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Quality improvement in Kangaroo Mother Care: learning from a teaching hospital by Joshi, Amol (author);Londhe, Atul (author);Joshi, Trupti (author);Deshmukh, Laxmikant (author) is a Health Professions article available to read on EtoBox.

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## Background Kangaroo Mother Care (KMC) is a low-resource, evidence-based, high-impact intervention for low-birth weight (LBW) care. Quality improvement in KMC requires meso-level, macro-level and micro-level interventions. Our institution, a public teaching hospital, hosts a level-II/III neonatal intensive care unit (NICU). The average demand for beds typically exceeds available capacity, with 60% occupancy attributed to LBW patients. There was low uptake of KMC practice at our unit. ## Aim statement In the initial phase, we aimed to improve the coverage of KMC in admitted eligible neonates from a baseline of 20%–80% within 15 days. After a period of complacency, we revised the aim statement with a target of improving the percentage of babies receiving 6-hour KMC from 30% to 80% in 12 weeks. ## Methods We report this quasi-experimental time-series study. With the Point of Care Quality Improvement methodology, we performed Plan-Do-Study-Act (PDSA) cycles to improve KMC practice. We involved all the healthcare workers, mothers and caregivers to customise various KMC tools (KMC book format, KMC bag, mother’s gown) and minimise interruptions. Feedback from all levels guided our PDSA

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Author

Joshi, Amol (author);Londhe, Atul (author);Joshi, Trupti (author);Deshmukh, Laxmikant (author)

Publisher

BMJ

Published

2022

Language

EN

Field

Health Professions (Health Sciences)