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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