ArticleGlobal health action2026
Womens' experience on barriers and facilitators for implementation with Kangaroo Mother Care at Mbarara Regional Referral Hospital, Uganda: a qualitative study.
Article in Global health action, 2026. 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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Abstract
backgroundKangaroo Mother Care (KMC) is a proven cost-effective intervention for preterm and low‑birth‑weight infants, to provide warmth and secondary health effects. In Uganda, despite a high burden of prematurity, resource constraints limit the delivery of cost-effective interventions. OBJECTIVE(S): This study aimed to identify barriers and enablers for implementing KMC, explore mothers' experience of KMC and apply the i-PARIHS framework to understand why implementation was, or was not, successful at Mbarara Regional Referral Hospital.
methodsThis study was conducted in a rural referral hospital in Uganda with semi‑structured interviews with mothers (
resultsKangaroo Mother Care was found to be largely acceptable and implemented by most participants. Barriers and facilitators were identified within the areas of i) healthcare system, social support, finances, knowledge and beliefs as well as the health of newborns and motivation. Primary barriers included insufficient healthcare facilities, lack of material resources, lack of education on KMC, and lack of adaptation to twins. Facilitators included supportive healthcare staff, learning tools, and the positive effects of KMC as motivation.
conclusionsBarriers and facilitators for Kangaroo Mother Care are multifaceted. To increase implementation for all patients, targeted interventions may need to reach beyond the hospital, addressing social and financial factors.
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