Implementation Research on Scaling up Kangaroo Mother Care (KMC)

NCT03098069 | Completed

• 1 other identifier: ERC.0002716
• Study Type: observational
• Target: 911
• Locations: 1 country
• Sites: 1

Brief Summary

This implementation research aims to accelerate effective and high coverage of Kangaroo Mother Care in district Sonipat in the state of Haryana, India. The project is being led by government of Haryana. KMC units will be set up in selected government and private delivery facilities. KMC will be initiated for all babies with birth weight less than 2000 gm in the facilities (either in born or referred from elsewhere) and continued at home post discharge. These babies may be either born in the facility or referred to the facility. A linkage with community health workers will be established to support mothers to continue KMC at home.

Conditions

Low Birth Weight Babies; Kangaroo Mother Care Scale up

Keywords

Kangaroo Mother Care; Low Birth Weight; Implementation research

Outcome Measures

Primary Outcomes (2)

• Effective coverage of KMC at discharge from hospital

  Proportion of babies who weighed less than 2000g at birth and got KMC for atleast 8 hours and were exclusively breastfed in the last 24 hours, assessed at discharge.

  At the time of discharge from hospital, will vary with each baby

• Effective coverage of KMC at home, 7 days after hospital discharge

  Proportion of babies who weighed less than 2000g at birth and got KMC for atleast 8 hours and were exclusively breastfed in the last 24 hours, assessed at 7 days after hospital discharge.

  7 days after discharge from hospital

Secondary Outcomes (5)

• Population-level duration of KMC

  First 28 days of life

• Any KMC received

  First 28 days of life

• Infants exclusively breastfed

  First 28 days of life

• Neonatal mortality

  1 year

• Cost of KMC scale up

  1 year

Study Arms (1)

KMC Scale up in a district

This is an implementation research project on scaling up KMC in selected government and private health facilities in an entire district, aiming to cover newborns weighing less than 2000gms at birth.

Eligibility Criteria

• Age: 1 Minute - 28 Minutes
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The study participants will include babies of birth weight less than 2000g born in the study area. Newborns who are severely sick according to pre-defined criteria will have the initiation of KMC delayed until they have stabilized.

You may qualify if:

• Babies with birth weight less than 2000g born in the study area.

You may not qualify if:

• Newborns who are severely sick will have the initiation of KMC delayed until stabilization.

Sponsors & Collaborators

• Society for Applied Studies: lead
• Government of Haryana: collaborator
• All India Institute of Medical Sciences: collaborator
• World Health Organization: collaborator

Study Sites (1)

CHRD, Society for Applied Studies

Sonīpat, Haryana, 131001, India

Location

Related Publications (2)

• Mony PK, Tadele H, Gobezayehu AG, Chan GJ, Kumar A, Mazumder S, Beyene SA, Jayanna K, Kassa DH, Mohammed HA, Estifanos AS, Kumar P, Jadaun AS, Hailu Abay T, Washington M, W/Gebriel F, Alamineh L, Fikre A, Kumar A, Trikha S, Ashebir Gebregizabher F, Kar A, Bilal SM, Belew ML, Debere MK, Krishna R, Dalpath SK, Amare SY, Mohan HL, Brune T, Sibley LM, Tariku A, Sahu A, Kumar T, Hadush MY, Gowda PD, Aziz K, Duguma D, Singh PK, Darmstadt GL, Agarwal R, Gebremariam DS, Martines J, Portela A, Jaiswal HV, Bahl R, Rao Pn S, Tadesse BT, Cranmer JN, Hailemariam D, Kumar V, Bhandari N, Medhanyie AA; KMC Scale-Up Study Group. Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study. BMJ Glob Health. 2021 Sep;6(9):e005905. doi: 10.1136/bmjgh-2021-005905.

  PMID: 34518203 DERIVED

• Medhanyie AA, Alemu H, Asefa A, Beyene SA, Gebregizabher FA, Aziz K, Bhandari N, Beyene H, Brune T, Chan G, Cranmer JN, Darmstadt G, Duguma D, Fikre A, Andualem BG, Gobezayehu AG, Mariam DH, Abay TH, Mohan HL, Jadaun A, Jayanna K, Kajal FNU, Kar A, Krishna R, Kumar A, Kumar V, Madhur TK, Belew ML, M R, Martines J, Mazumder S, Amin H, Mony PK, Muleta M, Pileggi-Castro C, Pn Rao S, Estifanos AS, Sibley LM, Singhal N, Tadele H, Tariku A, Lemango ET, Tadesse BT, Upadhyay R, Worku B, Hadush MY, Bahl R; KMC Scale-Up Study Group. Kangaroo Mother Care implementation research to develop models for accelerating scale-up in India and Ethiopia: study protocol for an adequacy evaluation. BMJ Open. 2019 Nov 21;9(11):e025879. doi: 10.1136/bmjopen-2018-025879.

  PMID: 31753865 DERIVED

Study Officials

• Sarmila Mazumder, MBBS, PhD

  CHRD, Society for Applied Studies

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2017
• First Posted: March 31, 2017
• Study Start: August 1, 2016
• Primary Completion: March 1, 2019
• Study Completion: March 1, 2019
• Last Updated: September 19, 2019

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will share

Locations

IN (1)