دورية أكاديمية
Implementing facility-based kangaroo mother care services : lessons from a multi-country study in Africa
| العنوان: | Implementing facility-based kangaroo mother care services : lessons from a multi-country study in Africa |
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| المؤلفون: | Bergh, Anne-Marie, Kerber, Kate J., Abwao, Stella, Johnson, Joseph de-Graft, Aliganyira, Patrick, Davy, Karen, Gamache, Nathalie, Kante, Modibo, Ligowe, Reuben, Luhanga, Richard, Mukarugwiro, Béata, Ngabo, Fidèle, Rawlins, Barbara, Sayinzoga, Felix, Sengendo, Naamala Hanifah, Sylla, Mariam, Taylor, Rachel, Van Rooyen, Elise, Zoungrana, Jeremie |
| بيانات النشر: | BioMed Central |
| سنة النشر: | 2014 |
| المجموعة: | University of Pretoria: UPSpace |
| مصطلحات موضوعية: | Delivery of health care, Implementation, Infant premature, Kangaroo mother care, Neonatal mortality, Newborn health |
| الوصف: | BACKGROUND : Some countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda. METHODS : A cross-sectional, mixed-method research design was used. Stakeholders provided background information at national meetings and in individual interviews. Facilities were assessed by means of a standardized tool previously applied in other settings, employing semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Each facility received a score out of a total of 30 according to six stages of implementation progress. RESULTS : Across the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. Institutions that fared better had a longer history of kangaroo mother care implementation or had been developed as centres of excellence or had strong leaders championing the implementation process. Variation existed in the quality of implementation between facilities and across countries. Important factors identified in implementation are: training and orientation; supportive supervision; integrating kangaroo mother care into quality improvement; continuity of care; high-level buy in and support for kangaroo mother care implementation; and client-oriented care. CONCLUSION : The integration of kangaroo mother care into routine newborn care services should be part of all maternal and newborn care initiatives and packages. Engaging ministries of health and other implementing partners from the outset may promote buy in and assist with the mobilization of resources for scaling up kangaroo mother care services. Mechanisms for monitoring these services should be integrated into existing health management information systems. ; http://www.biomedcentral.com/bmchealthservresTest ; hb2015 |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | http://hdl.handle.net/2263/43689Test; Bergh, A-M, Kerber, K, Abwao, S, Johnson, JD, Aliganyira, P, Davy, K, Gamache, N, Kante, M, Ligowe, R, Luhanga, R, Mukarugwiro, B, Ngabo, F, Rawlins, B, Sayinzoga, F, Sengendo, NH, Sylla, M, Taylor, R, Van Rooyen, E & Zoungrana, J 2014, 'Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa', BMC Health Services Research, vol. 14, art. 293, pp. 1-10.; 1472-6963 (print) |
| DOI: | 10.1186/1472-6963-14-293 |
| الإتاحة: | https://doi.org/10.1186/1472-6963-14-293Test http://hdl.handle.net/2263/43689Test |
| حقوق: | © 2014 Bergh et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0Test), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0Test/) applies to the data made available in this article,unless otherwise stated. |
| رقم الانضمام: | edsbas.AD2F0476 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/1472-6963-14-293 |
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