scholarly journals Kangaroo mother care: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Nahya Salim ◽  
◽  
Josephine Shabani ◽  
Kimberly Peven ◽  
Qazi Sadeq-ur Rahman ◽  
...  
Keyword(s):  
Health Workers ◽  
Scale Up ◽  
High Sensitivity ◽  
Population Based ◽  
Kangaroo Mother Care ◽  
Quality Data ◽  
Feeding Method ◽  
Exit Survey ◽  
Skin To Skin

Abstract Background Kangaroo mother care (KMC) reduces mortality among stable neonates ≤2000 g. Lack of data tracking coverage and quality of KMC in both surveys and routine information systems impedes scale-up. This paper evaluates KMC measurement as part of the Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study. Methods The EN-BIRTH observational mixed-methods study was conducted in five hospitals in Bangladesh, Nepal and Tanzania from 2017 to 2018. Clinical observers collected time-stamped data as gold standard for mother-baby pairs in KMC wards/corners. To assess accuracy, we compared routine register-recorded and women’s exit survey-reported coverage to observed data, using different recommended denominator options (≤2000 g and ≤ 2499 g). We analysed gaps in quality of provision and experience of KMC. In the Tanzanian hospitals, we assessed daily skin-to-skin duration/dose and feeding frequency. Qualitative data were collected from health workers and data collectors regarding barriers and enablers to routine register design, filling and use. Results Among 840 mother-baby pairs, compared to observed 100% coverage, both exit-survey reported (99.9%) and register-recorded coverage (92.9%) were highly valid measures with high sensitivity. KMC specific registers outperformed general registers. Enablers to register recording included perceptions of data usefulness, while barriers included duplication of data elements and overburdened health workers. Gaps in KMC quality were identified for position components including wearing a hat. In Temeke Tanzania, 10.6% of babies received daily KMC skin-to-skin duration/dose of ≥20 h and a further 75.3% received 12–19 h. Regular feeding ≥8 times/day was observed for 36.5% babies in Temeke Tanzania and 14.6% in Muhimbili Tanzania. Cup-feeding was the predominant assisted feeding method. Family support during admission was variable, grandmothers co-provided KMC more often in Bangladesh. No facility arrangements for other family members were reported by 45% of women at exit survey. Conclusions Routine hospital KMC register data have potential to track coverage from hospital KMC wards/corners. Women accurately reported KMC at exit survey and evaluation for population-based surveys could be considered. Measurement of content, quality and experience of KMC need consensus on definitions. Prioritising further KMC measurement research is important so that high quality data can be used to accelerate scale-up of high impact care for the most vulnerable.

Survival of Premature Babies with the Revolutionary Kangaroo Mother Care Technique at a Tertiary Care Center, Sindh, Pakistan

2021 ◽  
Vol 15 (11) ◽  
pp. 3244-3246
Author(s):  
Bakhtiar Ahmed Bhambrho ◽  
Nisar Ahmed Shar ◽  
Amjad Ali Mughal ◽  
Farukh Imtiaz ◽  
Pardeep Kumar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Health Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Scale Up ◽  
Sampling Technique ◽  
Kangaroo Mother Care ◽  
Primary Data ◽  
Resource Limited ◽  
Skin To Skin

