Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug:112 Suppl 473:42-55.
doi: 10.1111/apa.16587. Epub 2022 Dec 21.

Creation of a globally informed and locally relevant KMC implementation model for population-impact in Amhara, Ethiopia

Abebe Gebremariam Gobezayehu  1 , Mulusew Lijalem  2 , Lamesgin Alamineh Endalamaw  2 , Hajiria Mohammad  1 , Tariku Beyene  3 , Tadesse Biru Mekonnen  2 , Girma Guadie Abay  2 , Lynn M Sibley  4 , John N Cranmer  4
Affiliations

Creation of a globally informed and locally relevant KMC implementation model for population-impact in Amhara, Ethiopia

Abebe Gebremariam Gobezayehu et al. Acta Paediatr. 2023 Aug.

Abstract

Aim: As part of a multi-country implementation trial, we tested a regionally specific model of kangaroo mother care (KMC). Effective KMC was defined as ≥8 h of newborn-caregiver skin-to-skin contact daily plus exclusive breast feeding. The study was designed to achieve ≥80+% effective KMC coverage at the population level.

Methods: The Amhara KMC model was designed using global evidence, formative research in the region and input from government officials, clinicians, newborn families and global scientists. We optimised the initial model using continuous quality improvement with process feedback, outcome measurement and collaborative re-design. Outcomes from the evaluation period are reported.

Results: At discharge, the final model resulted in a median of 16 h per day of skin-to-skin contact with 63% effective KMC coverage. Fifty-three percent sustained effective KMC to 7 days post-discharge.

Conclusions: It is possible to achieve high coverage (63%), high-quality KMC at public hospitals without prior KMC services using government-owned, multisectoral collaborative design. Targeted co-design, real-time data and customisation of KMC interventions with input from impacted stakeholders was critical in achieving high coverage and sustained quality.

Keywords: KMC; collaboration; health systems; implementation science; quality improvement.

PubMed Disclaimer

References

REFERENCES

    1. Ayele DG, Zewotir TT. Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia. BMC Public Health. 2016;16(1):930.
    1. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000-2015: an updated systematic analysis with implications for the sustainable development goals. Lancet. 2016;388(10063):3027-3035.
    1. ICF EPHIEa. Ethiopia Mini-Demographic and Health Survey 2019: Key Indicators. EPHI & ICF; 2019.
    1. Central Statistical Agency-CSA/Ethiopia, ICF. Ethiopia Demographic and Health Survey 2016. CSA and ICF; 2017.
    1. Muhe LM, McClure EM, Nigussie AK, et al. Major causes of death in preterm infants in selected hospitals in Ethiopia (SIP): a prospective, cross-sectional, observational study. Lancet Glob Health. 2019;7(8):e1130-e1138.

LinkOut - more resources