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Background: Implementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale.

Methods: Participants from 4 of the 18 pilot counties where early essential newborn care was implemented through the Safe Neonatal Project and 4 control counties not enrolled in Safe Neonatal Project were selected using purposive sampling. A total of 155 participants were interviewed, including stakeholders of the Safe Neonatal Project such as national maternal health experts, relevant government officials and medical staff. Thematic analysis was used to process and analyse the interview content in order to summarise the facilitators and barriers to implementing KMC.

Results: KMC was accepted in the pilot areas but still faced certain challenges due to institutional regulation, resource provision and the perceptions of health staff, postpartum mothers and their families as well as COVID-19 prevention and control regulations. The facilitators identified were government officials and medical staff acceptance and the incorporation of KMC into routine clinical care. The barriers identified were a lack of dedicated funding and other resources, the present scope of health insurance and KMC cost-sharing mechanism, providers' knowledge and practical abilities, parental awareness, postpartum discomfort, fathers' inadequate involvement, and the impact from COVID-19.

Conclusion: The Safe Neonatal Project pilot experience indicated the feasibility of implementing KMC in more areas of China. Optimising institutional regulations, providing necessary supporting resources and enhancing education and training may help to refine the implementation and scale-up of KMC practice in China.

Titel:	A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation.
Autor/in / Beteiligte Person:	Wang, W ; Wang, Y ; Zhang, H ; Yang, G ; Lin, Y ; Wang, C ; Huang, X ; Tian, X ; Xiao, AY ; Xu, T ; Tang, K
Zeitschrift:	BMC pregnancy and childbirth, Jg. 23 (2023-06-17), Heft 1, S. 451
Veröffentlichung:	London : BioMed Central, [2001-, 2023
Medientyp:	academicJournal
ISSN:	1471-2393 (electronic)
DOI:	10.1186/s12884-023-05720-4
Schlagwort:	Child Female Humans Infant, Newborn China COVID-19 Infant, Premature Pilot Projects Attitude of Health Personnel Health Knowledge, Attitudes, Practice Kangaroo-Mother Care Method Mothers psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [BMC Pregnancy Childbirth] 2023 Jun 17; Vol. 23 (1), pp. 451. <i>Date of Electronic Publication: </i>2023 Jun 17. MeSH Terms: Kangaroo-Mother Care Method* ; Mothers* / psychology ; Child ; Female ; Humans ; Infant, Newborn ; China ; COVID-19 ; Infant, Premature ; Pilot Projects ; Attitude of Health Personnel ; Health Knowledge, Attitudes, Practice References: Acta Paediatr. 2022 Aug 19;:. (PMID: 35983749) ; Ghana Med J. 2013 Jun;47(2):57-63. (PMID: 23966740) ; Front Public Health. 2020 Feb 04;8:8. (PMID: 32117848) ; iScience. 2021 Jun 12;24(7):102721. (PMID: 34235413) ; Gac Sanit. 2021;35 Suppl 1:S98-S102. (PMID: 33832640) ; Int J Environ Res Public Health. 2016 Aug 11;13(8):. (PMID: 27529263) ; Int J Epidemiol. 2010 Apr;39 Suppl 1:i144-54. (PMID: 20348117) ; Am J Perinatol. 2010 Mar;27(3):193-200. (PMID: 19653141) ; PLoS One. 2019 Nov 22;14(11):e0225258. (PMID: 31756225) ; BMC Health Serv Res. 2021 Nov 9;21(1):1211. (PMID: 34753464) ; Bull World Health Organ. 2016 Feb 1;94(2):130-141J. (PMID: 26908962) ; BMJ Open. 2020 Dec 12;10(12):e039303. (PMID: 33310797) ; Pediatrics. 2016 Jan;137(1):. (PMID: 26702029) ; Int Breastfeed J. 2019 Feb 19;14:12. (PMID: 30820239) ; Lancet. 2021 Jun 26;397(10293):2444-2447. (PMID: 34043955) ; Lancet. 2021 Jun 26;397(10293):2497-2536. (PMID: 34043953) ; J Pediatr (Rio J). 2022 Mar-Apr;98(2):117-125. (PMID: 34274324) ; Scand J Caring Sci. 2013 Jun;27(2):345-53. (PMID: 22816503) ; BMC Pediatr. 2020 May 29;20(1):260. (PMID: 32471391) ; Int J Environ Res Public Health. 2020 Nov 19;17(22):. (PMID: 33228187) ; Breastfeed Med. 2012 Apr;7(2):79-84. (PMID: 22011130) ; Lancet. 2016 Jan 16;387(10015):205-7. (PMID: 26510779) ; World J Pediatr. 2022 Dec;18(12):849-853. (PMID: 36006551) ; Pediatrics. 1998 Aug;102(2):e17. (PMID: 9685462) ; J Trop Pediatr. 2000 Oct;46(5):293-5. (PMID: 11077939) ; PLoS One. 2019 Jun 17;14(6):e0213225. (PMID: 31206544) ; Dev Psychobiol. 2021 Jul;63(5):1521-1533. (PMID: 33521969) ; J Evid Based Med. 2022 Dec;15(4):408-424. (PMID: 36529837) ; J Glob Health. 2017 Dec;7(2):020802. (PMID: 29085623) ; PLoS One. 2021 Dec 8;16(12):e0260611. (PMID: 34879099) ; BMJ Open. 2021 Feb 4;11(2):e042654. (PMID: 33542043) ; BMC Health Serv Res. 2014 Jul 08;14:293. (PMID: 25001366) ; BMC Public Health. 2020 Aug 13;20(1):1234. (PMID: 32791972) ; Qual Quant. 2018;52(4):1893-1907. (PMID: 29937585) ; J Clin Epidemiol. 2017 Jun;86:91-100. (PMID: 27989952) ; Pan Afr Med J. 2014 Sep 16;19:37. (PMID: 25667699) ; Matern Child Health J. 2016 Jul;20(7):1441-7. (PMID: 26976282) ; J Perinatol. 2016 May;36(5):401-4. (PMID: 26674998) Contributed Indexing: Keywords: China; Early essential newborn care; Kangaroo mother care; Qualitative study Entry Date(s): Date Created: 20230617 Date Completed: 20230628 Latest Revision: 20230628 Update Code: 20240513 PubMed Central ID: PMC10276515

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A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation.