School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Anesthesia, College of Health Science and Medicine, University of Gondar, Gondar, Ethiopia.
PLoS One. 2022 May 6;17(5):e0265411. doi: 10.1371/journal.pone.0265411. eCollection 2022.
Kangaroo mother care is a key procedure in reducing neonatal mortality and morbidity associated with preterm birth. In Ethiopia, neonatal death remains a serious problem, and this study aims to determine the prevalence of the knowledge, attitudes and practice of kangaroo mother care among Ethiopia women.
PubMed, Web of Science, Google Scholar, EMBASE and the Ethiopian University online library were searched. Data were extracted using Microsoft Excel and analysed using STATA statistical software (v. 11). Publication bias was checked by forest plot, Begg's rank test and Egger's regression test. To look for heterogeneity, I2 were computed and an overall estimated analysis carried out. Subgroup analysis was done by region, study setting, publication, gestational age, birth weight and component of kangaroo care. The Joanna Briggs Institute risk of bias assessment tool was used. We carried out a leave one out sensitivity analysis.
Out of 273 articles retrieved, 16 studies met the eligibility criteria and are thus included in this study. Those 16 studies had a total of 12,345 respondents who reported kangaroo mother practice, with five (comprising 1,232 participants combined) reporting that both knowledge and attitude were used to determine the overall estimation. The pooled estimates of good knowledge, positive attitude and poor practice of kangaroo mother care were found to be 64.62% (95% CI: 47.15%-82.09%; I2 = 97.8%), 61.55% (49.73%-73.38%; I2 = 94.8%) and 45.7% (95% CI: 37.23%-54.09%; I2 = 98.5%), respectively. This study is limited to postnatal women and does not take account their domestic partners or health providers.
The findings revealed significant gaps in the knowledge, attitudes and practice of kangaroo mother care in Ethiopia when compared with other developing countries. Therefore, kangaroo mother care training to women, along with further studies on domestic partners and health providers.
袋鼠式护理是降低与早产相关的新生儿死亡率和发病率的关键程序。在埃塞俄比亚，新生儿死亡仍然是一个严重的问题，本研究旨在确定埃塞俄比亚妇女对袋鼠式护理的知识、态度和实践的流行情况。
在 PubMed、Web of Science、Google Scholar、EMBASE 和埃塞俄比亚大学在线图书馆进行了搜索。使用 Microsoft Excel 提取数据，并使用 STATA 统计软件（v.11）进行分析。使用森林图、Begg 秩检验和 Egger 回归检验检查发表偏倚。为了寻找异质性，计算了 I2 并进行了总体估计分析。按地区、研究环境、出版物、胎龄、出生体重和袋鼠式护理的组成部分进行了亚组分析。使用 Joanna Briggs 研究所的偏倚风险评估工具。我们进行了一项剔除一个研究的敏感性分析。
在检索到的 273 篇文章中，有 16 项研究符合纳入标准，因此纳入本研究。这 16 项研究共有 12345 名报告了袋鼠式护理实践的受访者，其中 5 项（包括 1232 名参与者）报告同时使用知识和态度来确定总体估计。发现袋鼠式护理的良好知识、积极态度和不良实践的汇总估计分别为 64.62%（95%CI：47.15%-82.09%；I2=97.8%）、61.55%（49.73%-73.38%；I2=94.8%）和 45.7%（95%CI：37.23%-54.09%；I2=98.5%）。本研究仅限于产后妇女，没有考虑到她们的家庭伴侣或卫生提供者。
与其他发展中国家相比，埃塞俄比亚在袋鼠式护理的知识、态度和实践方面存在显著差距。因此，需要对妇女进行袋鼠式护理培训，并进一步研究家庭伴侣和卫生提供者。
