Skip to main content

Table 1 Definition of terms for KMC sample and measurement, EN-BIRTH study

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

  1. (A) (B) (C) (D) (E) (F) refer to columns in Fig. 4