TY - JOUR
T1 - Feasibility of Kangaroo Mother Care (KMC) Implementation in Depok City, Indonesia
AU - Amelia, Tiara
AU - Pratomo, Hadi
AU - Adisasmita, Asri C.
AU - Martha, Evi
AU - Rustina, Yeni
AU - Murty, Ade Iva
AU - Susilowati, Indri Hapsari
AU - Tambunan, Eviana S.
AU - Hasanah, Indah Jamiatun
N1 - Funding Information:
In terms of financing, there are several potential financing sources that can be used to support comprehensive KMC implementation, including tertiary, secondary, primary, and community health services. First, social assistance funds from Depok City Social Services can be used for KMC operational costs in hospitals, such as continuous operation of KMC and KMC clothes procurement. Second, the National Health Insurance/BPJS Kesehatan funds are available at the First Level Health Facility (FKTP) in the form of “kontak sehat” items (healthy contacts). One of the cost items within BPJS Kesehatan is used for giving health education to the community, KMC cloth procurement and operational costs for KMC monitoring and exclusive breastfeeding with LBW families by health workers in the community. Third, village funds for health cadres in the community at the district/sub-district government level can be used for operational costs for KMC monitoring and exclusive breastfeeding. Fourth, funding from the Family Welfare Movement Team (Tim Penggerak PKK) and the Child and Community Empowerment Services can also be used for the training costs for health cadres regarding KMC and exclusive breastfeeding. Finally, the Depok City Health Office CSR fund can be used for providing health workers with technical guidance for newborn care (by including content on KMC and exclusive breastfeeding) specifically for midwives at the public health centers who will have a great role in KMC monitoring in the community.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by an education fund from the Ministry of Finance Republic of Indonesia in 2019 with contract number 512/PKS/WR III/UI/20019 and PRJ-32/LPDP/2019.
Publisher Copyright:
© The Author(s) 2021.
PY - 2021
Y1 - 2021
N2 - Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.
AB - Background: The infant and neonatal mortality rate in Depok City is still high, with low birth weight (LBW) and premature births being one of the main causes. In 2018, 14 out of 41 cases of early neonatal death were due to LBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBW deaths caused by hypothermia, but the implementation is still not evenly distributed. Objective: Describe KMC feasibility as a supporting material for a KMC policy umbrella at Depok City. Method: Qualitative research was conducted with a Rapid Assessment Procedure (RAP) design. A total of 56 informants were divided into 8 discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD). The types of informants were families and inter-sectoral officers. Thematic analysis was used to analyze the data. Results: KMC implementation feasibility in Depok City in terms of facilities and infrastructure was still limited and the quality was insufficient. The number of human resources was still limited, and the competency was still not evenly distributed. LBW family readiness can be maintained if provided with complete and accurate knowledge; therefore, a strong commitment may develop to continue KMC at home. The potential sources of KMC financing are found at health facilities and inter-sectoral; however, to use it, a legal umbrella at the city district level is necessary. Conclusions: The factors of potential financing sources need to be followed up into a priority. This is to overcome the constraints of KMC feasibility implementation.
KW - feasibility
KW - kangaroo mother care
KW - low birth weight
KW - neonatal policy
UR - http://www.scopus.com/inward/record.url?scp=85105528372&partnerID=8YFLogxK
U2 - 10.1177/2333794X211012390
DO - 10.1177/2333794X211012390
M3 - Article
AN - SCOPUS:85105528372
SN - 2333-794X
VL - 8
JO - Global Pediatric Health
JF - Global Pediatric Health
ER -
