Evidence map›Paper›PMID 23966740›Full record

ArticleGhana medical journal2013

Progress with the implementation of kangaroo mother care in four regions in Ghana.

A-M Bergh, R Manu, K Davy, E Van Rooyen, G Quansah Asare, Jk Awoonor-Williams, M Dedzo, A Twumasi, A Nang-Beifubah

Abstract read
In one paragraph

Article in Ghana medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Kangaroo mother care: a systematic review of barriers and enablers.Bulletin of the World Health Organization · 2016
    Pooled it
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  16. Availability and Quality of Emergency Obstetric and Newborn Care in Bangladesh.The American journal of tropical medicine and hygiene · 2016
    Article
  17. Understanding kangaroo care and its benefits to preterm infants.Pediatric health, medicine and therapeutics · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

A-M BerghMRC Unit for Maternal and Infant Health Care Strategies, University of Pretoria, South Africa. anne-marie.bergh@up.ac.za
R Manu
K Davy
E Van Rooyen
G Quansah Asare
Jk Awoonor-Williams
M Dedzo
A Twumasi
A Nang-Beifubah

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo measure progress with the implementation of kangaroo mother care (KMC) for low birth-weight (LBW) infants at a health systems level.

designAction research design, with district and regional hospitals as the unit of analysis.

settingFour regions in Ghana, identified by the Ghana Health Service and UNICEF.

participantsHealth workers and officials, health care facilities and districts in the four regions.

interventionA one-year implementation programme with three phases: (1) introduction to KMC, skills development in KMC practice and the management of implementation; (2) advanced skills development for regional steering committee members; and (3) an assessment of progress at the end of the intervention.

main outcome measuresDescription of practices, services and facilities for KMC and the identification of strengths and challenges.

resultsTwenty-six of 38 hospitals (68%) demonstrated sufficient progress with KMC implementation. Half of the hospitals had designated a special ward for KMC. 66% of hospitals used a special record for infants receiving KMC. Two of the main challenges were lack of support for mothers who had to remain with their LBW infants in hospital and no follow-up review services for LBW infants in 39% of hospitals.

conclusionsIt was possible to roll out KMC in Ghana, but further support for the regions is needed to maintain the momentum. Lessons learned from this project could inform further scale-up of KMC and other projects in Ghana.

Indexed as

Program DevelopmentProgram EvaluationGhanaHospitalsHumansInfant, Low Birth WeightInfant, NewbornInservice TrainingKangaroo-Mother Care MethodLength of StayOrganizational PolicyPatient DischargePersonnel Staffing and SchedulingPractice Guidelines as TopicevaluationGhanaimplementationkangaroo mother carepremature infant

Identifiers

PMID23966740
PMCPMC3743115

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.