Please use this identifier to cite or link to this item: https://doi.org/10.2471/blt.20.284158
Title: Implementation research on kangaroo mother care, Bangladesh
Authors: Ehtesham Kabir, ANM
Afroze, Sharmin
Amin, Zubair 
Biswas, Agnihotri 
Ashrafee Lipi, Sabina
Khan, Mahbuba
Islam, Khaleda
Haque, Shamsul
Azad Choudhury, MAK
Shahidullah, Mohammod
Issue Date: 1-Jan-2022
Publisher: WHO Press
Citation: Ehtesham Kabir, ANM, Afroze, Sharmin, Amin, Zubair, Biswas, Agnihotri, Ashrafee Lipi, Sabina, Khan, Mahbuba, Islam, Khaleda, Haque, Shamsul, Azad Choudhury, MAK, Shahidullah, Mohammod (2022-01-01). Implementation research on kangaroo mother care, Bangladesh. Bulletin of the World Health Organization 100 (1) : 10-19. ScholarBank@NUS Repository. https://doi.org/10.2471/blt.20.284158
Abstract: Objective: To describe the implementation, coverage and performance of the national kangaroo mother care programme in Bangladesh. Methods: Kangaroo mother care services for clinically stable babies with birth weight under 2000 g were set up in government-run health-care facilities in rural and urban areas of Bangladesh. Each facility provided counselling on kangaroo mother care, ensured adequate nutrition, and followed up mothers and babies. We studied implementation of the programme from January 2016 to March 2020 using data from the national database. We tracked the number of eligible babies enrolled and their outcomes, mortality and post-discharge follow-up. Findings: The numbers of kangaroo mother care facilities increased from 16 in 2016 to 108 in 2020. Over the 4-year period 64 426 babies weighing under 2000 g were born in these facilities,  6410 of whom received kangaroo mother care. The quarterly percentage of eligible babies receiving kangaroo mother care increased from 4.7% (37/792) during the first quarter to 21.7% (917/4226) during the last five quarters of the programme. Deaths of babies receiving kangaroo mother care showed a downward trend over the study period. The overall mortality was 1.2% (77/6410), with large quarterly fluctuations in mortality. Post-discharge follow-up was low and only 15–20% of babies received four follow-up visits. Conclusion: Implementation of kangaroo mother care interventions is feasible in low-resource settings. Such care has the potential to reduce mortality among low-birth-weight and premature babies. Challenges include low coverage, expanding the programme to the community and strengthening the monitoring system.
Source Title: Bulletin of the World Health Organization
URI: https://scholarbank.nus.edu.sg/handle/10635/213776
ISSN: 00429686
DOI: 10.2471/blt.20.284158
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