Discipline of Public Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban.
Afr J Prim Health Care Fam Med. 2021 Aug 23;13(1):e1-e15. doi: 10.4102/phcfm.v13i1.2856.
Kangaroo mother care (KMC) has been widely adopted in low-and middle-income countries (LMICs) to minimise low birthweight infants' (LBWIs) adverse outcomes. However, the burden of neonatal and child mortality remains disproportionately high in LMICs.
Thus, this scoping review sought to map evidence on the barriers, challenges and facilitators of KMC utilisation by parents of LBWIs (parent of low birthweight infant [PLBWI]) in LMICs.
We searched for studies conducted in LMICs and published in English between January 1990 and August 2020 from SciELO, Google Scholar, JSTOR, LILACS, Academic search complete, PubMed, CINAHL with full text, and Medline databases. We adopted Arksey and O'Malley's framework for conducting scoping reviews. Potential studies were exported to Endnote X7 reference management software for abstract and full article screening. Two independent reviewers did a parallel abstract and full article screening using a standardised form. The results were analysed using thematic content analysis.
We generated 22 040 studies and after duplicate removal, 42 studies were eligible for full-text screening and 22 studies, most form sub-Saharan Africa, were included in the content analysis. Eight themes emerged from the analysis: access, buy-in, co-ordination and collaboration, medical issues, motivation, social support-gender obligation and empowerment, time and timing and traditional/cultural norms.
Identifying factors affecting KMC may optimise KMC utilisation. Additional studies aiming at identifying influencing factors that affect KMC utilisation amongst PLBWIs' in LMICs need to be conducted to provide evidence-based strategies to enhance practice, inform policy and decision-makers in KMC utilisation amongst the PLBWIs in LMICs and beyond.
袋鼠式护理（KMC）已在中低收入国家（LMICs）广泛采用，以尽量减少低出生体重婴儿（LBWIs）的不良后果。然而，新生儿和儿童死亡率的负担在 LMICs 中仍然不成比例地高。
因此，本范围综述旨在绘制 LMICs 中 LBWIs 父母（低出生体重婴儿的父母[PLBWI]）利用 KMC 的障碍、挑战和促进因素的证据。
我们在 SciELO、Google Scholar、JSTOR、LILACS、Academic Search Complete、PubMed、CINAHL with full text 和 Medline 数据库中搜索了 1990 年 1 月至 2020 年 8 月在 LMICs 发表的英文研究。我们采用 Arksey 和 O'Malley 的框架进行范围综述。潜在的研究被导出到 Endnote X7 参考管理软件进行摘要和全文筛选。两名独立的审查员使用标准化表格平行进行摘要和全文筛选。结果使用主题内容分析进行分析。
我们生成了 22040 项研究，在去除重复项后，有 42 项研究符合全文筛选标准，有 22 项研究符合标准，其中大多数来自撒哈拉以南非洲，纳入了内容分析。分析中出现了八个主题：获得、认可、协调与合作、医疗问题、动机、社会支持-性别义务和赋权、时间和时机以及传统/文化规范。
确定影响 KMC 的因素可以优化 KMC 的利用。需要在 LMICs 中进行更多的研究，以确定影响 PLBWIs 中 KMC 利用的影响因素，为加强实践、为 LMICs 及其他地区 PLBWIs 中的 KMC 利用提供循证策略提供依据，为决策者提供信息。
