Kangaroo mother care: a systematic review of barriers and enablers

by Grace J Chan, Amy S Labar, Stephen Wall
Bulletin of the World Health Organization 2016; 94:130-141 – Published online: 03 December 2015

22 pp. 1.1 MB
http://www.healthynewbornnetwork.org/sites/default/files/resources/KMC%20a%20rev
iew%20of%20barries%20and%20enablers.pdf
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The authors screened 2875 studies and included 112 studies that contained qualitative data on implementation of kangaroo mother care. Kangaroo mother care was applied in different ways in different contexts. The studies show that there are several barriers to implementing kangaroo mother care, including the need for time, social support, medical care and family acceptance. Barriers within health systems included organization, financing and service delivery. In the broad context, cultural norms influenced perceptions and the success of adoption. The authors conclude that Kangaroo mother care is a complex intervention that is behaviour driven and includes multiple elements. Success of implementation requires high user engagement and stakeholder involvement. Future research includes designing and testing models of specific interventions to improve uptake.

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