Scaling up kangaroo mother care in the Philippines using policy, regulatory and systems reform to drive changes in birth practices. Calibo, A. P., De Leon Mendoza, S., Silvestre, M. A., Murray, J. C. S., Li, Z., Mannava, P., Kitong, J., Quiazon, M. B., & Sobel, H. L. BMJ global health, August, 2021. Place: Englanddoi abstract bibtex The WHO recommends kangaroo mother care (KMC) for stable preterm and low birthweight babies because it has been demonstrated to reduce mortality by up to half compared with conventional incubator-based care. Uptake of KMC in low/middle-income countries has been limited, despite its suitability for low-resource environments. This paper reviews factors that contributed to the adoption and expansion of KMC in the Philippines. Early introduction began in 1999 but national scale-up was slow until 2014 after which a significant improvement in national adoption was observed. The proportion of target hospitals implementing KMC rose from 3% to 43% between 2014 and 2019, with 53% of preterm and low birthweight babies receiving KMC by the end of this period. Expansion was led by the government which committed resources and formed partnerships with development partners and non-governmental organisations. Scale-up of KMC was built on the introduction of evidence-based newborn care practices around birth. Practice changes were promoted and supported by consensus-based policy, protocol, regulatory and health insurance changes led by multidisciplinary teams. A new approach to changing and sustaining clinical practice used hospital teams to conduct on-the-job clinical coaching and use local data to make environmental changes to support practices. Institutionalisation of early skin-to-skin contact, non-separation of mother and newborn and early initiation of exclusive breast feeding, with increased responsibility given to mothers, drove a cultural change among staff and families which allowed greater acceptance and uptake of KMC. Financial and programmatic support must be sustained and expanded to address ongoing challenges including staffing gaps, available space for KMC, willingness of some staff to adopt new practices and lack of resources for clinical coaching and follow-up.
@article{calibo_scaling_2021,
title = {Scaling up kangaroo mother care in the {Philippines} using policy, regulatory and systems reform to drive changes in birth practices.},
volume = {6},
copyright = {© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.},
issn = {2059-7908},
doi = {10.1136/bmjgh-2021-006492},
abstract = {The WHO recommends kangaroo mother care (KMC) for stable preterm and low birthweight babies because it has been demonstrated to reduce mortality by up to half compared with conventional incubator-based care. Uptake of KMC in low/middle-income countries has been limited, despite its suitability for low-resource environments. This paper reviews factors that contributed to the adoption and expansion of KMC in the Philippines. Early introduction began in 1999 but national scale-up was slow until 2014 after which a significant improvement in national adoption was observed. The proportion of target hospitals implementing KMC rose from 3\% to 43\% between 2014 and 2019, with 53\% of preterm and low birthweight babies receiving KMC by the end of this period. Expansion was led by the government which committed resources and formed partnerships with development partners and non-governmental organisations. Scale-up of KMC was built on the introduction of evidence-based newborn care practices around birth. Practice changes were promoted and supported by consensus-based policy, protocol, regulatory and health insurance changes led by multidisciplinary teams. A new approach to changing and sustaining clinical practice used hospital teams to conduct on-the-job clinical coaching and use local data to make environmental changes to support practices. Institutionalisation of early skin-to-skin contact, non-separation of mother and newborn and early initiation of exclusive breast feeding, with increased responsibility given to mothers, drove a cultural change among staff and families which allowed greater acceptance and uptake of KMC. Financial and programmatic support must be sustained and expanded to address ongoing challenges including staffing gaps, available space for KMC, willingness of some staff to adopt new practices and lack of resources for clinical coaching and follow-up.},
