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Measuring implementation progress in kangaroo mother care
Anne-Marie Bergh1, Irmeli Arsalo, Atties F Malan
1MRC Research Unit for Maternal and Infant Health Care Strategies and Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa. apbergh@medic.up.ac.za
Acta Paediatrica (Oslo, Norway : 1992)
|September 29, 2005
Summary
This study developed a kangaroo mother care (KMC) progress monitoring model with quantitative indicators to measure hospital implementation. The model effectively quantifies progress and assesses outreach strategies for KMC initiatives.
Area of Science:
- Healthcare Management
- Maternal and Infant Health
- Implementation Science
Background:
- Kangaroo Mother Care (KMC) is a vital intervention for preterm and low-birth-weight infants.
- Measuring the progress of KMC implementation in hospitals is crucial for optimizing its effectiveness.
- Existing methods for monitoring KMC implementation may lack quantitative rigor.
Purpose of the Study:
- To develop and test a monitoring model with quantitative indicators for assessing hospital progress in KMC implementation.
- To create an instrument for collecting data on KMC implementation progress during hospital visits.
- To provide a tool for objective measurement of KMC implementation effectiveness.
Main Methods:
- Utilized three qualitative datasets from a larger KMC implementation research program.
- Developed a progress-monitoring model based on three phases and six constructs.
- Created a monitoring instrument for data collection via hospital walk-through visits.
Main Results:
- The model conceptualizes progress through pre-implementation, implementation, and institutionalization phases.
- Six constructs measure progress: awareness, adoption, resource mobilization, practice evidence, routine integration, and sustainable practice.
- The monitoring instrument was tested in 65 hospitals, demonstrating feasibility.
Conclusions:
- The developed model quantifies hospital progress in KMC implementation.
- It allows for objective measurement of the effectiveness of various outreach strategies.
- The model shows potential for adaptation to monitor other large-scale healthcare interventions.