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  • Title: Accelerated scale-up of Kangaroo Mother Care: Evidence and experience from an implementation-research initiative in south India.
    Author: Jayanna K, Rao S, Kar A, Gowda PD, Thomas T, Swaroop N, Washington M, Shashidhar AR, Rai P, Chitrapu S, Mohan HL, Martines J, Mony P.
    Journal: Acta Paediatr; 2023 Aug; 112 Suppl 473():15-26. PubMed ID: 35146803.
    Abstract:
    AIM: Though Kangaroo Mother Care (KMC) has demonstrated benefits for low birth weight newborns, coverage continues to be low in India. As part of a World Health Organization (WHO) multi-country study, we explored intervention models to accelerate KMC coverage in a high priority district of Karnataka, India. METHODS: We used implementation-research methods, formative assessments and quality improvement approaches to design and scale-up interventions. Evaluation was done using prospective cohort study design; data were collected from facility records, and client interviews during KMC initiation, at discharge and at home after discharge. RESULTS: KMC was initiated at health facilities for 87.6% of LBW babies under 2000 g. At discharge, 85.0% received KMC; 67.9% continued to receive KMC at home on the 7th day post-discharge. The interventions included training, mentoring and constant advocacy at many levels: public health facilities, private sector and the community. Innovations like a KMC case sheet, counselling, peer support group triggered KMC in the facilities; a KMC-link card, a microplanning and communication tool for CHWs helped to sustain practice at homes. CONCLUSION: The study provides a novel approach to designing and scaling up interventions and suggests lessons that are applicable to KMC as well as to broader reproductive, maternal, neonatal and child health programmes.
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