Barriers to Implementation of Facility-based Kangaroo Mother Care for Pre-term and Low Birth Weight Infants in River Nile State, Sudan; 2014 | Chapter 08 | New Insights into Disease and Pathogen Research Vol. 2
Background:
Prematurity and low birth weight (LBW) currently account for approximately 40%
of neonatal deaths in developing countries.
Objectives: To identify major
factors that limit the introduction of kangaroo mother care (KMC) services in
River Nile State, Sudan.
Methods: A facility based
qualitative cross-sectional study conducted in two hospitals (Atbara and
Al-Damar hospital). A total of seven pediatricians working in these two
hospitals were interviewed using semi – structured interview.
Analysis: Analysis of the data was
done manually. The interviewers' responses were entered into a data collection
template. The data were reviewed and common themes were identified.
Results: Prematurity and low birth
weight were a major health problem. Respiratory distress syndrome, hypothermia
and sepsis were the leading causes of death. Problems facing pediatricians when
caring for the preterm were; lack of incubators, non-functioning incubators,
insufficient and untrained staff especially nurses beside rapid turnover. Only
two of our pediatricians had heard about KMC but all of them were willing to
adopt it in their units. Lack of awareness among mothers, health staff and the
community, and the community health culture were the main two obstacles to KMC
implementation. Financial support, staff training and isolated wards were
needed for mothers' privacy. Knowledgeable practitioners to develop
evidence-based policies were important for KMC implementation. Raising
awareness among mothers, health cadre especially nurses caring for mothers and
their babies and the community about KMC.
Conclusion: Lack of knowledge among
health cadre, mother, families and community were obstacles to KMC. Awareness
need to be raised.
Author(s) Details
Dr. Asma Abdelaal Abdalla
Department of Community
Medicine, Faculty of Medicine, University of Khartoum, Sudan.
Dr. Eman Aljaali Hamid
Muhammed Ali
Department of Community
Medicine, Faculty of Medicine, University of Khartoum, Sudan.
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