Evidence map›Paper›PMID 26908962›Full record

SynthesisBulletin of the World Health Organization2016

Kangaroo mother care: a systematic review of barriers and enablers.

Grace J Chan, Amy S Labar, Stephen Wall, Rifat Atun

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04908332 (Effect of a Nursing Intervention on the Mother-baby Kangaroo Interaction at Home in Bogotá), which is not on this map. Cited by 102 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 6 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.

NCT04908332 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of a Nursing Intervention on the Mother-baby Kangaroo Interaction at Home in Bogotá

TypeinterventionalSponsorUniversidad Nacional de ColombiaRan2021 to 2021Enrolled68ConditionsPremature, Low Birth Weight, Mother-Infant Interaction, Gain, WeightArmsKangaroo Baby Massage
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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42 more citing papers are in PubMed but not listed here.

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

4 authors.

Grace J ChanDepartment of Global Health and Population, Harvard TH Chan School of Public Health, 677 Huntington Street, Boston, Massachusetts, 02115, United States of America (USA).
Amy S LabarDepartment of Global Health and Population, Harvard TH Chan School of Public Health, 677 Huntington Street, Boston, Massachusetts, 02115, United States of America (USA).
Stephen WallSaving Newborn Lives, Save the Children, Washington, USA .
Rifat AtunDepartment of Global Health and Population, Harvard TH Chan School of Public Health, 677 Huntington Street, Boston, Massachusetts, 02115, United States of America (USA).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate factors influencing the adoption of kangaroo mother care in different contexts.

methodsWe searched PubMed, Embase, Scopus, Web of Science and the World Health Organization's regional databases, for studies on "kangaroo mother care" or "kangaroo care" or "skin-to-skin care" from 1 January 1960 to 19 August 2015, without language restrictions. We included programmatic reports and hand-searched references of published reviews and articles. Two independent reviewers screened articles and extracted data on carers, health system characteristics and contextual factors. We developed a conceptual model to analyse the integration of kangaroo mother care in health systems.

findingsWe screened 2875 studies and included 112 studies that contained qualitative data on implementation. Kangaroo mother care was applied in different ways in different contexts. The studies show that there are several barriers to implementing kangaroo mother care, including the need for time, social support, medical care and family acceptance. Barriers within health systems included organization, financing and service delivery. In the broad context, cultural norms influenced perceptions and the success of adoption.

conclusionKangaroo mother care is a complex intervention that is behaviour driven and includes multiple elements. Success of implementation requires high user engagement and stakeholder involvement. Future research includes designing and testing models of specific interventions to improve uptake.

Indexed as

PerceptionCultureFamily RelationsHealth EducationHumansInfantInfant MortalityKangaroo-Mother Care MethodSocial SupportSocioeconomic FactorsTime Factors

Identifiers

PMID26908962
PMCPMC4750435

What OpenQuestion holds

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Registered trials

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.