ArticleBMC health services research2025
The challenging road to sustainable kangaroo mother care practice and service: reflections from a South African health district.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Evaluating healthcare professionals' readiness for community-based kangaroo mother care in resource-limited setting.PloS one · 2026Article
- Exploring factors influencing the uptake of Kangaroo mother care: key informant interviews with healthcare workers.BMC pregnancy and childbirth · 2025Article
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKangaroo mother care (KMC) was introduced in the Tshwane Health District in South Africa in 1999. After more than two decades of the expansion of KMC services, we describe the KMC implementation trajectory in the district.
methodsA group of district clinical specialists, clinicians and academics involved in KMC implementation wrote a reflection on the status of KMC in Tshwane District and lessons for sustaining KMC services and practice.
resultsThe KMC implementation trajectory is described according to three phases: (1) a slow start (1999-2012); (2) consolidation (2012-2023); and (3) sustaining KMC beyond the COVID-19 pandemic. The Tshwane KMC programme activities are interpreted using a 10-component model for scaling up care for small and/or sick newborns at the district level. Major lessons for the sustainability of KMC practice and service include embedding system-wide supportive supervision in the health system's budget, encouraging multidisciplinary teamwork, conducting regular KMC refresher activities, and working on improving data to enable meaningful action.
conclusionDespite great strides in KMC implementation and ongoing services in the Tshwane Health District, the road to continued sustainability remains challenging.
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