“It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi
BACKGROUND: Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn’s caregiver, who delivers care with support from health care workers. This study explored the expe...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709227/ https://www.ncbi.nlm.nih.gov/pubmed/33261568 http://dx.doi.org/10.1186/s12887-020-02443-9 |
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author | Nyondo-Mipando, Alinane Linda Kinshella, Mai-Lei Woo Salimu, Sangwani Chiwaya, Brandina Chikoti, Felix Chirambo, Lusungu Mwaungulu, Ephrida Banda, Mwai Newberry, Laura Njirammadzi, Jenala Hiwa, Tamanda Vidler, Marianne Dube, Queen Molyneux, Elizabeth Mfutso-Bengo, Joseph Goldfarb, David M. Kawaza, Kondwani |
author_facet | Nyondo-Mipando, Alinane Linda Kinshella, Mai-Lei Woo Salimu, Sangwani Chiwaya, Brandina Chikoti, Felix Chirambo, Lusungu Mwaungulu, Ephrida Banda, Mwai Newberry, Laura Njirammadzi, Jenala Hiwa, Tamanda Vidler, Marianne Dube, Queen Molyneux, Elizabeth Mfutso-Bengo, Joseph Goldfarb, David M. Kawaza, Kondwani |
author_sort | Nyondo-Mipando, Alinane Linda |
collection | PubMed |
description | BACKGROUND: Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn’s caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. METHODS: We conducted a descriptive qualitative study in the phenomenological tradition, an interpretative approach to describe the caregivers’ lived experience with KMC at four health facilities in Malawi from April and June 2019 through 10 non-participatory observations and 24 face-to-face interviews. We drew a purposive sample of 14 mothers, six fathers, three grandmothers, and one grandfather of infants receiving KMC in three secondary and one tertiary level hospitals. Data were analyzed following a thematic approach. RESULTS: Caregivers had limited information on KMC before admission with most of the information learned from peers rather than medical professionals. Stories of positive outcomes following KMC contributed to a shift in perceptions of premature babies and acceptability of KMC as an effective intervention. Unintended consequences resulting from admission due to KMC disrupts responsibilities around the home and disrupts economic activities. Gender division of roles exists with the implementation of KMC and a mother’s support networks are crucial. CONCLUSION: Kangaroo mother care is feasible and acceptable among caregivers. KMC babies are described more positively with the potential to grow into strong and healthy children. KMC remains focused on the mother, which undervalues the important roles of her support network. A change in the nomenclature from kangaroo mother care to kangaroo care would include fathers and others delivering care. |
format | Online Article Text |
id | pubmed-7709227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77092272020-12-02 “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi Nyondo-Mipando, Alinane Linda Kinshella, Mai-Lei Woo Salimu, Sangwani Chiwaya, Brandina Chikoti, Felix Chirambo, Lusungu Mwaungulu, Ephrida Banda, Mwai Newberry, Laura Njirammadzi, Jenala Hiwa, Tamanda Vidler, Marianne Dube, Queen Molyneux, Elizabeth Mfutso-Bengo, Joseph Goldfarb, David M. Kawaza, Kondwani BMC Pediatr Research Article BACKGROUND: Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering on the newborn’s caregiver, who delivers care with support from health care workers. This study explored the experiences of caregivers on the implementation of KMC. METHODS: We conducted a descriptive qualitative study in the phenomenological tradition, an interpretative approach to describe the caregivers’ lived experience with KMC at four health facilities in Malawi from April and June 2019 through 10 non-participatory observations and 24 face-to-face interviews. We drew a purposive sample of 14 mothers, six fathers, three grandmothers, and one grandfather of infants receiving KMC in three secondary and one tertiary level hospitals. Data were analyzed following a thematic approach. RESULTS: Caregivers had limited information on KMC before admission with most of the information learned from peers rather than medical professionals. Stories of positive outcomes following KMC contributed to a shift in perceptions of premature babies and acceptability of KMC as an effective intervention. Unintended consequences resulting from admission due to KMC disrupts responsibilities around the home and disrupts economic activities. Gender division of roles exists with the implementation of KMC and a mother’s support networks are crucial. CONCLUSION: Kangaroo mother care is feasible and acceptable among caregivers. KMC babies are described more positively with the potential to grow into strong and healthy children. KMC remains focused on the mother, which undervalues the important roles of her support network. A change in the nomenclature from kangaroo mother care to kangaroo care would include fathers and others delivering care. BioMed Central 2020-12-02 /pmc/articles/PMC7709227/ /pubmed/33261568 http://dx.doi.org/10.1186/s12887-020-02443-9 Text en © The Author(s) 2020 Open AccessThis 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/. The Creative Commons Public Domain Dedication waiver (http://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 Article Nyondo-Mipando, Alinane Linda Kinshella, Mai-Lei Woo Salimu, Sangwani Chiwaya, Brandina Chikoti, Felix Chirambo, Lusungu Mwaungulu, Ephrida Banda, Mwai Newberry, Laura Njirammadzi, Jenala Hiwa, Tamanda Vidler, Marianne Dube, Queen Molyneux, Elizabeth Mfutso-Bengo, Joseph Goldfarb, David M. Kawaza, Kondwani “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title | “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title_full | “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title_fullStr | “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title_full_unstemmed | “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title_short | “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi |
title_sort | “it brought hope and peace in my heart:” caregivers perceptions on kangaroo mother care services in malawi |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709227/ https://www.ncbi.nlm.nih.gov/pubmed/33261568 http://dx.doi.org/10.1186/s12887-020-02443-9 |
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