Rebecca Dawar1, Sushma Nangia2, Anu Thukral3, Sapna Chopra4, Rajesh Khanna5. 1. Department of Preventive Medicine, Rush University Medical Center, Chicago, IL, USA. 2. Department of Neonatology, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India. 3. Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. 4. School of Mathematics and Statistics, University College Dublin, Belfield, Dublin 4, Ireland. 5. Save the Children, Health and Nutrition National Support Office, Gurgaon, Haryana, India.
Abstract
OBJECTIVE: To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge. STUDY DESIGN: An exploratory study, using a mixed methods evaluation, followed 60 mother-infant dyads from the hospital ward to 4 weeks post-hospital discharge. RESULTS: Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge. Seven mothers (13.2%) discontinued skin-to-skin contact at 4 weeks. KMC was practiced on average 3.3 h/day and 5.1 days/week. The top two enablers reported were significantly related to the amount of time skin-to-skin was practiced, with support for household responsibilities being most significant (U = 195, p = 0.008). Lack of privacy (p = 0.002) and lack of motivation (p = 0.034) were negatively correlated to duration of skin-to-skin contact. CONCLUSION: Future programs may increase dissemination and adoption of home KMC by specifically addressing enablers and barriers correlated to duration of skin-to-skin contact.
OBJECTIVE: To identify enablers and barriers related to home Kangaroo Mother Care (KMC) adoption after hospital discharge. STUDY DESIGN: An exploratory study, using a mixed methods evaluation, followed 60 mother-infant dyads from the hospital ward to 4 weeks post-hospital discharge. RESULTS: Fifty-three of the mothers (88.3%) completed all study visits. The majority of mothers were breastfeeding and practicing skin-to-skin contact 4 weeks post-discharge. Seven mothers (13.2%) discontinued skin-to-skin contact at 4 weeks. KMC was practiced on average 3.3 h/day and 5.1 days/week. The top two enablers reported were significantly related to the amount of time skin-to-skin was practiced, with support for household responsibilities being most significant (U = 195, p = 0.008). Lack of privacy (p = 0.002) and lack of motivation (p = 0.034) were negatively correlated to duration of skin-to-skin contact. CONCLUSION: Future programs may increase dissemination and adoption of home KMC by specifically addressing enablers and barriers correlated to duration of skin-to-skin contact.
Authors: Christina T Mathias; Solange Mianda; Julius N Ohdihambo; Mbuzeleni Hlongwa; Alice Singo-Chipofya; Themba G Ginindza Journal: Afr J Prim Health Care Fam Med Date: 2021-08-23