Doukouré Daouda, Kourouma Kadidiatou Raissa, Agbré Yacé Marie Laurette, Cissé Lassina, Some Méazieu Chantière, N'Guetta Manouan Mathilde, Lasme Ester Annick, Bayo Syntyche, Aké-Tano Sassor Odile Purifine, Sackou Kouakou Julie, Konan Kouakou Virginie
Reproductive Health Research Unit, National Institute of Public Health, Côte d'Ivoire.
Pediatric Ward, University Hospital of Treichville, Côte d'Ivoire.
J Public Health Afr. 2022 Oct 20;13(3):2165. doi: 10.4081/jphia.2022.2165. eCollection 2022 Sep 7.
Kangaroo Mother Care (KMC) is a low-tech, highimpact intervention for preterm and low-birth-weight newborns. In 2019, Côte d'Ivoire opened its first KMC unit. We wanted to determine KMC's acceptability in Côte d'Ivoire after a year.
This qualitative study used semi-structured interviews in September 2020 at the Teaching Hospital of Treichville's first KMC unit. Mothers of preterm and low birth weight babies who received KMC were studied. Deductive (TFA-driven) framework analysis was performed. Coded using Nvivo 12.
KMC was acceptable overall. Mothers knew KMC's goal and benefits, including self-confidence and breastfeeding benefits. Most women reported that the method was easy to implement and were confident in implementing KMC at the unit or in the household, even though some of them found KMC not aligned with their cultural values. Some mothers, especially housewives and self-employed, highlighted the benefits of KMC, but they must have given up.
Our study highlighted the need to increase KMC awareness, advocacy, education, and training for pregnant women and the community to reduce preterm and low birth weight infant mortality and morbidity.
袋鼠式护理（KMC）是一种针对早产和低体重新生儿的低成本、高效益的干预措施。2019年，科特迪瓦开设了首个袋鼠式护理病房。我们想在一年后确定袋鼠式护理在科特迪瓦的可接受性。
这项定性研究于2020年9月在特雷什维尔教学医院的首个袋鼠式护理病房进行，采用半结构化访谈。研究对象为接受袋鼠式护理的早产和低体重婴儿的母亲。进行了演绎（以主题框架分析为导向）框架分析，使用Nvivo 12进行编码。
总体而言，袋鼠式护理是可接受的。母亲们了解袋鼠式护理的目标和益处，包括增强自信心和对母乳喂养的好处。大多数女性表示该方法易于实施，并且对在病房或家中实施袋鼠式护理充满信心，尽管她们中的一些人发现袋鼠式护理与她们的文化价值观不符。一些母亲，尤其是家庭主妇和个体经营者，强调了袋鼠式护理的好处，但她们一定是放弃了。
我们的研究强调，有必要提高孕妇和社区对袋鼠式护理的认识、宣传、教育和培训，以降低早产和低体重婴儿的死亡率和发病率。
