Cargando…

A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation

BACKGROUND: Implementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in count...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Wen, Wang, Yinghang, Zhang, Hanxiyue, Yang, Ge, Lin, Yun, Wang, Chenran, Huang, Xiaona, Tian, Xiaobo, Xiao, Angela Y., Xu, Tao, Tang, Kun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276515/
https://www.ncbi.nlm.nih.gov/pubmed/37330495
http://dx.doi.org/10.1186/s12884-023-05720-4
_version_ 1785060096370278400
author Wang, Wen
Wang, Yinghang
Zhang, Hanxiyue
Yang, Ge
Lin, Yun
Wang, Chenran
Huang, Xiaona
Tian, Xiaobo
Xiao, Angela Y.
Xu, Tao
Tang, Kun
author_facet Wang, Wen
Wang, Yinghang
Zhang, Hanxiyue
Yang, Ge
Lin, Yun
Wang, Chenran
Huang, Xiaona
Tian, Xiaobo
Xiao, Angela Y.
Xu, Tao
Tang, Kun
author_sort Wang, Wen
collection PubMed
description BACKGROUND: Implementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale. METHODS: Participants from 4 of the 18 pilot counties where early essential newborn care was implemented through the Safe Neonatal Project and 4 control counties not enrolled in Safe Neonatal Project were selected using purposive sampling. A total of 155 participants were interviewed, including stakeholders of the Safe Neonatal Project such as national maternal health experts, relevant government officials and medical staff. Thematic analysis was used to process and analyse the interview content in order to summarise the facilitators and barriers to implementing KMC. RESULTS: KMC was accepted in the pilot areas but still faced certain challenges due to institutional regulation, resource provision and the perceptions of health staff, postpartum mothers and their families as well as COVID-19 prevention and control regulations. The facilitators identified were government officials and medical staff acceptance and the incorporation of KMC into routine clinical care. The barriers identified were a lack of dedicated funding and other resources, the present scope of health insurance and KMC cost-sharing mechanism, providers’ knowledge and practical abilities, parental awareness, postpartum discomfort, fathers’ inadequate involvement, and the impact from COVID-19. CONCLUSION: The Safe Neonatal Project pilot experience indicated the feasibility of implementing KMC in more areas of China. Optimising institutional regulations, providing necessary supporting resources and enhancing education and training may help to refine the implementation and scale-up of KMC practice in China. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05720-4.
format Online
Article
Text
id pubmed-10276515
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-102765152023-06-18 A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation Wang, Wen Wang, Yinghang Zhang, Hanxiyue Yang, Ge Lin, Yun Wang, Chenran Huang, Xiaona Tian, Xiaobo Xiao, Angela Y. Xu, Tao Tang, Kun BMC Pregnancy Childbirth Research BACKGROUND: Implementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale. METHODS: Participants from 4 of the 18 pilot counties where early essential newborn care was implemented through the Safe Neonatal Project and 4 control counties not enrolled in Safe Neonatal Project were selected using purposive sampling. A total of 155 participants were interviewed, including stakeholders of the Safe Neonatal Project such as national maternal health experts, relevant government officials and medical staff. Thematic analysis was used to process and analyse the interview content in order to summarise the facilitators and barriers to implementing KMC. RESULTS: KMC was accepted in the pilot areas but still faced certain challenges due to institutional regulation, resource provision and the perceptions of health staff, postpartum mothers and their families as well as COVID-19 prevention and control regulations. The facilitators identified were government officials and medical staff acceptance and the incorporation of KMC into routine clinical care. The barriers identified were a lack of dedicated funding and other resources, the present scope of health insurance and KMC cost-sharing mechanism, providers’ knowledge and practical abilities, parental awareness, postpartum discomfort, fathers’ inadequate involvement, and the impact from COVID-19. CONCLUSION: The Safe Neonatal Project pilot experience indicated the feasibility of implementing KMC in more areas of China. Optimising institutional regulations, providing necessary supporting resources and enhancing education and training may help to refine the implementation and scale-up of KMC practice in China. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05720-4. BioMed Central 2023-06-17 /pmc/articles/PMC10276515/ /pubmed/37330495 http://dx.doi.org/10.1186/s12884-023-05720-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wang, Wen
Wang, Yinghang
Zhang, Hanxiyue
Yang, Ge
Lin, Yun
Wang, Chenran
Huang, Xiaona
Tian, Xiaobo
Xiao, Angela Y.
Xu, Tao
Tang, Kun
A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title_full A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title_fullStr A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title_full_unstemmed A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title_short A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation
title_sort pilot study of kangaroo mother care in early essential newborn care in resource-limited areas of china: the facilitators and barriers to implementation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276515/
https://www.ncbi.nlm.nih.gov/pubmed/37330495
http://dx.doi.org/10.1186/s12884-023-05720-4
work_keys_str_mv AT wangwen apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT wangyinghang apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT zhanghanxiyue apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT yangge apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT linyun apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT wangchenran apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT huangxiaona apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT tianxiaobo apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT xiaoangelay apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT xutao apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT tangkun apilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT wangwen pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT wangyinghang pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT zhanghanxiyue pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT yangge pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT linyun pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT wangchenran pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT huangxiaona pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT tianxiaobo pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT xiaoangelay pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT xutao pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation
AT tangkun pilotstudyofkangaroomothercareinearlyessentialnewborncareinresourcelimitedareasofchinathefacilitatorsandbarrierstoimplementation