Readiness of hospitals to provide Kangaroo Mother Care (KMC) and documentation of KMC service delivery: Analysis of Malawi 2014 Emergency Obstetric and Newborn Care (EmONC) survey data

Journal of Global Health
Kondwani ChavulaTanya Guenther

Abstract

Malawi introduced Kangaroo Mother Care (KMC) in 1999 as part of its efforts to address newborn morbidity and mortality and has continued to expand KMC services across the country. Yet, data on availability of KMC services and routine service provision are limited. Data from the 2014 Emergency Obstetric Newborn Care (EmONC) survey, which was a census of all 87 hospitals in Malawi, were analyzed. The WHO service availability and readiness domains were used to generate indicators for KMC service readiness and an additional domain for documentation of KMC services was included. Levels of KMC service delivery were quantified using data extracted from a 12-month register review and a KMC initiation rate was calculated for each facility by dividing the reported number of babies initiated on KMC by the number of live births at facility. We defined three levels of KMC readiness and two levels of KMC operational status. 79% of hospitals (69/87) reported providing inpatient KMC services. More than half of the hospitals (62%; 54/87) met the most basic definition of readiness (staff, space for KMC and functional weighing scale) and 35% (30/87) met an expanded definition of readiness (guidelines, staff, space, scale and register in use). Onl...Continue Reading

References

Dec 18, 2014·Archives of Disease in Childhood. Fetal and Neonatal Edition·Anna Karin AhlsénKerstin Wolff
Aug 11, 2015·Journal of Midwifery & Women's Health·Jody R LoriSarah D Rominski
Aug 19, 2015·Reproductive Health Matters·Linda Waldman, Marion Stevens
Sep 24, 2015·BMC Pregnancy and Childbirth·Sarah G MoxonJoy E Lawn

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Citations

Nov 23, 2019·PloS One·Haftom Gebrehiwot WeldearegayCatherine Arsenault
Oct 28, 2019·Scandinavian Journal of Caring Sciences·Jestoni D ManiagoAbdulrhman S Albougami
Sep 9, 2020·African Journal of Primary Health Care & Family Medicine·Patani MhangoAnne-Marie Bergh
Nov 5, 2020·Health Research Policy and Systems·Lara M E VazStephen N Wall
Mar 6, 2021·BMC Pregnancy and Childbirth·Mai-Lei Woo KinshellaKondwani Kawaza

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Methods Mentioned

BETA
NMR

Software Mentioned

EmONC
CSPro
Stata
ENAP

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