Background: Kangaroo mother care (KMC) is a resource-limited method for low-birth-weight babies that seeks to mitigate mortality rates by thermoregulation, breastfeeding assistance, and early hospital discharge. Methods: This study was carried out at GIMS hospital Khairpur Kangaroo Mother Care Unit at PAQSJIMS between August 2019 to September 2020. A total of hundred mothers and their infants were enrolled in the study. A non-probability convenience sampling technique was employed. A Questionnaire filled with the permission of admitted mother and primary data collected as per proforma i.e. date of admission, mother name, address, age, parity, gravida, date of delivery, place of delivery, Type of delivery, gestation at birth (weeks), birth weight, gender, Date of KMS admission, weight at KMC, discharge date of KMC, weight of Discharge KMC, status at the time of discharge and cause of death (if any). All mothers used KMC kits and the infant weight at admission and discharge were documented. Results: The average age (Figure 1) of mothers was recorded as 31.69 (20-40 years). The babies weight at the time of KMC unit admission was recorded as 0.7 – 1.8 grams and after 3-4 weeks admission the babies survived and gained weight recorded at time of discharge was 0.8 to 2.2 grams which showed that all mothers used kits properly, and all babies survived. Conclusions: All mothers were pleased to operate KMC kits. KMC is a very innovative technique to save the lives of premature newborns. This therapy emphasizes mothers for continuous skin-to-skin touch with infants, as well as wrapping the child in a warm blanket. The availability of space facilities and capacity building for health workers are therefore the fundamental requirements that must be funded by international aid agencies in order to scale up the initiative in these environments. Keywords: Neonatal survival, KMC, care, breastfeeding.

scholarly journals The prevalence of scabies in Monrovia, Liberia: A population-based survey

2020 ◽  
Vol 14 (12) ◽  
pp. e0008943
Author(s):  
Shelui Collinson ◽  
Joseph Timothy ◽  
Samuel K. Zayzay ◽  
Karsor K. Kollie ◽  
Eglantine Lebas ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health Problem ◽  
Scale Up ◽  
Public Health Problem ◽  
Sub Saharan Africa ◽  
Quality Data ◽  
Local Health ◽  
The Impact

Scabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking. We conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate versions of the dermatology life quality index (DLQI). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression. 1,318 participants from 477 households were surveyed. The prevalence of scabies was 9.3% (95% CI: 6.5–13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4–1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies. Our study indicates a substantial burden of scabies in this peri-urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life.

scholarly journals Knowledge of Mothers and some Relative Factors about Kangaroo Method Take Care Premature Infants

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Ha Thi Kim Loan ◽  
Pham Van Dem ◽  
Nguyen Thanh Nam ◽  
Nguyen Tien Dung
Keyword(s):  
Premature Infants ◽  
Health Workers ◽  
Neonatal Morbidity ◽  
Kangaroo Mother Care ◽  
Related Factors ◽  
Cross Sectional ◽  
Descriptive Research ◽  
Premature Babies ◽  
Internet Media ◽  
Skin To Skin

Aim: The consequences of neonatal morbidity and mortality are severe, but interventions are available within maternal-children health care programs can save the lives of most babies. In particular, Kangaroo mother care for infants is a simple, easy-to-implement intervention that contributes to improving health and reducing infant mortality, especially among premature babies. Subjects and method of study: In this study, we used cross-sectional descriptive research to interview knowledge of 60 mothers with premature babies on Kangaroo mother care method and some related factors at Bach Mai Hospital from October 2019 to March 2020. Results: Research results show that 94.8% of mothers knew about Kangaroo mother care method, of which only 91.78% of mothers had knowledge about this method through their relatives and friends. friends accounted for 58.2%, via internet media 45.5% and 18.2% through health workers. The mother's education was related to the mother's knowledge about Kangaroo mother care method with p <0.05. Conclusion: Education enhancing about role and effection of skin-to-skin in premature infants. Keywords: skin-to-skin, Kangaroo mother care, KMC, preterm delivery.    

scholarly journals Mothers’ quality of life delivering kangaroo mother care at Malawian hospitals: a qualitative study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Alinane Linda Nyondo-Mipando ◽  
Mai-Lei Woo Kinshella ◽  
Tamanda Hiwa ◽  
Sangwani Salimu ◽  
Mwai Banda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Workers ◽  
Well Being ◽  
Kangaroo Mother Care ◽  
World Health ◽  
World Health Organization Quality ◽  
Resource Limited ◽  
Limited Health ◽  
The Impact

