RT Journal Article
SR Electronic
T1 Kangaroo Mother Care implementation research to develop models for accelerating scale-up in India and Ethiopia: study protocol for an adequacy evaluation
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e025879
DO 10.1136/bmjopen-2018-025879
VO 9
IS 11
A1 Medhanyie, Araya Abrha
A1 Alemu, Hibret
A1 Asefa, Anteneh
A1 Beyene, Selemawit Asfaw
A1 Gebregizabher, Fisseha Ashebir
A1 Aziz, Khalid
A1 Bhandari, Nita
A1 Beyene, Habtamu
A1 Brune, Thomas
A1 Chan, Grace
A1 Cranmer, John N
A1 Darmstadt, G
A1 Duguma, Dereje
A1 Fikre, Addisalem
A1 Andualem, Bizuayehu Gashaw
A1 Gobezayehu, Abebe Gebremariam
A1 Mariam, Damen Haile
A1 Abay, Tedros Hailu
A1 Mohan, H L
A1 Jadaun, Arun
A1 Jayanna, K
A1 Kajal, F N U
A1 Kar, Arin
A1 Krishna, Raghav
A1 Kumar, Aarti
A1 Kumar, Vishwajeet
A1 Madhur, Tarun Kumar
A1 Belew, Mulusew Lijalem
A1 M, Rajini
A1 Martines, Jose
A1 Mazumder, Sarmila
A1 Amin, Hajira
A1 Mony, Prem K
A1 Muleta, Mekonnen
A1 Pileggi-Castro, Cynthia
A1 Pn Rao, Suman
A1 Estifanos, Abiy Seifu
A1 Sibley, Lynn M
A1 Singhal, Nalini
A1 Tadele, Henok
A1 Tariku, Abraham
A1 Lemango, Ephrem Tekle
A1 Tadesse, Birkneh Tilahun
A1 Upadhyay, Ravi
A1 Worku, Bogale
A1 Hadush, Marta Yemane
A1 Bahl, Rajiv
YR 2019
UL http://bmjopen.bmj.com/content/9/11/e025879.abstract
AB Introduction Kangaroo Mother Care (KMC) is the practice of early, continuous and prolonged skin-to-skin contact between the mother and the baby with exclusive breastfeeding. Despite clear evidence of impact in improving survival and health outcomes among low birth weight infants, KMC coverage has remained low and implementation has been limited. Consequently, only a small fraction of newborns that could benefit from KMC receive it.Methods and analysis This implementation research project aims to develop and evaluate district-level models for scaling up KMC in India and Ethiopia that can achieve high population coverage. The project includes formative research to identify barriers and contextual factors that affect implementation and utilisation of KMC and design scalable models to deliver KMC across the facility-community continuum. This will be followed by implementation and evaluation of these models in routine care settings, in an iterative fashion, with the aim of reaching a successful model for wider district, state and national-level scale-up. Implementation actions would happen at three levels: ‘pre-KMC facility’—to maximise the number of newborns getting to a facility that provides KMC; ‘KMC facility’—for initiation and maintenance of KMC; and ‘post-KMC facility’—for continuation of KMC at home. Stable infants with birth weight<2000 g and born in the catchment population of the study KMC facilities would form the eligible population. The primary outcome will be coverage of KMC in the preceding 24 hours and will be measured at discharge from the KMC facility and 7 days after hospital discharge.Ethics and dissemination Ethics approval was obtained in all the project sites, and centrally by the Research Ethics Review Committee at the WHO. Results of the project will be submitted to a peer-reviewed journal for publication, in addition to national and global level dissemination.Study status WHO approved protocol: V.4—12 May 2016—Protocol ID: ERC 2716. Study implementation beginning: April 2017. Study end: expected March 2019.Trial registration number Community Empowerment Laboratory, Uttar Pradesh, India (ISRCTN12286667); St John's National Academy of Health Sciences, Bangalore, India and Karnataka Health Promotion Trust, Bangalore, India (CTRI/2017/07/008988); Society for Applied Studies, Delhi (NCT03098069); Oromia, Ethiopia (NCT03419416); Amhara, SNNPR and Tigray, Ethiopia (NCT03506698).