KMC at home. Stable infants with birth weightEthics and disseminationEthics approval was obtained in all the project sites, and centrally by the Research Ethics Review Committee at the WHO. Results of the project will be submitted to a peer-reviewed journal for publication, in addition to national and global level dissemination.Study statusWHO approved protocol: V.4—12 May 2016—Protocol ID: ERC 2716. Study implementation beginning: April 2017. Study end: expected March 2019.Trial registration numberCommunity Empowerment Laboratory, Uttar Pradesh, India (NCT12286667); St John's National Academy of Health Sciences, Bangalore, India and Karnataka Health Promotion Trust, Bangalore, India (CTRI/2017/07/008988); Society for Applied Studies, Delhi (NCT03098069); Oromia, Ethiopia (NCT03419416); Amhara, SNNPR and Tigray, Ethiopia (NCT03506698). |
| Databáze: | OpenAIRE |
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