Abstract Introduction Kangaroo mother care is known to help save the lives of preterm and low birthweight infants, particularly in resource-limited health settings, yet barriers to implementation have been documented. Mothers and their families are very involved in the process of providing kangaroo mother care and the impact on their well-being has not been well explored. The objective of this research was to investigate the perspectives and experiences of a mother’s quality of life while delivering facility-based kangaroo mother care. Methods This study is a secondary analysis of the qualitative data collected within the “Integrating a neonatal healthcare package for Malawi” project. Twenty-seven health workers and 24 caregivers engaged with kangaroo mother care at four hospitals in southern Malawi were interviewed between May–August 2019. All interviews were face-to-face and followed a topic guide. Content analysis was conducted on NVivo 12 (QSR International, Melbourne, Australia) based on the six World Health Organization Quality of Life domains (physical, psychological, level of independence, social relationships, environment, spirituality). Results Fifty-one interviews were conducted with 24 caregivers and 14 health workers. Mothers experienced multidimensional challenges to their quality of life while delivering facility-based KMC. Though kangaroo mother care was considered a simple intervention, participants highlighted that continuous kangaroo mother care was difficult to practice. Kangaroo mother care was an exhausting experience for mothers due to being in one position for prolonged periods, compromised sleep, restricted movement, boredom, and isolation during their stay at the hospital as well as poor support for daily living needs such as food. Discussion A heavy burden is placed on mothers who become the key person responsible for care during kangaroo mother care, especially in resource-limited health settings. More focus is needed on supporting caregivers during the delivery of kangaroo mother care through staff support, family inclusion, and conducive infrastructure.

scholarly journals Kangaroo Mother Care at Low Birth Weight

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Maryanah, Sri Sukamti ◽  
Juli Oktalia ◽  
Novita Rina Antarsih ◽  
Indra Supradewi, Aticeh
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Workers ◽  
Secondary Data ◽  
Kangaroo Mother Care ◽  
P Value ◽  
Cross Sectional ◽  
Skin Contact ◽  
Skin To Skin ◽  
Difference Test

Kangaroo Care Method is a treatment given to babies with Low Birth Weight (LBW) as an alternative to an incubator. This method uses direct contact between the mother's skin and baby's skin or skin to skin contact. The kangaroo method not only replaces the care of the incubator but also provides benefits that cannot be provided by the incubator. Increasing the baby's body temperature, stabilizing heart rate and breathing, and increasing milk production, decreases the incidence of infection in infants. The purpose of this study was to determine the effectiveness of the use of the kangaroo method on LBW in Karawang Hospital. The cross-sectional research method uses secondary data through treatment records in the medical record. The study sample was 106 LBW infants treated at Karawang Hospital in the 2018 period. Analysts used average difference test data to see the effectiveness of using the kangaroo method in increasing infant weight. Results: There is an effect of the use of the kangaroo method to increase the baby's weight P-value 0,0001. Recommendation: It is expected that the use of the kangaroo method on LBW can be made into policy at the hospital with the support of health workers and facilities so that families can implement kangaroo mother care (KMC) in full.

scholarly journals Epidemiology of Female Breast Cancer in West Jakarta, Indonesia

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 65s-65s
Author(s):  
J. Agustina ◽  
D. Sinulingga ◽  
E. Suzanna ◽  
B. Andinata ◽  
R. Ramadhan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Registry ◽  
Population Based ◽  
Female Breast Cancer ◽  
Registry Data ◽  
Quality Data ◽  
Cancer Center ◽  
Cancer Registry Data ◽  
Female Breast

