SynthesisHealth policy and planning2017
Barriers and enablers of kangaroo mother care implementation from a health systems perspective: a systematic review.
Synthesis in Health policy and planning, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
66 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What influences the implementation of kangaroo mother care? An umbrella review.BMC pregnancy and childbirth · 2022Pooled it
- Quality improvement initiatives for hospitalised small and sick newborns in low- and middle-income countries: a systematic review.Implementation science : IS · 2018Pooled it
- The effect of post discharge Kangaroo mother care with and without telephone advice on anthropometric indexes of preterm newborns: a randomized clinical trial.BMC pediatrics · 2025Trial
- An integrated, multidisciplinary management team intervention to improve patient-centeredness, HIV, and maternal-child outcomes in Lesotho: formative research on participatory implementation strategies.BMC health services research · 2024Trial
- Mindful Kangaroo Care: mindfulness intervention for mothers during skin-to-skin care: a randomized control pilot study.BMC pregnancy and childbirth · 2022Trial
- Trial
- Evaluation of Kangaroo mother care implementation after the DIB project in three health facilities in the central region of Cameroon.BMC pregnancy and childbirth · 2026Article
- Facilitators and challenges in the practice of skin-to-skin contact after birth: a scoping review protocol.BMJ open · 2026Article
- Implementation of optimized kangaroo care for infection prevention and control in neonatal intensive care units (NeoIPC): Protocol for the implementation elements of a multicenter parallel cluster randomized hybrid type 2 implementation-effectiveness study.Implementation science : IS · 2026Article
- Implementation of optimized kangaroo care for infection prevention and control in neonatal intensive care units (NeoIPC): Protocol for the implementation elements of a multicenter parallel cluster randomized hybrid type 2 implementation-effectiveness study.Implementation science : IS · 2026Article
- Kangaroo Care on High-Frequency Jet Ventilation: Overcoming Perceived Barriers in Micro Preemies with Birth Weights Less than 750 Grams.Children (Basel, Switzerland) · 2026Article
- Parental knowledge and experience of kangaroo care for preterm infants in neonatal intensive care unit: a qualitative study.Frontiers in public health · 2026Article
- Evaluating healthcare professionals' readiness for community-based kangaroo mother care in resource-limited setting.PloS one · 2026Article
- Facilitators and barriers to parental involvement in neonatal pain management in the NICU: a scoping review.BMJ open · 2025Article
- Predictors of Knowledge, Attitude, and Practice of Kangaroo Mother Care Among Mothers in a Ghanaian Tertiary Care Center.International journal of pediatrics · 2025Article
- Article
- Barriers and facilitators to the implementation of the kangaroo mother care in NICUs of high-income and low- and middle-income countries: a scoping review.Frontiers in public health · 2025Review
- 'Counselling is the only thing to do': healthcare providers' experience of Kangaroo Mother Care in Bangladesh - a qualitative study.BMJ public health · 2024Article
- Inpatient Skin-to-skin Care Predicts 12-Month Neurodevelopmental Outcomes in Very Preterm Infants.The Journal of pediatrics · 2024Article
- Maternity care practices supportive of breastfeeding in U.S. advanced neonatal care units, United States, 2022.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Kangaroo Mother Care (KMC) is an evidence-based intervention that reduces neonatal morbidity and mortality. However, adoption among health systems has varied. Understanding the interaction between health system functions-leadership, financing, healthcare workers (HCWs), technologies, information and research, and service delivery-and KMC is essential to understanding KMC adoption. We present a systematic review of the barriers and enablers of KMC implementation from the perspective of health systems, with a focus on HCWs and health facilities. Using the search terms 'kangaroo mother care', 'skin to skin (STS) care' and 'kangaroo care', we searched Embase, Scopus, Web of Science, Pubmed, and World Health Organization Regional Databases. Reports and hand searched references from publications were also included. Screening and data abstraction were conducted by two independent reviewers using standardized forms. A conceptual model to assess KMC adoption themes was developed using NVivo software. Our search strategy yielded 2875 studies. We included 86 studies with qualitative data on KMC implementation from the perspective of HCWs and/or facilities. Six themes emerged on barriers and enablers to KMC adoption: buy-in and bonding; social support; time; medical concerns; training; and cultural norms. Analysis of interactions between HCWs and facilities yielded further barriers and enablers in the areas of training, communication, and support. HCWs and health facilities serve as two important adopters of Kangaroo Mother Care within a health system. The complex components of KMC lead to multifaceted barriers and enablers to integration, which inform facility, regional, and country-level recommendations for increasing adoption. Further research of methods to promote context-specific adoption of KMC at the health systems level is needed.
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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.