학술논문
Achieving high coverage of Kangaroo mother care practice is possible: Lessons from implementation research for accelerating scale-up in Tigray Region, Ethiopia.
Document Type
Academic Journal
Author
Beyene SA; School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.; Hadush MY; Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.; Gebregizabher FA; Tigray Regional Health Bureau, Mekelle, Ethiopia.; Gebremariam DS; Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.; Asmelash T; Tigray Regional Health Bureau, Mekelle, Ethiopia.; Zelelow YB; Department of Obstetrics and Gynecology, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.; Amare SY; School of Computing, Ethiopian Institute of Technology-Mekelle, Mekelle University, Mekelle, Ethiopia.; Abay TH; Department of Pediatrics and Child Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.; Medhanyie AA; School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Source
Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE
Subject
Language
English
Abstract
Aim: To evaluate coverage of effective Kangaroo mother care (KMC) by developing a model that would result in high coverage (≥80%) of KMC for newborn weighing less than 2000 g at birth in Tigray region, Ethiopia.
Methods: The study used formative research and continuous programme learning in iterative cycles of model development and modification conducted in close collaboration with the Tigray Regional Health Bureau. Quantitative methods were used to evaluate the various models. All study facilities were enrolled simultaneously, and hospitals and health centres were considered to become KMC-providers.
Results: The final scalable model implemented in two rural districts and one special urban zone of Tigray region attained the desired objective, with coverage of effective KMC of 82.3% at discharge.
Conclusion: Achieving high coverage of KMC is possible through the design of context-specific implementation strategies. The key factors for success were the commitment and strong leadership from the regional health bureau, strong linkages within the health system and between different departments within health facilities, improved health worker knowledge, skills and attitudes, hospitals and health centres that supported KMC performance, and systematic generation and use of data for continuous quality improvement.
(© 2022 World Health Organization; licensed by Foundation Acta Paediatrica. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Methods: The study used formative research and continuous programme learning in iterative cycles of model development and modification conducted in close collaboration with the Tigray Regional Health Bureau. Quantitative methods were used to evaluate the various models. All study facilities were enrolled simultaneously, and hospitals and health centres were considered to become KMC-providers.
Results: The final scalable model implemented in two rural districts and one special urban zone of Tigray region attained the desired objective, with coverage of effective KMC of 82.3% at discharge.
Conclusion: Achieving high coverage of KMC is possible through the design of context-specific implementation strategies. The key factors for success were the commitment and strong leadership from the regional health bureau, strong linkages within the health system and between different departments within health facilities, improved health worker knowledge, skills and attitudes, hospitals and health centres that supported KMC performance, and systematic generation and use of data for continuous quality improvement.
(© 2022 World Health Organization; licensed by Foundation Acta Paediatrica. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)