Evidence map›Paper›PMID 37330495›Full record

ArticleBMC pregnancy and childbirth2023

A pilot study of Kangaroo mother care in early essential newborn care in resource-limited areas of China: the facilitators and barriers to implementation.

Wen Wang, Yinghang Wang, Hanxiyue Zhang, Ge Yang, Yun Lin, Chenran Wang, Xiaona Huang, Xiaobo Tian, Angela Y Xiao, Tao Xu and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Wen WangVanke School of Public Health, Tsinghua University, Beijing, China.
Yinghang WangInstitute for Hospital Management, Tsinghua University, Guangdong, China.
Hanxiyue ZhangVanke School of Public Health, Tsinghua University, Beijing, China.
Ge YangDivision of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Yun LinNational Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Chenran WangNational Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Xiaona HuangUnited Nations Children's Fund Office for China, Beijing, China.
Xiaobo TianUnited Nations Children's Fund Office for China, Beijing, China.
Angela Y XiaoVanke School of Public Health, Tsinghua University, Beijing, China.
Tao XuNational Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China. xutao6622@chinawch.org.cn.
Kun TangVanke School of Public Health, Tsinghua University, Beijing, China. tangk@mail.tsinghua.edu.cn.
National Center for Women and Children’s Health, China CDC · CNVanke (China) · CNBeijing Hua Xin Hospital · CNGuangzhou Women and Children Medical Center · CNTsinghua University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplementation of Kangaroo Mother Care (KMC) in resource-limited areas of China may face unique barriers, such as a lack of resources, geographic location and more traditional culture among others. This qualitative study analyses the facilitators and barriers to implementing KMC in county-level health facilities in resource-limited areas of China for the promotion of KMC on a larger scale.

methodsParticipants from 4 of the 18 pilot counties where early essential newborn care was implemented through the Safe Neonatal Project and 4 control counties not enrolled in Safe Neonatal Project were selected using purposive sampling. A total of 155 participants were interviewed, including stakeholders of the Safe Neonatal Project such as national maternal health experts, relevant government officials and medical staff. Thematic analysis was used to process and analyse the interview content in order to summarise the facilitators and barriers to implementing KMC.

resultsKMC was accepted in the pilot areas but still faced certain challenges due to institutional regulation, resource provision and the perceptions of health staff, postpartum mothers and their families as well as COVID-19 prevention and control regulations. The facilitators identified were government officials and medical staff acceptance and the incorporation of KMC into routine clinical care. The barriers identified were a lack of dedicated funding and other resources, the present scope of health insurance and KMC cost-sharing mechanism, providers' knowledge and practical abilities, parental awareness, postpartum discomfort, fathers' inadequate involvement, and the impact from COVID-19.

conclusionThe Safe Neonatal Project pilot experience indicated the feasibility of implementing KMC in more areas of China. Optimising institutional regulations, providing necessary supporting resources and enhancing education and training may help to refine the implementation and scale-up of KMC practice in China.

Indexed as

Kangaroo-Mother Care MethodMothersAttitude of Health PersonnelChinaCOVID-19FemaleHealth Knowledge, Attitudes, PracticeHumansInfant, NewbornInfant, PrematurePilot ProjectsChinaEarly essential newborn careKangaroo mother careQualitative study

Identifiers

PMID37330495
PMCPMC10276515
OpenAlexW4381085636

What OpenQuestion holds

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LicenceCC BY
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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.