Background: Breast cancer was the most common cancer in the world. GLOBOCAN 2012 estimated the incidence of female breast cancer in Indonesia was 40.3 per 100,000 and the mortality rate was 16.6 per 100,000. In 2016, Dharmais National Cancer Center was appointed as Regional Population Based Cancer Registry in West Jakarta. West Jakarta was a municipality with 2,281,945 populations, being the 2nd largest population in DKI Jakarta Province. Aim: This study was to evaluate the quality of population based cancer registry data and to describe the epidemiology of female breast cancer in West Jakarta, Indonesia during 2008-2012 and to compare with GLOBOCAN 2012 . Methods: We used population based cancer registry data with ICD - O code C50.0-C50.9 in female who live in West Jakarta. The population based cancer registry data were collected in Dharmais National Cancer Center. We evaluated the quality of population based cancer registry data based on WHO-IARC rules for cancer registry data. Results: The quality of population based cancer registry data were microscopic verification (70%); DCO percentage (20.8%), and unknown age (0%). The trend of female breast cancer was increasing during 2008-2012. Age-standardized rate incidence was 19.3 per 100,000. The most of frequent were in 45-49 years old, not other specific location subtopography (81.5%), the histopathology type was ductal and lobular neoplasm (51.8%), in stage III (44%), and with metastases to bone (34%). The average of length of duration was 29.1 months, most of them were unknown of last status contact (84%). Conclusion: The coverage and quality data of West Jakarta population based cancer registry need to be increased and establish a follow-up system to decrease the unknown last contact status of patients.

scholarly journals Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study

2021 ◽  
Vol 6 (9) ◽  
pp. e005905
Author(s):  
Prem K Mony ◽  
Henok Tadele ◽  
Abebe Gebremariam Gobezayehu ◽  
Grace J Chan ◽  
Aarti Kumar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Implementation Science ◽  
Health Workers ◽  
Standard Of Care ◽  
Scaling Up ◽  
Population Based ◽  
Kangaroo Mother Care ◽  
High Coverage ◽  
Implementation Model ◽  
Link Type

ObjectivesKangaroo Mother Care (KMC), prolonged skin-to-skin care of the low birth weight baby with the mother plus exclusive breastfeeding reduces neonatal mortality. Global KMC coverage is low. This study was conducted to develop and evaluate context-adapted implementation models to achieve improved coverage.DesignThis study used mixed-methods applying implementation science to develop an adaptable strategy to improve implementation. Formative research informed the initial model which was refined in three iterative cycles. The models included three components: (1) maximising access to KMC-implementing facilities, (2) ensuring KMC initiation and maintenance in facilities and (3) supporting continuation at home postdischarge.Participants3804 infants of birth weight under 2000 g who survived the first 3 days, were available in the study area and whose mother resided in the study area.Main outcome measuresThe primary outcomes were coverage of KMC during the 24 hours prior to discharge and at 7 days postdischarge.ResultsKey barriers and solutions were identified for scaling up KMC. The resulting implementation model achieved high population-based coverage. KMC initiation reached 68%–86% of infants in Ethiopian sites and 87% in Indian sites. At discharge, KMC was provided to 68% of infants in Ethiopia and 55% in India. At 7 days postdischarge, KMC was provided to 53%–65% of infants in all sites, except Oromia (38%) and Karnataka (36%).ConclusionsThis study shows how high coverage of KMC can be achieved using context-adapted models based on implementation science. They were supported by government leadership, health workers’ conviction that KMC is the standard of care, women’s and families’ acceptance of KMC, and changes in infrastructure, policy, skills and practice.Trial registration numbersISRCTN12286667; CTRI/2017/07/008988; NCT03098069; NCT03419416; NCT03506698.

scholarly journals Predictors of Quality Leadership and Quality of Health Services in Hospital

2020 ◽  
Vol 6 (1) ◽  
pp. 50
Author(s):  
Komala Sari ◽  
Mitra Mitra ◽  
Jasrida Yunita ◽  
Budi Hartono ◽  
Dedi Afandi
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Health Workers ◽  
Services Quality ◽  
Partial Least Square ◽  
Least Square ◽  
Quality Data ◽  
Equation Modeling ◽  
Quality Of Health Services

