Kangaroo Mother Care implementation research to develop models for accelerating scale-up in India and Ethiopia: study protocol for an adequacy evaluation. Issue 11 (21st November 2019)

• Record Type: Journal Article
• Authors: Medhanyie, Araya Abrha; Alemu, Hibret; Asefa, Anteneh; Beyene, Selemawit Asfaw; Gebregizabher, Fisseha Ashebir; Aziz, Khalid; Bhandari, Nita; Beyene, Habtamu; Brune, Thomas; Chan, Grace; Cranmer, John N; Darmstadt, G; Duguma, Dereje; Fikre, Addisalem; Andualem, Bizuayehu Gashaw; Gobezayehu, Abebe Gebremariam; Mariam, Damen Haile; Abay, Tedros Hailu; Mohan, H L; Jadaun, Arun; Jayanna, K; Kajal, F N U; Kar, Arin; Krishna, Raghav; Kumar, Aarti; Kumar, Vishwajeet; Madhur, Tarun Kumar; Belew, Mulusew Lijalem; M, Rajini; Martines, Jose; Mazumder, Sarmila; Amin, Hajira; Mony, Prem K; Muleta, Mekonnen; Pileggi-Castro, Cynthia; Pn Rao, Suman; Estifanos, Abiy Seifu; Sibley, Lynn M; Singhal, Nalini; Tadele, Henok; Tariku, Abraham; Lemango, Ephrem Tekle; Tadesse, Birkneh Tilahun; Upadhyay, Ravi; Worku, Bogale; Hadush, Marta Yemane; Bahl, Rajiv;
• Other Names: author non-byline.; Medhanyie Araya Abrha author non-byline.; Alemu Hibret author non-byline.; Asefa Anteneh author non-byline.; Beyene Selemawit Asfaw author non-byline.; Gebregizabher Fisseha Ashebir author non-byline.; Aziz Khalid author non-byline.; Bhandari Nita author non-byline.; Beyene Habtamu author non-byline.; Brune Thomas author non-byline.; Chan Grace J author non-byline.; Cranmer John N author non-byline.; Darmstadt Gary Lee author non-byline.; Duguma Dereje author non-byline.; Fikre Addisalem author non-byline.; Andualem Bizuayehu Gashaw author non-byline.; Gobezayehu Abebe Gebremariam author non-byline.; Mariam Damen Haile author non-byline.; Abay Tedros Hailu author non-byline.; Mohan HL author non-byline.; Jadaun Arun author non-byline.; Jayanna Krishnamurthy author non-byline.; Kajal F N U author non-byline.; Kar Arin author non-byline.; Krishna Raghav author non-byline.; Kumar Aarti author non-byline.; Kumar Vishwajeet author non-byline.; Madhur Tarun Kumar author non-byline.; Belew Mulusew Lijalem author non-byline.; Rajini M author non-byline.; Martines Jose Carlos author non-byline.; Mazumder Sarmila author non-byline.; Amin Hajira Mohammed author non-byline.; Mony Prem K author non-byline.; Muleta Mekonnen author non-byline.; Pileggi-Castro Cynthia author non-byline.; Rao Suman author non-byline.; Estifanos Abiy Seifu author non-byline.; Sibley Lynn M author non-byline.; Singhal Nalini author non-byline.; Tadele Henok author non-byline.; Tariku Abraham author non-byline.; Lemango Ephrem Tekle author non-byline.; Tadesse Birkneh Tilahun author non-byline.; Upadhyay Ravi Prakash author non-byline.; Worku Bogale author non-byline.; Hadush Marta Yemane author non-byline.; Bahl Rajiv author non-byline.;
• Is Part Of: BMJ open. Volume 9:Issue 11(2019)
• Publication Date: 2019-11-21
• Subjects: kangaroo-mother care method -- low birth weight -- newborn -- research protocol; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2018-025879
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Introduction: Kangaroo Mother Care (KMC) is the practice of early, continuous and prolonged skin-to-skin contact between the mother and the baby with exclusive breastfeeding. Despite clear evidence of impact in improving survival and health outcomes among low birth weight infants, KMC coverage has remained low and implementation has been limited. Consequently, only a small fraction of newborns that could benefit from KMC receive it. Methods and analysis: This implementation research project aims to develop and evaluate district-level models for scaling up KMC in India and Ethiopia that can achieve high population coverage. The project includes formative research to identify barriers and contextual factors that affect implementation and utilisation of KMC and design scalable models to deliver KMC across the facility-community continuum. This will be followed by implementation and evaluation of these models in routine care settings, in an iterative fashion, with the aim of reaching a successful model for wider district, state and national-level scale-up. Implementation actions would happen at three levels: 'pre-KMC facility'—to maximise the number of newborns getting to a facility that provides KMC; 'KMC facility'—for initiation and maintenance of KMC; and 'post-KMC facility'—for continuation of KMC at home. Stable infants with birth weight<2000 g and born in the catchment population of the study KMC facilities would form the eligible population. The primary outcome will be coverage of KMC in the preceding 24 hours and will be measured at discharge from the KMC facility and 7 days after hospital discharge. Ethics and dissemination: Ethics approval was obtained in all the project sites, and centrally by the Research Ethics Review Committee at the WHO. Results of the project will be submitted to a peer-reviewed journal for publication, in addition to national and global level dissemination. Study status: WHO approved protocol: V.4—12 May 2016—Protocol ID: ERC 2716. Study implementation beginning: April 2017. Study end: expected March 2019. Trial registration number: Community Empowerment Laboratory, Uttar Pradesh, India (ISRCTN12286667 ); St John's National Academy of Health Sciences, Bangalore, India and Karnataka Health Promotion Trust, Bangalore, India (CTRI/2017/07/008988); Society for Applied Studies, Delhi (NCT03098069 ); Oromia, Ethiopia (NCT03419416 ); Amhara, SNNPR and Tigray, Ethiopia (NCT03506698 ).