Lawal Temitayo Victor, Lawal Damilola Israel, Adeleye Oluwafemi John
Department of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.
International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, FCT, Nigeria.
PLOS Glob Public Health. 2023 Sep 12;3(9):e0002015. doi: 10.1371/journal.pgph.0002015. eCollection 2023.
Kangaroo Mother Care involves direct contact between a baby's bare skin and a caregiver, typically the mother. It has many benefits for both baby and caregiver and is often used to regulate body temperature, promote breastfeeding, enhance growth, and bonding. This study aims to explore factors associated with Kangaroo Mother Care uptake in low-resource countries for babies born with low-birth-weight. Demographic and Health Survey data from 34 low- and middle- income countries were analyzed. Cross-sectional data of 57,223 children were pooled and analyzed. Hierarchical multivariable analysis was performed to determine the factors associated with skin-to-skin contact. Statistical significance was set to 5%. The prevalence of Kangaroo Mother Care ranged from 11.04% to 84.36%; highest in Benin (84.36%), Tajikistan (80.88%), and Uganda (80.86%) and lowest in Burundi (11.04%), Bangladesh (16.58%), and Pakistan (19.24%). Higher odds of Kangaroo Mother Care were estimated among low-birth-weight infants who were put to breast immediately, had low-birth-weight (≥1.5kg), born through normal delivery, born at health facility, those whose mothers were exposed to media, had high antenatal care visits, had formal education, and in the younger age bracket. Also, women living in communities with high illiteracy, countries in the lower-middle income region had higher odds of Kangaroo Mother Care. Women domiciled in Europe and Central Asia, Sub-Saharan Africa, Latin America and The Caribbeans, and East Asia and Pacific had lower odds of Kangaroo Mother Care. This study found a low uptake of Kangaroo Mother Care in countries with limited resources, which is a concerning issue that requires urgent attention. Increasing awareness, education, and support for mothers and families to practice Kangaroo Mother Care, as well as training healthcare practitioners, can lead to better outcomes for newborns and reduce neonatal death.
袋鼠式护理是指婴儿裸露的皮肤与护理者（通常是母亲）直接接触。它对婴儿和护理者都有诸多益处，常用于调节体温、促进母乳喂养、助力生长以及增进情感联结。本研究旨在探究资源匮乏国家中，低出生体重婴儿接受袋鼠式护理的相关因素。分析了来自34个低收入和中等收入国家的人口与健康调查数据。汇总并分析了57223名儿童的横断面数据。进行分层多变量分析以确定与皮肤接触相关的因素。设定统计学显著性水平为5%。袋鼠式护理的普及率在11.04%至84.36%之间；在贝宁（84.36%）、塔吉克斯坦（80.88%）和乌干达（80.86%）最高，在布隆迪（11.04%）、孟加拉国（16.58%）和巴基斯坦（19.24%）最低。在出生体重低（≥1.5千克）、通过正常分娩出生、在医疗机构出生、母亲接触过媒体、产前检查次数多、接受过正规教育以及年龄较小的低出生体重婴儿中，接受袋鼠式护理的几率估计更高。此外，生活在文盲率高的社区的女性、低收入中等地区的国家接受袋鼠式护理的几率更高。居住在欧洲和中亚、撒哈拉以南非洲、拉丁美洲和加勒比地区以及东亚和太平洋地区的女性接受袋鼠式护理的几率较低。本研究发现，在资源有限的国家，袋鼠式护理的接受率较低，这是一个需要紧急关注的令人担忧的问题。提高对母亲和家庭实施袋鼠式护理的认识、教育和支持，以及培训医护人员，可改善新生儿结局并降低新生儿死亡率。
