From: Kangaroo mother care: EN-BIRTH multi-country validation study
KMC measurement component | EN-BIRTH study sample | Description | |
---|---|---|---|
KMC contact | Total eligible population “Contact with services” (A) | Point observation - initial KMC observation | Mother-baby pairs admitted to KMC ward/corner, initial observation |
KMC continuity | Point observation - KMC position point | Regular direct clinical observation, hourly in Tanzanian sites, 12 hourly in Bangladesh and Nepal | |
Point observation - KMC feeding point | Regular direct clinical observation, hourly in Tanzanian sites, 12 hourly in Bangladesh and Nepal | ||
KMC coverage | KMC position/skin-to-skin (B) | Observation KMC initiation and point observation KMC position, register-record data extraction and exit-survey report | KMC upright/vertical position and/or skin-to-skin care from any point observation during admission to discharge |
KMC content/quality | Wearing hat (C) | Observation KMC initiation | Baby wearing hat 24 h |
KMC five position components (D) | Observation KMC initiation | 1. Upright (vertical) position 2. Skin-to-skin – newborn with caregiver’s chest 3. Legs flexed in a ‘frog position’ 4. Cheek of newborn in contact with caregiver’s chest 5. Fixed firmly to caregiver’s chest (with cloth or wrap) | |
KMC daily dose (E) | KMC baby days with ≥20 position point observations | Hours of per 24 h using point observation as proxy for 1 hour of KMC. | |
KMC regular feeding (F) | KMC baby days with ≥8 feeding point observations | Feeds per 24 h using point observation as proxy for one feed. | |
KMC supportive environment | Point observation KMC position and exit-survey report | Caregiver - mother or other family member Arrangement Pre-discharge counselling |