@article{Stefani:2021:10.1136/bmjinnov-2021-000828,
author = {Stefani, G and Skopec, M and Battersby, C and Harris, M},
doi = {10.1136/bmjinnov-2021-000828},
journal = {BMJ Innovations},
pages = {9--20},
title = {Why is Kangaroo Mother Care not yet scaled in the UK? A systematic review and realist synthesis of a frugal innovation for newborn care},
url = {http://dx.doi.org/10.1136/bmjinnov-2021-000828},
volume = {8},
year = {2021}
}

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TY  - JOUR
AB  - Objective: Kangaroo Mother Care (KMC) is a frugal innovation improving newborn health at a reduced cost compared with incubator use. KMC is widely recommended; however, in the UK, poor evidence exists on KMC, and its implementation remains inconsistent.Design: This Systematic Review and Realist Synthesis explores the barriers and facilitators in the implementation of KMC in the UK.Data source: OVID databases, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and Google Scholar were searched.Eligibility criteria: Studies were UK based, in maternity/neonatal units, for full-term/preterm children. First screening included studies on (1) KMC, Kangaroo Care (KC) or skin-to-skin contact (SSC) or (2) Baby Friendly Initiative, Small Wonders Change Program or family-centred care if in relation to KMC/KC/SSC. Full texts were reviewed for evidence regarding KMC/KC/SSC implementation.Results: The paucity of KMC research in the UK did not permit a realist review. However, expanded review of available published studies on KC and SSC, used as a proxy to understand KMC implementation, demonstrated that the main barriers are the lack of training, knowledge, confidence and clear guidelines.Conclusion: The lack of KMC implementation research in the UK stands in contrast to the already well-proven benefits of KMC for stable babies in low-income contexts and highlights the need for further research, especially in sick and small newborn population. Implementation of, and research into, KC/SSC is inconsistent and of low quality. Improvements are needed to enhance staff training and parental support, and to develop guidelines to properly implement KC/SSC. It should be used as an opportunity to emphasise the focus on KMC as a potential cost-effective alternative to reduce the need for incubator use in the UK.
AU  - Stefani,G
AU  - Skopec,M
AU  - Battersby,C
AU  - Harris,M
DO  - 10.1136/bmjinnov-2021-000828
EP  - 20
PY  - 2021///
SN  - 2055-642X
SP  - 9
TI  - Why is Kangaroo Mother Care not yet scaled in the UK? A systematic review and realist synthesis of a frugal innovation for newborn care
T2  - BMJ Innovations
UR  - http://dx.doi.org/10.1136/bmjinnov-2021-000828
UR  - https://innovations.bmj.com/content/8/1/9
UR  - http://hdl.handle.net/10044/1/92482
VL  - 8
ER  - 

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