Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Knowledge and perceptions of kangaroo mother care among health providers: a qualitative study

  • Pratomo, Hadi (Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Indonesia) ;
  • Amelia, Tiara (Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Indonesia) ;
  • Nurlin, Fatmawati (Independent Consultant) ;
  • Adisasmita, Asri C. (Department of Epidemiology, Faculty of Public Health, Universitas Indonesia)
  • Received : 2018.03.29
  • Accepted : 2020.04.29
  • Published : 2020.11.15
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Abstract

Background: Indonesia is one of the countries with the highest preterm birth rate. Preterm infants are more likely than term and normal weight infants to experience neonatal mortality and morbidity due to acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Kangaroo mother care (KMC) is a proven cost-effective intervention to help reduce mortality rates among preterm infants; however, it has not been fully implemented in hospitals. Purpose: Assess KMC knowledge and perceptions among health providers. Methods: This qualitative study was conducted from December 2015 to April 2016 and consisted of 21 in-depth interviews and 3 focus group discussions (FGDs). The 3 categories of health personnel in the study were clinical providers, hospital management representatives, and Indonesian Midwife Association members. Results: Most health providers know about the benefits of KMC including stabilizing temperatures, weight gain, and maternal-infant bonding and reducing human resources and labor costs. They were also aware of which newborns were eligible for KMC treatment. Their knowledge was mostly gained from observation or obtained from pediatricians and personal experience. They believed that a low birth weight infant in an incubator could not be treated with KMC and that it could only be practiced if a special gown was used when holding the baby. This perception could be caused by a lack of formal KMC training, leading to misunderstanding of its aspects. Conclusion: In conclusion, KMC knowledge of clinical providers in the 2 hospitals was sufficient, primarily due to their health-related educational background. Some perceptions could be potential barriers to or facilitate the implementation of KMC practice. These perceptions should be considered in future KMC training designs.

Keywords

Acknowledgement

Our appreciation is extended to Koja District Hospital, the Provincial and North Jakarta District Health Offices, and Karawang District Hospital and District Health Office for giving permission to their research teams to conduct this study. In addition, the research team greatly appreciates the technical expert team for this study for their valuable contribution. Dr. Fransisca A. Mardianingsih, MPH and Ms. Farahdibha Tenrilemba, MKes contributed in the data collection. Finally, the research team expresses its gratitude for the PEER/USAID for providing financial support for this study. See the commentary "Barriers to and enablers of kangaroo mother care" via https://doi.org/10.3345/kjp.2019.01039.

References

  1. Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ 2004;329:1179-81. https://doi.org/10.1136/bmj.329.7475.1179
  2. Ruiz-Pelaez JG, Charpak N, Cuervo LG. Kangaroo Mother Care, an example to follow from developing countries. BMJ 2004;329:1179-81. https://doi.org/10.1136/bmj.329.7475.1179
  3. Bergh AM, de Graft-Johnson J, Khadka N, Om'Iniabohs A, Udani R, Pratomo H, et al. The three waves in implementation of facility-based kangaroo mother care: a multi-country case study from Asia. BMC Int Health Hum Rights 2016;16:4. https://doi.org/10.1186/s12914-016-0080-4
  4. Ludington-Hoe SM. Evidence-based review of physiologic effects of kangaroo care. Curr Womens Health Rev 2011;7:243-53. https://doi.org/10.2174/157340411796355162
  5. Sharma D, Murki S, Pratap OT. To compare growth outcomes and cost-effectiveness of "Kangaroo ward care" with "intermediate intensive care" in stable extremely low birth weight infants: randomized control trial. J Matern Fetal Neonatal Med 2017;30:1659-65. https://doi.org/10.1080/14767058.2016.1220531
  6. Kim HM, Kim SY. Physiological effects of kangaroo care (skin-to-skin care) in small preterm infants and their parents. J Korean Pediatr Soc 2000;43:365-71.
  7. Bergh AM, Rogers-Bloch Q, Pratomo H, Uhudiyah U, Sidi IP, Rustina Y, et al. Progress in the implementation of kangaroo mother care in 10 hospitals in Indonesia. J Trop Pediatr 2012;58:402-5. https://doi.org/10.1093/tropej/fmr114
  8. Pratomo H. Review of the Kangaroo mother care (KMC) in Indonesia 1997-2014. Report Study.. Jakarta (Indonesia): Faculty of Public Health and Save Newborn Life (SNL) and Save the Children, 2014.
  9. Gathwala G, Singh B, Singh J. Effect of Kangaroo Mother Care on physical growth, breastfeeding and its acceptability. Trop Doct 2010;40:199-202. https://doi.org/10.1258/td.2010.090513
  10. Flynn A, Leahy-Warren P. Neonatal nurses' knowledge and beliefs regarding kangaroo care with preterm infants in an Irish neonatal unit. J Neonatal Nurs 2010;16:221-8. https://doi.org/10.1016/j.jnn.2010.05.008
  11. Chan G, Bergelson I, Smith ER, Skotnes T, Wall S. Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review. Health Policy Plan 2017;32:1466-75. https://doi.org/10.1093/heapol/czx098
  12. Nirmala P, Rekha S, Washington M. Kangaroo mother care: effect and perception of mothers and health personnel. J Neonatal Nurs 2006;12:177-84. https://doi.org/10.1016/j.jnn.2006.07.008
  13. Dalal A, Bala DV, Chauhan S. A cross-sectional study on knowledge and attitude regarding kangaroo mother care practice among health care providers in Ahmedabad District. Int J Med Sci Public Heal 2014;3:253-6. https://doi.org/10.5455/ijmsph.2013.091220131
  14. Lim S. Neonatal nurses' perceptions of supportive factors and barriers to the implementation of skin-to-skin care in extremely low birth weight (ELBW) infants - A qualitative study. J Neonatal Nurs 2018;24:39-43. https://doi.org/10.1016/j.jnn.2017.11.010
  15. Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. In: Moore ER, editor. Cochrane database of systematic reviews. Chichester (UK): John Wiley & Sons Ltd., 2012:CD003519.