Determinants of Implementation of Kangaroo Mother Care Services among Healthcare Workers in Makueni County Kenya
Kangaroo Mother Care KMC entails infants and mothers having constant skin-to-skin contact. KMC is done in the hospital after delivery to preterm infants or after early discharge. Mothers or caregivers are sensitized on proper positioning breastfeeding hygiene and preventive measures to protect infants from infections. Proper follow-up is critical to ensure effective results are achieved. The use of KMC was endorsed by the World Health Organization WHO as routine care for preterm infants with a birth weight of 2000 grams especially the clinically stable infants. This recommendation was based on the available moderate-quality evidence that it works by providing warmth thermal care and increasing breastfeeding opportunities irrespective of setting birth weight or gestational age. Also KMC has been strongly acclaimed and used as a natural thermoregulator infection prevention and nutrition for preterm infants which are critical for physiological functions that are strongly affected by physical immaturity. Although this technique offers quality care to these babies its implementation is low. There is a need to determine the suitable methods to improve its implementation in Kenyas healthcare facilities.
This study aimed to determine factors influencing the implementation of KMC in Makueni County health facilities.
The study was conducted in maternity units of six sub-county hospitals Makueni county referral hospital Makindu sub-county hospital Kibwezi sub-county hospital Mbooni sub-county hospital Kilungu sub-county hospital and Sultan-Hamud sub-county hospital in Makueni County. Cross-sectional study design with mixed methods was used. Semi-structured questionnaires and KMC checklist were filled by the researcher and research assistants. The convenience sampling technique was carried out and 90 healthcare providers and 6 Key Informants were interviewed. Data was analyzed using version 23 of a statistical package for social sciences using descriptive and inferential statistics.
The study results reveal that young health care providers portrayed better KMC implementation compared to the old r-.210 p0.047. In relation to gender female health care providers had better KMC implementation compared to the male r -.290 p0.006.Knowledge r.282 p0.007 and health workers perception of KMC r.245 p0.02 had a positive and significant relationship with implementing KMC. Perception 1.149 p0.05 and funds 0.958 p0.05 had a positive and significant effect on implementing KMC. R squared indicated that jointly age gender perception and budget accounted for 29.4 of the overall variation in the KMC implementation. Results demonstrated a high level of KMC 33.3 implementation among the health facilities
The study concluded that funds and collaboration had a positive and significant effect on implementing KMC.
Publication Information
Focus County(s):
Makueni County
Programme Area(s):
Public Health & Health Research Systems
Research Priority Area(s):
Disease Domain(s):
Services delivery-maternal and child health
Document History:
Publication Date: 19.Apr.2023
Conference Title: