Evidence map›Paper›PMID 40048468›Full record

ArticlePloS one2025

An exploration of the support received by mothers for kangaroo mother care practice along the health facility-community continuum in a sub-district of Northern Karnataka, India.

Maryann Washington, Leah Macaden, Prem K Mony, Sumithra Selvam, Annetta Smith

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Maryann WashingtonDivision of Epidemiology & Population Health, St John's Research Institute, Bangalore, India.
Leah MacadenNursing Studies, School of Health in Social Science, The University of Edinburgh, Edinburgh, Scotland, United Kingdom.ORCID https://orcid.org/0000-0002-2680-6462
Prem K MonyDivision of Epidemiology & Population Health, St John's Research Institute, Bangalore, India.
Sumithra SelvamDivision of Biostatistics, St John's Research Institute, Bangalore, India.
Annetta SmithUniversity of the Highlands and Islands, Scotland, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly initiation with optimal duration of Kangaroo Mother Care (KMC), for all stable small babies (<2000grams at birth), is essential for accelerated reduction of neonatal mortality. The purpose of this paper is to explore the support received by mothers along the health facility-community continuum and its association with KMC practice.

methodsAll live small babies aged >  4 weeks of life, who were residing in the Gangawati sub-district, were recruited on a rolling basis (Dec 2017-Sept 2018) to obtain the estimated sample size of 210. Mother-baby dyads were visited in their homes to collect information [knowledge, attitude, and support received] for KMC initiation and maintenance till required. Secondary data on KMC duration was obtained from the district-wide project database.

resultsA total of 209 mothers with 227 small babies were interviewed (18 had twins). The mothers had a mean age of 23 (±4) years; and 7(±5) years of education, with 5 (±2) family members >  18 years in their households. More than half (51%) of the babies were female with a mean age of 35.6 (±7.5)days/ 4-6weeks and mean birth weight of 1693.6 (±221.4)grams irrespective of gestational age; 21.6% of whom were ≤ 1500g at birth. Most of the babies 205 (90.3%) were initiated on KMC at the health facility. The score obtained for KMC initiation [45%} and KMC maintenance support at the health facility [51.3%] was minimal. Multiple regression linear analysis showed that overall KMC support at the health facility was significantly higher for first-time mothers [β coefficient -1.54 (95% CI -2.87, -0.22)] and better knowledge scores on KMC [β coefficient 0.21 (05% CI 0.01, 0.42)]. KMC maintenance support was significantly higher for first-time mothers [β coeff -3.62 (95% CI -6.29, -0.96)] and for mothers whose babies had lower birth weights [β coeff -4.27 (95% CI -7.50, -1.05)].

conclusionMothers require support to initiate and continue KMC along the health facility-community continuum (S1 Table). The role of support at home would require further exploration to determine its association with KMC practice.

Indexed as

Kangaroo-Mother Care MethodMothersAdultFemaleHealth FacilitiesHealth Knowledge, Attitudes, PracticeHumansIndiaInfantInfant, NewbornMaleYoung Adult

Identifiers

PMID40048468
PMCPMC11884690

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