干旱区生态环境知识资源中心(Arid): Monitoring the implementation and scale-up of a life-saving intervention for preterm and small babies: Facility-based Kangaroo Mother Care

Arid

DOI	10.7189/jogh.11.14001
	Monitoring the implementation and scale-up of a life-saving intervention for preterm and small babies: Facility-based Kangaroo Mother Care
	Torres, Laura Marcela; Mazia, Goldy; Guenther, Tanya; Valsangkar, Bina; Wall, Steve
通讯作者	Mazia, G (corresponding author), Save Children, 899 North Capitol St NE,Suite 900, Washington, DC 20002 USA.
来源期刊	JOURNAL OF GLOBAL HEALTH
ISSN	2047-2978
EISSN	2047-2986
出版年	2021
卷号	11
英文摘要	Background Kangaroo mother care (KMC) is an evidence-based intervention with large protective effects on neonatal mortality and morbidity, especially among small babies. Despite the available evidence, KMC adoption, implementation and scale-up has lagged. The purpose of this paper is to inform current and future KMC implementation by identifying achievements and challenges in countries that are in the process of scaling up KMC. Methods We collected and analyzed information to track the status of facility-based KMC in countries identified by the KMC Acceleration Partnership. We assessed the status of the scale-up in six priority countries (Ethiopia, Malawi, Nigeria and Rwanda in Africa, and Bangladesh and India in Asia) for three periods: 2014 and prior, 2015-2017 and 2017-2019 across six strategic areas: national policy, country implementation, research, knowledge management, monitoring and evaluation arid advocacy. We collected information through in-depth interviews with key participants, quantitative data extraction from the Demographic Health Survey and secondary data extraction from policies, briefs, program reports and other documents. Results Progress in terms of national policy and advocacy appeared to occur quite quickly and evenly across the six priority countries, despite being at different stages during the first assessment. In the areas of country implementation support and research, progress occurred more slowly and results were more variable across countries. It was noted that the number of health facilities offering KMC services increased in all six priority countries, but coverage of KMC was difficult to estimate, demonstrating the ongoing challenges in the area of monitoring arid evaluation despite progress made in integrating KMC indicators into national health information systems in five countries. Among the six priority countries - Malawi and Bangladesh had fully achieved at least four of the six conditions. Conclusions We documented notable achievements in the dimensions of policy and country implementation across the six countries, which were likely driven by government engagement to prioritize newborn care services and the promotion of KMC as a core intervention for small babies. We noted challenges in critical areas such as ambulatory KMC, follow-up, and monitoring and evaluation. Addressing these gaps while securing funding to allocate human resources adequately, promoting acceptance of KMC for demand creation and facil-itating the use of data for decision making will be vital to ensure effective coverage at scale.
类型	Article
语种	英语
开放获取类型	gold, Green Published
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000692172300001
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/369067
作者单位	[Torres, Laura Marcela; Mazia, Goldy; Guenther, Tanya; Valsangkar, Bina; Wall, Steve] Save Children, 899 North Capitol St NE,Suite 900, Washington, DC 20002 USA
推荐引用方式 GB/T 7714	Torres, Laura Marcela,Mazia, Goldy,Guenther, Tanya,et al. Monitoring the implementation and scale-up of a life-saving intervention for preterm and small babies: Facility-based Kangaroo Mother Care[J],2021,11.
APA	Torres, Laura Marcela,Mazia, Goldy,Guenther, Tanya,Valsangkar, Bina,&Wall, Steve.(2021).Monitoring the implementation and scale-up of a life-saving intervention for preterm and small babies: Facility-based Kangaroo Mother Care.JOURNAL OF GLOBAL HEALTH,11.
MLA	Torres, Laura Marcela,et al."Monitoring the implementation and scale-up of a life-saving intervention for preterm and small babies: Facility-based Kangaroo Mother Care".JOURNAL OF GLOBAL HEALTH 11(2021).