Implementation at Scale and Evaluation of KMC (Kangaroo Mother Care)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,500
- 试验地点
- 2
- 主要终点
- Number of infants having birth weight of 2000 grams received Kangaroo Mother Care (KMC)
研究概览
简要总结
The goal of this quasi-experimental study design is to look at feasibility and document the process and challenges of implementing KMC at scale in district Sanghar (Sindh) and Lasbella (Balochistan)
. The main question it aims to answer are:
- Does the KMC is feasible to be implemented in rural areas?
- What is the process and challenges in implementing KMC in rural areas?
- Pregnancy surveillance is going in the secondary level care hospitals and in its catchment population. Recruitment of babies is carried who are low birth weight (less than 2000grams).
- Mothers taught to administer KMC by physician and nursing /LHV staff in the facility within first 6 hours after delivery and continue till the mother and baby are discharged by trained facility KMC management team.
- After training and administration of KMC at facility for 72 hours, the mother and baby pair discharged and followed up at home by the team including project-based data collector and respective LHWs.
- KMC Champions are in development for community mobilization and conducting sessions at village level.
- We will compare pre and post intervention change in practices at facility level and at individual level of household and assess the KMC coverage.
详细描述
KMC Implementation
Pre KMC-Implementation phase (Community) Birth weight of all newborns in selected facilities and home will be captured by trained lady health workers (LHW)/community health workers (CHW) with digital scales. LHW/CHW will refer all 2000 g or less newborns to facilities for KMC. LHWs will create community awareness and engagement to support and accept referral of newborns for KMC through Village Health committee members (VHC) and by approaching existing women support groups formed by LHWs during phase 1 of the project.
KMC Implementing Facilities
Training of Staff A total of 40 facility-based health care providers and 400 community-based workers including LHWs/ LHVs in Sanghar and Lasbela will receive a three-day training session on KMC & Essential newborn care followed by a one-day training on DHIS data record keeping.
KMC Facilities Preparation: Sustainable Provision of KMC and Essential Commodities/supplies Spaces already present within the selected facilities will be identified to serve as KMC rooms (curtained/ partitioned areas, toilets), so mothers can stay with their babies. Facilities will contain essential equipment for maternal and newborn care such as ambu bags, weighing scales for newborns, KMC packs, infant heaters, oxygen supply systems and pulse oximeters.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 30 Minutes 至 42 Days（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Baby weighing between ≥1200 to <2000grams
排除标准
- •Well small baby; less than 1200 grams
- •Baby more than 2000g
- •Danger signs such as
- •Severe infections
- •Congenital malformation
结局指标
主要结局
Number of infants having birth weight of 2000 grams received Kangaroo Mother Care (KMC)
时间窗: Through study completion, average 2 years
Low Birth weight (\<2000grams) infants enrolled and received at the implementation sites (secondary level care hospitals and their catchment population) in two districts
次要结局
- Increase in exposure to KMC priming interactions in the antenatal period(Through study completion, average 2 years)
- Number of infants received early Initiation and Exclusive breast feeding(Through study completion, average 2 years)
- Proportion of the health facilities providing KMC services(Through study completion, average 2 years)
研究者
Dr Zulfiqar Ahmed Bhutta
Distinguish Professor
Aga Khan University