Bayo Pontius, Alobo Gasthony, Feyissa Garumma Tolu, Belaid Loubna
Department of Obstetrics and Gynecology, St. Mary's Hospital Lacor, Gulu, Uganda.
Ethiopian Evidence Based Healthcare and Development Centre: a Joanna Briggs Institute Centre of Excellence.
JBI Database System Rev Implement Rep. 2019 Aug;17(8):1558-1564. doi: 10.11124/JBISRIR-2017-004027.
The objective of this review is to explore the experiences of mothers with the practice of kangaroo mother care (KMC) for preterm neonates at home in sub-Saharan Africa.
About 7000 newborn babies die every day around the world. About 80% of these deaths occur in sub-Saharan Africa and southern Asia. Preterm birth and low birth weight (LBW) are major causes of newborn deaths in these regions. Kangaroo mother care is an alternative way to care for LBW preterm neonates; however, the rate of practice remains low. Studies have identified a range of barriers, primarily at the healthcare system level, but there is a dearth of evidence on the factors and enablers at the community level.
The review will consider studies conducted in sub-Saharan Africa on the perceptions and experiences of mothers who have given birth to preterm babies and have practiced KMC at home. Qualitative studies in English and French conducted from January 1979 to the present that exclusively use qualitative research methods including, but not limited to, phenomenology, grounded theory, ethnography, action research and feminist research will be included.
PubMed, Embase, Web of Science, Scopus, African Index Medicus (AIM), Academic Search Complete, CINAHL complete, Education Source and Health source: Nursing/Academic Edition will be searched. Eligible studies will be critically appraised using the standardized Joanna Briggs Institute tool. Findings will be pooled using the meta-aggregative approach, and confidence will be assessed according to the ConQual approach.
本综述的目的是探讨撒哈拉以南非洲地区母亲在家中对早产新生儿实施袋鼠式护理（KMC）的经历。
全球每天约有7000名新生儿死亡。其中约80%的死亡发生在撒哈拉以南非洲地区和南亚。早产和低出生体重是这些地区新生儿死亡的主要原因。袋鼠式护理是照顾低出生体重早产儿的一种替代方法；然而，其实施率仍然很低。研究已经确定了一系列障碍，主要存在于医疗保健系统层面，但关于社区层面的因素和促进因素的证据却很匮乏。
本综述将考虑在撒哈拉以南非洲地区开展的、关于早产产妇在家中实施袋鼠式护理的认知和经历的研究。将纳入1979年1月至今以英文和法文进行的、专门使用定性研究方法（包括但不限于现象学、扎根理论、民族志、行动研究和女性主义研究）的定性研究。
将检索PubMed、Embase、科学网、Scopus、非洲医学索引（AIM）、学术搜索完整版、护理学与健康领域数据库完整版、教育资源数据库和健康资源库：护理/学术版。将使用标准化的乔安娜·布里格斯研究所工具对符合条件的研究进行严格评估。研究结果将采用元聚合方法进行汇总，并根据ConQual方法评估可信度。
