Department of Paediatrics andrnChild Health Faculty of Health Sciences University of Nairobi
The aim of this study was to evaluaternimplementation of KMC practices at a level 4 facility in Kenya.
A cross-sectional study design was used to evaluate KMC practices at Bungoma County referralrnhospital newborn unit. Health care worker and mother were involved in the survey to assessrnaspects of KMC including availability of policy documents infrastructure human resource thernactual skin-to-skin practice nutrition documentation and reporting strengths and challenges.rnAvailable three years data was analyzed to assess the utilization of KMC.
The implementation of KMC began in October 2014. The facility had a newborn unit with arnroom designated for KMC with 9 heath care workers who supported mothers to practiserncontinuous KMC. All the 10 KMC beds were occupied during the survey. Mothers had goodrnknowledge on benefits of KMC and they reported having been taught during the admission inrnNBU. The facility had 3 incubators and only two of them were functional five phototherapyrnmachines and two continuous positive airway pressure machines.rnThe strong stakeholder involvement at the inception of KMC presence of nurse champions andrnavailability of a KMC room with beds were their strengths whereas staff shortage lack ofrncomprehensive KMC training and poor resource allocation were the main challenges to thernimplementation of KMC.rnA review of three years data revealed that a total of 3738 infants were admitted to the new bornrnunit out of whom 1572 42 had low birth weight. A total of 1094 29.3 babies had birth. weight less than 2000g of whom 1083 99 were reported to have been managed with KMC.rnAmong infants born weighing less than 2000g 551 44 had a length of stay more than 21 daysrn330 28 stayed between 7-21 days and 356 28 stayed less 7 days.rnThe crude mortality rate for infants with birth weight less than 2000g admitted to the newbornrnunit over the last three years was 36 n454 whereas the mortality for infants with birthrnweight more than 2000g was 16 n384.
The implementation of facility based KMC practices in BCRH was being done in accordance tornthe Kenya KMC implementation guide.rnAll the components of Kangaroo mother care were being well implemented except forrndocumentation of intermittent KMC.rnThere was a ninety nine percent utilization of KMC services by low infant birth weight infantsrnborn weighing less than 2000g.rnStaff training and community follow up of infants discharged from KMC ward was still arnchallenge.
Publication Information
Focus County(s):
Bungoma County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
maternal Health
Document History:
Publication Date: 15.Jun.2022
Conference Title: