Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions.
- Vesel, Linda
- Bergh, Anne-Marie
- Kerber, Kate J
- Valsangkar, Bina
- Mazia, Goldy
- Moxon, Sarah G
- Blencowe, Hannah
- Darmstadt, Gary L
- de Graft Johnson, Joseph
- Dickson, Kim E
- Ruiz Peláez, Juan
- von Xylander, Severin
- Lawn, Joy E
- KMC Research Acceleration Group
DOIAbstract
BACKGROUND: Preterm birth is now the leading cause of under-five child deaths worldwide with one million direct deaths plus approximately another million where preterm is a risk factor for neonatal deaths due to other causes. There is strong evidence that kangaroo mother care (KMC) reduces mortality among babies with birth weight <2000 g (mostly preterm). KMC involves continuous skin-to-skin contact, breastfeeding support, and promotion of early hospital discharge with follow-up. The World Health Organization has endorsed KMC for stabilised newborns in health facilities in both high-income and low-resource settings. The objectives of this paper are to: (1) use a 12-country analysis to explore health system bottlenecks affecting the scale-up...
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