Law Republic Indonesia Number 44 of 2009 on Hospitals states health care institutions must improve higher quality and affordable services to highest health level. Quality leadership is continuous work method and process improve service quality, competitiveness and productivity. Health services quality is reference to the ideal level of health services. Hospitals health services quality will be good if the leadership carried out properly. In general hospital there was an absence Performance Report, disintegration and not sinergy between stakeholders in terms of health services quality. There was nothing of a Minimum Services Standards measurement, has not implemented a customer satisfaction based service pattern, service quality has not met national standards, which indicates that service quality is not optimum. Quality control activities not yet implemented, Standard Operational Procedure was also not optimal. Research objective was to know the effect of quality leadership on the quality of health services. Quantitative research type with analytic cross-sectional design. The study conducted in July 2017 in the Outpatient Installation. The population were all medical personnel and health workers with a sample of 100 people. Techniques for collected data using a questionnaire. The variables in this study were exogenous variables of quality leadership and endogenous variables of health services quality. Data analysis used Structural Equation Modeling - Partial Least Square. The results of the study obtained Values, Vision, Inspiration, Innovative, Systems View, Empowering, Customer Focus, were predictors of quality leadership. Professional standards, service standards, codes of ethics and standard operating procedures were predictors of health services quality. The value of T-Statistic 0.669 with a statistical value of 1.96 there was no significant effect of quality leadership on the health services quality.

scholarly journals O3D.6 Inventory of occupational, industrial and population cohorts in switzerland

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A29.1-A29
Author(s):  
Nicolas Bovio ◽  
Danielle Vienneau ◽  
Irina Guseva Canu
Keyword(s):  
Population Based ◽  
Quality Data ◽  
Data Repositories ◽  
National Cohort ◽  
Public Health Institutions ◽  
Standard Classification ◽  
Multiple Health

ContextGiven the importance of harmonization in occupational epidemiology (OE) research, an European network, OMEGA-NET, is developing an inventory of occupational, industrial and population cohorts in Europe. We inventorized existing cohorts in Switzerland and assessed their relevance for OE.MethodsWe identified cohorts based on the review of data repositories and publications of the leading occupational and public health institutions in Switzerland. Cohorts were considered relevant for OE if data on occupation were available. The quality of these data was assessed critically.ResultsIn Switzerland, we found no industrial cohort, one retrospective occupational cohort exposed to magnetic fields [20,141 Swiss Federal Railway workers, cancer morbidity follow-up=1972–2002] and four population-based cohorts relevant for OE: the census-based Swiss National Cohort (SNC) [5.8 million adult residents in Switzerland, mortality by cause follow-up=1990–2014], the Study on Air Pollution And Lung Disease In Adults (SAPALDIA) [n=9,561, lung function and morbidity follow-up=1991-present], CoLaus|PsyCoLaus [6,700 35–75 year-old residents of Lausanne, cardiovascular and mental morbidity follow-up=2003-present], the Swiss Kidney Project on Genes in Hypertension (SKIPOGH) [1134 residents of Lausanne, Geneva and Berne, kidney and metabolic morbidity follow-up=2009-present].Occupation was coded using the International Standard Classification of Occupations (ISCO) only in the SNC (ISCO-68 and ISCO-88) and SAPALDIA (ISCO-88). In SKIPOGH, the Belgian Classification of occupations was used. In CoLaus|PsyCoLaus, occupation remains uncoded. Noteworthy, the percentage of missing occupations is 43%, non-reported, 65% and 61%, respectively.ConclusionHaving detailed high-quality data on multiple health outcomes, the identified Swiss cohorts may represent a valuable contribution to OE research. However, in absence of standardisation in collecting and coding of occupational data in these cohorts, their use in OE is still challenging. Planned harmonization efforts in frame of OMEGA-NET will be beneficial for improving the quality of these data and OE research in Switzerland and abroad.

Pengaruh Perawatan Metode Kanguru (PMK) terhadap Pencegahan Hipotermi pada Bayi Baru Lahir

2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Health Workers ◽  
Kangaroo Mother Care ◽  
Infant Mortality Rate ◽  
P Value ◽  
Low Birth Weight Infants ◽  
Low Birth Weight Babies ◽  
Before And After

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.

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