language = {eng},
number = {8},
journal = {BMJ global health},
author = {Calibo, Anthony Pascual and De Leon Mendoza, Socorro and Silvestre, Maria Asuncion and Murray, John Charles Scott and Li, Zhao and Mannava, Priya and Kitong, Jacqueline and Quiazon, Mark Benjamin and Sobel, Howard Lawrence},
month = aug,
year = {2021},
pmid = {34417273},
pmcid = {PMC8381328},
note = {Place: England},
keywords = {*Kangaroo-Mother Care Method, Child, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Philippines, Policy, child health, health policy, health systems, public health},
}
Downloads: 0
{"_id":"sx928tsFXsJSrTFPy","bibbaseid":"calibo-deleonmendoza-silvestre-murray-li-mannava-kitong-quiazon-etal-scalingupkangaroomothercareinthephilippinesusingpolicyregulatoryandsystemsreformtodrivechangesinbirthpractices-2021","author_short":["Calibo, A. P.","De Leon Mendoza, S.","Silvestre, M. A.","Murray, J. C. S.","Li, Z.","Mannava, P.","Kitong, J.","Quiazon, M. B.","Sobel, H. L."],"bibdata":{"bibtype":"article","type":"article","title":"Scaling up kangaroo mother care in the Philippines using policy, regulatory and systems reform to drive changes in birth practices.","volume":"6","copyright":"© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.","issn":"2059-7908","doi":"10.1136/bmjgh-2021-006492","abstract":"The WHO recommends kangaroo mother care (KMC) for stable preterm and low birthweight babies because it has been demonstrated to reduce mortality by up to half compared with conventional incubator-based care. Uptake of KMC in low/middle-income countries has been limited, despite its suitability for low-resource environments. This paper reviews factors that contributed to the adoption and expansion of KMC in the Philippines. Early introduction began in 1999 but national scale-up was slow until 2014 after which a significant improvement in national adoption was observed. The proportion of target hospitals implementing KMC rose from 3% to 43% between 2014 and 2019, with 53% of preterm and low birthweight babies receiving KMC by the end of this period. Expansion was led by the government which committed resources and formed partnerships with development partners and non-governmental organisations. Scale-up of KMC was built on the introduction of evidence-based newborn care practices around birth. Practice changes were promoted and supported by consensus-based policy, protocol, regulatory and health insurance changes led by multidisciplinary teams. A new approach to changing and sustaining clinical practice used hospital teams to conduct on-the-job clinical coaching and use local data to make environmental changes to support practices. Institutionalisation of early skin-to-skin contact, non-separation of mother and newborn and early initiation of exclusive breast feeding, with increased responsibility given to mothers, drove a cultural change among staff and families which allowed greater acceptance and uptake of KMC. Financial and programmatic support must be sustained and expanded to address ongoing challenges including staffing gaps, available space for KMC, willingness of some staff to adopt new practices and lack of resources for clinical coaching and follow-up.","language":"eng","number":"8","journal":"BMJ global health","author":[{"propositions":[],"lastnames":["Calibo"],"firstnames":["Anthony","Pascual"],"suffixes":[]},{"propositions":[],"lastnames":["De","Leon","Mendoza"],"firstnames":["Socorro"],"suffixes":[]},{"propositions":[],"lastnames":["Silvestre"],"firstnames":["Maria","Asuncion"],"suffixes":[]},{"propositions":[],"lastnames":["Murray"],"firstnames":["John","Charles","Scott"],"suffixes":[]},{"propositions":[],"lastnames":["Li"],"firstnames":["Zhao"],"suffixes":[]},{"propositions":[],"lastnames":["Mannava"],"firstnames":["Priya"],"suffixes":[]},{"propositions":[],"lastnames":["Kitong"],"firstnames":["Jacqueline"],"suffixes":[]},{"propositions":[],"lastnames":["Quiazon"],"firstnames":["Mark","Benjamin"],"suffixes":[]},{"propositions":[],"lastnames":["Sobel"],"firstnames":["Howard","Lawrence"],"suffixes":[]}],"month":"August","year":"2021","pmid":"34417273","pmcid":"PMC8381328","note":"Place: England","keywords":"*Kangaroo-Mother Care Method, Child, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Philippines, Policy, child health, health policy, health systems, public health","bibtex":"@article{calibo_scaling_2021,\n\ttitle = {Scaling up kangaroo mother care in the {Philippines} using policy, regulatory and systems reform to drive changes in birth practices.