TY - JOUR
T1 - Barriers and facilitators to the implementation of Kangaroo Mother Care in the community - A qualitative study
AU - Mustikawati, Intan Silviana
AU - Pratomo, Hadi
AU - Martha, Evi
AU - Murty, Ade Iva
AU - Adisasmita, Asri C.
N1 - Funding Information:
Support from health workers was the fourth-highest support for KMC practice, based on the systematic review of KMC implementation in preterm babies (Seidman et al., 2015). Being educated by health workers will increase mothers' knowledge, positive attitudes, and confidence in doing KMC. When LBWIs' mothers are educated about KMC in the hospital, they will implement KMC at home. This is consistent with another study in Ghana, where LBWIs' mothers continued to practice KMC in the community after being discharged from two hospitals in Kumasi, Ghana (Opara and Okorie, 2017). Similarly, Nigerian LBWIs’ mothers, who had practiced KMC in a tertiary health institution in Southern Nigeria, continued to practice KMC in the community (Nguah et al., 2011). Another support was health workers offering KMC education during postnatal care, as evidenced in India, where trained health workers provided Information, Education, and Communication (IEC) on KMC during the antenatal period, along with essential newborn care messages; these messages were reinforced during the postnatal period to increase KMC acceptability (Rasaily et al., 2017).The study design and procedures were approved by the Ethical Review Board of the Faculty of Public Health, Universitas Indonesia (Ref No.767/UN2.f10/PPM.00.02/2018), dated December 10th, 2018.We would like to thank the North Jakarta Health Office to conduct this research. In addition, we appreciated the Directorate of Research and Community Engagement of Universitas Indonesia which provided funding for this research (grant number (BA-338/UN2.R3.1/PPM.00.03.01/2019).
Publisher Copyright:
© 2019 Neonatal Nurses Association
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Kangaroo Mother Care (KMC) for low birth weight infants (LBWIs) has been shown to prevent disease and improve infant survival. This study aimed to identify barriers and facilitators to KMC implementation and identify solutions for overcoming the barriers. This study was a rapid qualitative study included in-depth interviews and observations with ten LBWIs' mothers post-discharge from Koja District Hospital, North Jakarta and five health workers in North Jakarta. The informants were selected by consecutive sampling. Observations explored KMC practices among LBWIs’ mothers, and in-depth interviews identified barriers and facilitators to KMC practice and explored feasible solutions for handling the barriers. The data was analysed by thematic analysis approach and validated by source triangulation. Four themes of barriers and facilitators of KMC implementation in the community were buy-in and bonding, family support, household works, and medical concerns. Community health workers empowerment and antenatal care awareness emerged as feasible solutions for overcoming barriers to KMC practice in the community.
AB - Kangaroo Mother Care (KMC) for low birth weight infants (LBWIs) has been shown to prevent disease and improve infant survival. This study aimed to identify barriers and facilitators to KMC implementation and identify solutions for overcoming the barriers. This study was a rapid qualitative study included in-depth interviews and observations with ten LBWIs' mothers post-discharge from Koja District Hospital, North Jakarta and five health workers in North Jakarta. The informants were selected by consecutive sampling. Observations explored KMC practices among LBWIs’ mothers, and in-depth interviews identified barriers and facilitators to KMC practice and explored feasible solutions for handling the barriers. The data was analysed by thematic analysis approach and validated by source triangulation. Four themes of barriers and facilitators of KMC implementation in the community were buy-in and bonding, family support, household works, and medical concerns. Community health workers empowerment and antenatal care awareness emerged as feasible solutions for overcoming barriers to KMC practice in the community.
KW - Community
KW - Formative research
KW - Kangaroo mother care
KW - Low birth weight infant
KW - Skin-to-skin contact
UR - http://www.scopus.com/inward/record.url?scp=85076864160&partnerID=8YFLogxK
U2 - 10.1016/j.jnn.2019.11.008
DO - 10.1016/j.jnn.2019.11.008
M3 - Article
AN - SCOPUS:85076864160
VL - 26
SP - 109
EP - 114
JO - Journal of Neonatal Nursing
JF - Journal of Neonatal Nursing
SN - 1355-1841
IS - 2
ER -