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    The presence of physician champions improved Kangaroo mother care in rural western India

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    Authors
    Soni, Apurv
    Amin, Amee
    Patel, Dipen V.
    Fahey, Nisha
    Shah, Nikhil
    Phatak, Ajay G.
    Allison, Jeroan J.
    Nimbalkar, Somashekhar M.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    MD/PhD Program
    Graduate School of Biomedical Sciences, Clinical and Population Health Research Program
    School of Medicine
    Document Type
    Journal Article
    Publication Date
    2016-04-25
    Keywords
    UMCCTS funding
    Health Services Research
    International Public Health
    Maternal and Child Health
    Pediatrics
    Translational Medical Research
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982817/
    Abstract
    AIM: This study determined the effect of physician champions on the two main components of Kangaroo mother care (KMC): skin-to-skin care and breastfeeding. METHODS: KMC practices among a retrospective cohort of 648 infants admitted to a rural Indian neonatal intensive care unit (NICU) between 5 January 2011 and 7 October 2014 were studied. KMC champions were identified based on their performance evaluation. We examined the effect of withdrawing physician champions on overall use, time to initiation and intensity of skin-to-skin care and breastfeeding, using separate models. RESULTS: In comparison to when KMC champions were present, their absence was associated with a 45% decrease in the odds of receiving skin-to-skin care, with a 95% Confidence Interval (CI) of 64% to 17%, a 38% decrease in the rate of initiation skin-to-skin care (95% CI 53% to 82%) and an average of 1.47 less hours of skin-to-skin care (95% CI -2.07 to -0.86). Breastfeeding practices were similar across the different champion environments. CONCLUSION: Withdrawing physician champions from the NICU setting was associated with a decline in skin-to-skin care, but not breastfeeding. Training healthcare workers and community stakeholders to become champions could help to scale up and maintain KMC practices.
    Source

    Acta Paediatr. 2016 Apr 25. doi: 10.1111/apa.13445. Link to article on publisher's site

    DOI
    10.1111/apa.13445
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50498
    PubMed ID
    27111097
    Notes

    First author Apurv Soni is a student in the MD/PhD program at the University of Massachusetts Medical School.

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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/apa.13445
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