},\n\tvolume = {6},\n\tcopyright = {© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.},\n\tissn = {2059-7908},\n\tdoi = {10.1136/bmjgh-2021-006492},\n\tabstract = {The WHO recommends kangaroo mother care (KMC) for stable preterm and low birthweight babies because it has been demonstrated to reduce mortality by up to half compared with conventional incubator-based care. Uptake of KMC in low/middle-income countries has been limited, despite its suitability for low-resource environments. This paper reviews factors that contributed to the adoption and expansion of KMC in the Philippines. Early introduction began in 1999 but national scale-up was slow until 2014 after which a significant improvement in national adoption was observed. The proportion of target hospitals implementing KMC rose from 3\\% to 43\\% between 2014 and 2019, with 53\\% of preterm and low birthweight babies receiving KMC by the end of this period. Expansion was led by the government which committed resources and formed partnerships with development partners and non-governmental organisations. Scale-up of KMC was built on the introduction of evidence-based newborn care practices around birth. Practice changes were promoted and supported by consensus-based policy, protocol, regulatory and health insurance changes led by multidisciplinary teams. A new approach to changing and sustaining clinical practice used hospital teams to conduct on-the-job clinical coaching and use local data to make environmental changes to support practices. Institutionalisation of early skin-to-skin contact, non-separation of mother and newborn and early initiation of exclusive breast feeding, with increased responsibility given to mothers, drove a cultural change among staff and families which allowed greater acceptance and uptake of KMC. Financial and programmatic support must be sustained and expanded to address ongoing challenges including staffing gaps, available space for KMC, willingness of some staff to adopt new practices and lack of resources for clinical coaching and follow-up.},\n\tlanguage = {eng},\n\tnumber = {8},\n\tjournal = {BMJ global health},\n\tauthor = {Calibo, Anthony Pascual and De Leon Mendoza, Socorro and Silvestre, Maria Asuncion and Murray, John Charles Scott and Li, Zhao and Mannava, Priya and Kitong, Jacqueline and Quiazon, Mark Benjamin and Sobel, Howard Lawrence},\n\tmonth = aug,\n\tyear = {2021},\n\tpmid = {34417273},\n\tpmcid = {PMC8381328},\n\tnote = {Place: England},\n\tkeywords = {*Kangaroo-Mother Care Method, Child, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Philippines, Policy, child health, health policy, health systems, public health},\n}\n\n\n\n","author_short":["Calibo, A. P.","De Leon Mendoza, S.","Silvestre, M. A.","Murray, J. C. S.","Li, Z.","Mannava, P.","Kitong, J.","Quiazon, M. B.","Sobel, H. L."],"key":"calibo_scaling_2021","id":"calibo_scaling_2021","bibbaseid":"calibo-deleonmendoza-silvestre-murray-li-mannava-kitong-quiazon-etal-scalingupkangaroomothercareinthephilippinesusingpolicyregulatoryandsystemsreformtodrivechangesinbirthpractices-2021","role":"author","urls":{},"keyword":["*Kangaroo-Mother Care Method","Child","Humans","Infant","Infant","Low Birth Weight","Infant","Newborn","Philippines","Policy","child health","health policy","health systems","public health"],"metadata":{"authorlinks":{}},"downloads":0,"html":""},"bibtype":"article","biburl":"https://bibbase.org/zotero/santiagovasco","dataSources":["n5uPHsZiAv5z5yaHr"],"keywords":["*kangaroo-mother care method","child","humans","infant","infant","low birth weight","infant","newborn","philippines","policy","child health","health policy","health systems","public health"],"search_terms":["scaling","kangaroo","mother","care","philippines","using","policy","regulatory","systems","reform","drive","changes","birth","practices","calibo","de leon mendoza","silvestre","murray","li","mannava","kitong","quiazon","sobel"],"title":"Scaling up kangaroo mother care in the Philippines using policy, regulatory and systems reform to drive changes in birth practices.","year":2021}