Article Sidebar

Download
PDF

Main Article Content

Abstract

ABSTRACT
Background. Low birthweight is a global public health problem and progress in reducing the prevalence of low birthweight has been slow. Mali, like all other countries, would like to eliminate avoidable deaths of newborns by implementing kangaroo mother care for low-birth-weight newborns. This study aimed to assess the practice of immediate maternal kangaroo care for low-birth-weight newborns in the communes of Bamako, Mali. Patients and Methods. This was a cross-sectional quantitative study carried out in the six health districts of Bamako in Mali, using an adapted questionnaire from previous studies. The required sample for this study was 343 mothers of newborns. We recorded mother-newborns socio-demographics information, mother knowledge and attitudes on kangaroo mother care as independent variables. Practices on kangaroo mother care mother care and survival of newborns with low birth weight were defined as dependent variables. Chi-square test was done to assess the distribution between the variables. Results. The prevalence of underweight at birth was 20.8% at the time of the survey. About 9.1% of newborns had poor general health. A weak positive correlation was also reported between knowledge and practice (p<0.01). A significant relationship was observed between mothers' KMC practices and the following socio-demographic characteristics: age (p=0.04), ethnic origin (p<0.001), marital status (p=0.028), level of education (p=0.001), occupation (p=0.001) and monthly income (p<0.001). Conclusion. Parents of preterm infants and infants with low birth weight should be educated and encouraged in the practice of KMCs. More research is needed to elaborate strategies and develop models for the implementation of KMCs in Mali.
RÉSUMÉ
Contexte. L'insuffisance pondérale à la naissance est un problème de santé publique mondial et les progrès dans la réduction de sa prévalence sont lents. Le Mali, comme tous les autres pays, souhaite éliminer les décès évitables de nouveau-nés en mettant en œuvre le peau à peau mère-enfant pour les nouveau-nés de faible poids. Cette étude visait à apprécier la pratique du peau à peau mère-enfant immédiat chez les nouveau-nés de faible poids de naissance dans les communes de Bamako, au Mali. Patients et méthodes. Il s'agit d'une étude transversale quantitative menée dans les six districts sanitaires de Bamako au Mali, utilisant un questionnaire adapté d'études antérieures. L'échantillon requis pour cette étude était de 343 mères de nouveau-nés. Cette étude a utilisé les informations sociodémographiques des mères et des nouveau-nés, les connaissances et les attitudes des mères sur le peau à peau mère-enfant comme variables indépendantes. Les pratiques du peau à peau mère-enfant et la survie des nouveau-nés de faible poids de naissance ont été définies comme variables dépendantes. Un test du chi carré a été effectué pour évaluer la distribution entre les variables. Résultats. La prévalence de l'insuffisance pondérale à la naissance était de 20,8 % au moment de l'enquête. Environ 9,1 % des nouveau-nés avaient une mauvaise santé générale. Une faible corrélation positive a également été rapportée entre les connaissances et la pratique du peau à peau mère-enfant immédiat (p < 0,01). Une relation significative a été observée entre les pratiques de peau à peau mère-enfant des mères et les caractéristiques sociodémographiques suivantes : l'âge (p = 0,04), l'origine ethnique (p < 0,001), l'état matrimonial (p = 0,028), le niveau d'éducation (p = 0,001), la profession (p = 0,001) et le revenu mensuel (p < 0,001). Conclusion. Les parents de nourrissons prématurés et de nourrissons de faible poids de naissance devraient être éduqués et encouragés à pratiquer le peau à peau mère-enfant. Des recherches supplémentaires sont nécessaires pour proposer des stratégies et développer des modèles de mise en œuvre du peau à peau mère-enfant au Mali.

Keywords

Low-birth weight Kangaroo Mother Care Mali Faible poids de naissance peau à peau mère-enfant Mali

