title: Adaptation of kangaroo mother care for community-based application.
abstract: OBJECTIVE
  Working with a multidisciplinary team of Ecuadorians, Bangladeshis and Americans, we developed a simple protocol for community-based implementation of kangaroo mother care (CKMC) that does not require birth weight or clinical judgment to identify which newborns should receive CKMC. CKMC could stabilize newborns and possibly reduce neonatal mortality where there is little medical care for newborns and low birth weight (LBW) is common.
  
  
  METHODS
  During their CKMC training, community-based workers identified 35 expectant or recently delivered women in the pilot study area and taught them about CKMC. Women were interviewed at 1 month postpartum to evaluate their experience with CKMC.
  
  
  RESULTS
  In all, 77% of mothers initiated skin-to-skin care and 85% with LBW babies did so (37% were LBW). CKMC mothers delayed newborn bathing. Few slept upright with their newborns.
  
  
  CONCLUSIONS
  CKMC was quickly and popularly adopted. A randomized controlled cluster trial is planned to determine whether CKMC reduces neonatal mortality.
authors.affiliation: Bangladesh Rural Advancement Committee, BRAC Centre, Mohakali, Dhaka, Bangladesh.
authors.forename: Iftekhar
authors.initials: I
authors.lastname: Quasem
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Sloan
authors.forename: Anita
authors.initials: A
authors.lastname: Chowdhury
authors.forename: Salahuddin
authors.initials: S
authors.lastname: Ahmed
authors.forename: Beverly
authors.initials: B
authors.lastname: Winikoff
authors.forename: A M R
authors.initials: AM
authors.lastname: Chowdhury
mesh_terms: D000328:Adult; D001459:Bangladesh; D004484:Ecuador; D005260:Female; D006801:Humans; D007224:Infant Care / Q000379:methods*; D007231:Infant, Newborn; D009034:Mother-Child Relations; D010865:Pilot Projects; D011187:Posture; D012890:Sleep; D014481:United States