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 Araya Abrha Medhanyie
A1 Hibret Alemu
A1 Anteneh Asefa
A1 Selemawit Asfaw Beyene
A1 Fisseha Ashebir Gebregizabher
A1 Khalid Aziz
A1 Nita Bhandari
A1 Habtamu Beyene
A1 Thomas Brune
A1 Grace Chan
A1 John N Cranmer
A1 G Darmstadt
A1 Dereje Duguma
A1 Addisalem Fikre
A1 Bizuayehu Gashaw Andualem
A1 Abebe Gebremariam Gobezayehu
A1 Damen Haile Mariam
A1 Tedros Hailu Abay
A1 H L Mohan
A1 Arun Jadaun
A1 K Jayanna
A1 F N U Kajal
A1 Arin Kar
A1 Raghav Krishna
A1 Aarti Kumar
A1 Vishwajeet Kumar
A1 Tarun Kumar Madhur
A1 Mulusew Lijalem Belew
A1 Rajini M
A1 Jose Martines
A1 Sarmila Mazumder
A1 Hajira Amin
A1 Prem K Mony
A1 Mekonnen Muleta
A1 Cynthia Pileggi-Castro
A1 Suman Pn Rao
A1 Abiy Seifu Estifanos
A1 Lynn M Sibley
A1 Nalini Singhal
A1 Henok Tadele
A1 Abraham Tariku
A1 Ephrem Tekle Lemango
A1 Birkneh Tilahun Tadesse
A1 Ravi Upadhyay
A1 Bogale Worku
A1 Marta Yemane Hadush
A1 Rajiv Bahl
A1 ,
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).