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite
Ghislain G Poda, Hawa Kone, Fatoumata Traore, Fousseni Dao, & Niani Mounkoro. (2024). Immediate Kangaroo Maternal Care and Survival of Low-Birth-Weight Infants in Bamako (Mali): Pratique Immédiate de la Méthode Kangourou et Survie des Nouveau-Nés de Faible Poids de Naissance à Bamako (Mali). HEALTH SCIENCES AND DISEASE, 25(7). https://doi.org/10.5281/hsd.v25i7.5882
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. Adisasmita A, Izati Y, Choirunisa S, Pratomo H, Adriyanti L (2021). Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia. PLoS One.; 16(6):e0252704. doi: 10.1371/journal.pone.0252704. PMID: 34086791; PMCID: PMC8177461.
  2. Bilal SM, Tadele H, Abebo TA, Tadesse BT, Muleta M, W/Gebriel F, Alemayehu A, et al. (2021). Barriers for kangaroo mother care (KMC) acceptance, and practices in southern Ethiopia: a model for scaling up uptake and adherence using qualitative study. BMC Pregnancy Childbirth;21(1):25. doi: 10.1186/s12884-020-03409-6. PMID: 33413193; PMCID: PMC7789316.
  3. Christian P, Lee SE, Donahue Angel M, Adair LS, Arifeen SE, Ashorn P, et al. (2013). Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries. Int J Epidemiol; 42(5):1340-55.
  4. Conde-Agudelo A, Díaz-Rossello JL (2016). Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev.;2016(8):CD002771. doi: 10.1002/14651858.CD002771.pub4. PMID: 27552521; PMCID: PMC6464509.
  5. Esan DT, Adedeji OA, Bello CB, Omolafe MC (2020). Knowledge and practices of immediate newborn care among midwives in selected health care facilities in Ekiti State, Nigeria. Pan Afr Med J;37:263. doi: 10.11604/pamj.2020.37.263.24628. PMID: 33598078; PMCID: PMC7864274.
  6. Gebeyehu NA, Gelaw KA, Azeze GA, Admass BA, Lake EA, Adela GA (2022). Knowledge, attitude and practice towards kangaroo mother care among postnatal women in Ethiopia: Systematic review and meta-analysis. PLoS One. ;17(5):e0265411. doi: 10.1371/journal.pone.0265411. PMID: 35522657; PMCID: PMC9075620.
  7. Gu H, Wang L, Liu L, Luo X, Wang J, Hou F, Nkomola PD, Li J, Liu G, Meng H, Zhang J, Song R (2017). A gradient relationship between low birth weight and IQ: A meta-analysis. Sci Rep; 7(1):18035.
  8. Hawsawi A, Fernandez R, Mackay M, Alananzeh I (2021). Knowledge, Attitudes, Practices, Barriers and Facilitators to Skin-To-Skin Contact Among Arabian Mothers and Health Care Providers in Arab Countries: A Systematic Scoping Review. International Journal of Childbirth.; Vol 12 Issue 4 , DOI: 10.1891/IJC-2021-0049
  9. Jamie A. H. Knowledge, attitude and practice of kangaroo mother care among postnatal mothers in a tertiary care center of Harari region, Harar, Ethiopia. Public Health of Indonesia, (2020). 6(4),116–122
  10. Jornayvaz FR, Vollenweider P, Bochud M, Mooser V, Waeber G, Marques-Vidal P (2016). Low birth weight leads to obesity, diabetes and increased leptin levels in adults: the CoLaus study. Cardiovasc Diabetol. 15: 73.
  11. Ministry of Health of Mali. 2020 DHIS2 data, Bamako, Mali, 2021.
  12. Nabiwemba EL, Atuyambe L, Criel B, Kolsteren P, Orach CG (2014). Recognition and home care of low-birth-weight neonates: a qualitative study of knowledge, beliefs and practices of mothers in Iganga-Mayuge Health and Demographic Surveillance Site, Uganda. BMC Public Health;14:546. doi: 10.1186/1471-2458-14-546. PMID: 24888464; PMCID: PMC4064282.
  13. National Institute of Statistics (INSTAT), Planning and Statistics Unit for the Health-Social Development and Family Promotion Sector (CPS/SS-DS-PF) and ICF. 2019. Mali Demographic and Health Survey 2018. Bamako, Mali and Rockville, Maryland, USA: INSTAT, CPS/SS-DS-PF and ICF.
  14. Olu-Abiodun O, Sodimu O, Fadipe O, Anokwuru R, Alli A, Abiodun O (2022). Knowledge and perception of the practice of kangaroo mother care among women attending antenatal clinic. Journal of Neonatal Nursing; ISSN 1355-1841, https://doi.org/10.1016/j.jnn.2022.06.006.
  15. Pathak BG, Sinha B, Sharma N, Mazumder S, Bhandari N (2023). Effects of kangaroo mother care on maternal and paternal health: systematic review and meta-analysis. Bull World Health Organ;101(6):391-402G. doi: 10.2471/BLT.22.288977. Epub 2023 Mar 31. PMID: 37265678; PMCID: PMC10225947
  16. Rasaily R, Ganguly KK, Roy M, Vani SN, Kharood N, Kulkarni R, et al. (2017). Community based kangaroo mother care for low-birth-weight babies: A pilot study. Indian J Med Res;145(1):51-57. doi: 10.4103/ijmr.IJMR_603_15. PMID: 28574014;
  17. Saputri CS, Rizki AW, Flora VH, Murti B, Wulandari AY (2023). Meta Analysis: Associations between Prematurity, Low Birth Weight, and Residence on the Risk of Newborn Death. J Matern Child Health. 09(02): 138-151. https://doi.org/10.26911/thejmch.2024.09.02.02
  18. UNICEF. Low birthweight. UNICEF, 2023. Available on the following website and accessed on 20 April 2024 https://data.unicef.org/topic/nutrition/low-birthweight/
  19. USAID . Kangaroo Maternal Care Helps Premature Baby Survive, 2019; USAID. https://www.mchip.net/sites/default/files/Mali%20KMC%20Report.pdf
  20. WHO. Newborn health. Geneva, WHO; 2022. Available at the following website https://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/data-and-statistics/newborn-health

Similar Articles

You may also start an advanced similarity search for this article.