Kangaroo Mother Care - MCHIP

1.3 RATIONALE FOR FACILITY-BASED KANGAROO MOTHER CARE
SERVICES
Facility-based KMC is an underutilized, affordable and effective method suited for all
premature and LBW babies, particularly those in the developing world, where need is great and
resources scarce. The current evidence proves that facility-based care works. For these reasons,
this KMC Implementation Guide focuses specifically on the introduction and expansion of KMC
services in health facilities.
Many LBW babies who are delivered in health facilities do not have access to incubator care or
are cared for by ineffective, makeshift and even dangerous thermal contraptions—another
argument for the use of KMC over incubator care in facilities. If KMC can be provided early
(i.e., SSC at birth), a significant proportion of LBW babies born in facilities could be saved.
Once KMC is accepted by health facilities and medical professionals, it will be easier to extend
the approach to the community, where KMC has the potential to reach numerous LBW babies.
Therefore, it is important to have well-functioning facility-based services available before
introducing KMC in the community, as community KMC must link with facility-based services
for successful implementation. Community health workers and staff in facilities without KMC
units should also be trained on KMC benefits and positioning, if not the full package of care.
(See Figure 3.) (Despite the potential benefits, there is currently insufficient evidence for
scaling up community KMC.)
Community support for mothers practicing KMC, which is crucial for success, has been
identified as a weak link in current programs (Charpak and Ruiz-Pelaez 2006). To strengthen
this weakness, facility-based KMC services should incorporate a community sensitization
component with their programs (see Chapter 6), and explore innovative ways to link with
community-based health initiatives.
Figure 3. Types of Kangaroo Mother Care/skin-to-skin contact
Source: Dr. Indira Narayanan
Kangaroo Mother Care Implementation Guide 7