Kangaroo Mother Care: A review of mothers׳'experiences at Bwaila hospital and Zomba Central hospital (Malawi).

BACKGROUND

Kangaroo Mother Care is an intervention that can help reduce neonatal mortality rate in Malawi but it has not been rolled out to all health facilities. Understanding the mothers׳ experience would help strategise when scaling-up this intervention.

OBJECTIVE

to review experiences of mothers Kangaroo Mother Care at two hospitals of Bwaila and Zomba.

DESIGN

quantitative, descriptive using open interviews.

SETTING

two central hospitals in Malawi.

PARTICIPANTS

113 mothers that were in the Kangaroo Mother Care unit and those that had come for follow-up two weeks after discharge before the study took place.

FINDINGS

mothers had high level of knowledge about the significant benefits of Kangaroo Mother Care but 84% were not aware of the services prior to their hospitalisation. 18.6% (n=19) were not counselled prior to KMC practice. Mothers preferred KMC to incubator care. There were factors affecting compliance and continuation of KMC, which were lack of support, culture, lack of assistance with skin-to-skin contact, multiple roles of the mother and stigma.

KEY CONCLUSIONS

mothers had a positive attitude towards KMC once fully aware of its benefits.

IMPLICATIONS FOR PRACTICE

there is need for awareness campaigns on KMC services, provision of counselling, support and assistance which can help motivate mothers and their families to comply with the guidelines of KMC services.