title: Progress in the implementation of kangaroo mother care in 10 hospitals in Indonesia.
abstract: Kangaroo mother care (KMC) is an effective and safe method of caring for low-birthweight infants. This article describes the results of a health systems strengthening intervention in KMC involving 10 hospitals in Java, Indonesia. Implementation progress was measured with an instrument scoring hospitals out of 100. Hospital scores ranged from 28 to 85, with a mean score of 62.1. One hospital had not reached the level of 'evidence of practice'; five hospitals had reached the expected level of 'evidence of practice' and two hospitals already scored on the level of 'evidence of routine and integration'. The two training hospitals were on the border of 'evidence of sustainable practice'. The implementation of KMC is a long-term process that requires dedication and support for a number of years. Some items in the progress-monitoring tool could be used to set standards for KMC that hospitals must meet for accreditation purposes.
authors.affiliation: MRC Unit for Maternal and Infant Health Care Strategies, University of Pretoria, Pretoria, South Africa. anne-marie.bergh@up.ac.za
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Bergh
authors.forename: Quail
authors.initials: Q
authors.lastname: Rogers-Bloch
authors.forename: Hadi
authors.initials: H
authors.lastname: Pratomo
authors.forename: Uut
authors.initials: U
authors.lastname: Uhudiyah
authors.forename: Ieda Poernomo Sigit
authors.initials: IP
authors.lastname: Sidi
authors.forename: Yeni
authors.initials: Y
authors.lastname: Rustina
authors.forename: Rulina
authors.initials: R
authors.lastname: Suradi
authors.forename: Reginald
authors.initials: R
authors.lastname: Gipson
mesh_terms: D019317:Evidence-Based Medicine; D006284:Health Plan Implementation; D006302:Health Services Research; D006761:Hospitals; D006801:Humans; D007214:Indonesia; D007224:Infant Care / Q000379:methods* / Q000639:trends; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D060127:Kangaroo-Mother Care Method / Q000639:trends*; D017410:Practice Guidelines as Topic; D016730:Program Development; D015397:Program Evaluation