Barriers to Implementation of Facility-based Kangaroo Mother Care for Pre-term and Low Birth Weight Infants in River Nile State, Sudan; 2014
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 9, Issue 4
Abstract
Background: Prematurity and low birth weight (LBW) currently account for approximately 40% of neonatal deaths in developing countries. Objectives: To identify major factors that limit the introduction of kangaroo mother care (KMC) services in River Nile State, Sudan. Methods: A facility based qualitative cross-sectional study conducted in two hospitals (Atbara and Al-Damar hospital). A total of seven pediatricians working in these two hospitals were interviewed using semi – structured interview. Analysis: Analysis of the data was done manually. The interviewers' responses were entered into a data collection template. The data were reviewed and common themes were identified. Results: Prematurity and low birth weight were a major health problem. Respiratory distress syndrome, hypothermia and sepsis were the leading causes of death. Problems facing pediatricians when caring for the preterm were; lack of incubators, non-functioning incubators, insufficient and untrained staff especially nurses beside rapid turnover. Only two of our pediatricians had heard about KMC but all of them were willing to adopt it in their units. Lack of awareness among mothers, health staff and the community, and the community health culture were the main two obstacles to KMC implementation. Financial support, staff training and isolated wards were needed for mothers' privacy. Knowledgeable practitioners to develop evidence-based policies were important for KMC implementation. Raising awareness among mothers, health cadre especially nurses caring for mothers and their babies and the community about KMC. Conclusion: Lack of knowledge among health cadre, mother, families and community were obstacles to KMC. Awareness need to be raised.
Authors and Affiliations
Asma Abdelaal Abdalla, Eman Aljaali Hamid Muhammed Ali
Keywords
Related Articles
- EP ID EP347604
- DOI 10.9734/BJMMR/2015/18741
- Views 40
- Downloads 0
Considerations on the Lifespan from Diagnosis to Death in Alzheimer’s Disease
Background: Evolution of Alzheimer’s disease from the onset of dementia to death is estimated by different authors as lasting between a few months and 21 years. Objective: To verify whether there is an explanation for th...
Association between Major Non-communicable Diseases Risk Factors and Fasting Blood Glucose in Iran: Comparison of Two Techniques, with and Without Dichotomizing the Response
Background: Dichotomizing a continuous outcome variable is a common approach to estimate the odds ratio (OR) as a measure of association. In the present study we aimed to compare a non-dichotomizing technique with logist...
Primary HIV Infection as an Unusual Cause of Neutropenia in Crohn’s Disease: A Case Report
Although primary human immune deficiency virus (HIV) infection is a well described entity, it is frequently misdiagnosed or underdiagnosed. This has been attributed to the non-specific clinical features at presentation,...
Comparative Study between Effect of Simvastatin (5 mg/Kg) and Simvastatin (50 mg/Kg) in an Early Treatment of Experimentally Induced Colitis in Mice
Inflammatory bowel disease (IBD) (ulcerative colitis and Crohn's disease) is a chronic intestinal inflammatory disease characterized by tissue edema, increased gut epithelial permeability, and extensive infiltration of t...
Parotid Lymphoepithelial Lesions and Squamous Cell Metaplasia in Sarcoidosis
Parotid sarcoidosis is rare. We report a case in which sarcoidosis was revealed by parotid nodules. The medical history revealed cutaneo-respiratory atopia, the blood group type was O. The ultrasound examination was sugg...