[Factors associated with abandoning from the Kangaroo Mother Program between years 2019 and 2021]
Yudy Carolina Galván Núñez1, Alejandra Florez Suaza1, Luis Carlos Sánchez Rojo2
1Facultad de Medicina; Universidad CES. Medellín. Colombia.
Insights
Mothers abandoning the Kangaroo Mother Program impacts premature infant health. Factors like lower income, incomplete primary education, and living outside Medellin increased dropout risk in Antioquia, Colombia.
Area of Science:
- Public Health
- Neonatal Care
- Health Services Research
Background:
- Kangaroo Mother Program (KMP) abandonment poses a significant public health challenge, particularly affecting the health outcomes of premature infants.
- Understanding the factors contributing to dropout is crucial for improving KMP effectiveness and ensuring continuity of care for vulnerable neonates.
Purpose of the Study:
- To identify factors associated with the abandonment of the Kangaroo Mother Program (KMP) by mothers or caregivers of premature infants.
- To analyze these factors within the context of a Health Promoting Company (EPS) in Antioquia, Colombia, between 2019 and 2021.
Main Methods:
- An observational, cross-sectional, and analytical study design was employed.
- Data were collected from 1,344 admissions to the KMP between 2019 and 2021.
- Statistical analyses included the Chi-Square likelihood ratio test and a generalized linear model with robust variance to determine prevalence ratios.
Main Results:
- Higher probabilities of KMP dropout were associated with the year 2020, single marital status with support, incomplete primary education, monthly income below the legal minimum wage, and residence outside Medellin.
- Specifically, factors like incomplete primary education (PR 1.48) and low income (PR 1.26) significantly increased dropout risk.
- Living outside Medellin (PR 1.25) was also a notable factor in program abandonment.
Conclusions:
- The study identified key socioeconomic and demographic factors linked to KMP dropout in Antioquia.
- These findings are vital for developing targeted interventions to support families and reduce abandonment within Kangaroo Programs.
- Interventions should focus on addressing identified risk factors to improve program adherence and infant health outcomes.
Objective:
The abandonment of the Kangaroo Mother Program is a public health problem that affects the health of premature infants. The objective of this study was to determine the factors associated with the abandonment of mothers or caregivers of premature infants in the first stage of the Kangaroo Mother Program of a Health Promoting Company (EPS) in the department of Antioquia (Colombia), between 2019 and 2021.
Methods:
An observational, cross-sectional, and analytical study was carried out, where information was collected on admissions to the program (N=1,344) between 2019 and 2021. The Chi-Square likelihood ratio test was performed with crude prevalence ratio, a generalized linear model of robust variance was applied with the adjusted prevalence ratio.
Results:
When adjusting for dropout with the independent variables, a higher probability of dropout was evidenced: with respect to the year 2020 (PR 2.44, 95% CI: 1.94-3.08, p-value=0.0001), marital status alone with support (PR 1.60, 95% CI: 0.84-3.04, p-value=0. 147), primary school completed or incomplete (PR 1.48, 95% CI 1.11-1.97, p-value=0.006), monthly income less than the current legal monthly minimum wage (CLMMW) (PR 1.26, 95% CI: 1.00-1.59, p-value=0.004) and area of residence living outside Medellin (PR 1.25, 95% CI: 1.06-1.46, p-value=0.006).
Conclusions:
The findings of this study can be very useful to carry out interventions in families belonging to Kangaroo Programs, with the aim of intervening risk factors associated with program dropout.
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