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Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa

Journal Article
(Published July, 2014)
Bergh, A.M. (Author),
Kerber, K. (Author),
Abwao, S. (Author),
de Graft-Johnson, J. (Author),
Aliganyira, P. (Author),
Davy, K. (Author),
Gamache, N. (Author),
Rawlins, B. (Author),
Mukarugwiro, B. (Author),
Taylor, R. (Author),
Zoungrana, J. (Author)
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This study systematically evaluated the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda with assessment by a standardized tool previously applied in other settings, semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Across the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. 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

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Citation: 
Bergh 2014 Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa. BMC Health Services Research 15:293.