An Educational Strategy Supporting Kangaroo Mother Care: Interviews with Healthcare Practitioners

Wilma ten Ham-Baloyi, Esmeralda Ricks, Dalena van Rooyen


Kangaroo Mother Care (KMC) has multiple benefits for mothers, infants and healthcare organisations. Sound clinical decision-making regarding KMC is enhanced if healthcare practitioners are empowered through education and training, which is possible by developing an educational strategy. In this study perceptions of healthcare practitioners were therefore sought to explore and describe the content, format and requirements for such an educational strategy. Purposive sampling was done, and healthcare practitioners participated electronically and in either semi-structured face-to-face or telephonic interviews. The healthcare practitioners’ perceptions regarding format, content and requirements for the strategy were audiotaped, verbatim transcribed and qualitatively analysed using thematic analysis. Major findings indicated that the content of the strategy should include the theoretical concept of KMC and its practice. The strategy’s format needs to make provision for a target group existing of multiple stakeholders and various teaching methods and formats. The strategy’s frequency and duration depends on the type of strategy and the availability of staff that can be released to attend the educational strategy. Requirements in terms of facilitating factors to successfully implement this strategy include buy-in and support of management, leadership, alignment of the strategy with existing structures, and also rewards and incentives. Participants agreed that an educational strategy must be flexible in terms of its content, format and requirements in order to be implemented in various contexts. Investigations into how an educational strategy could be further developed and implemented in different contexts could be fruitful to support sound clinical decision-making regarding KMC.


clinical decision-making; educational strategy; healthcare practitioners; Kangaroo Mother Care

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Bergh, A-M., N. Charpak, A. Ezeneonodo, R. H. Udani., and E. van Rooyen. 2012. “Education and Training in the Implementation of Kangaroo Mother Care.” South African Journal of Child Health 6 (2): 38–45.

Bergh, A-M., J. de Graft-Johnson, N. Khadka, A. Om’Iniabohs, R. Udani, H. Pratomo. and S. de Leon-Mendoza. 2016. “The Three Waves in Implementation of Facility-based Kangaroo Mother Care: A Multi-country Case Study from Asia.” BMC International Health and Human Rights 16(4).

Bergh, A-M., K. Kerber, S. Abwao, J. de-Graft Johnson, P. Aliganyira, K. Davy, N. Gamache, M. Kante, R. Ligowe, R. Luhanga, B. Mukarugwiro, F. Ngabo, B. Rawlins, F. Sayinzoga, N. H. Sengendo, M. Sylla, R. Taylor, E. van Rooyen, and J. Zoungrana. 2014. “Implementing Facility-based Kangaroo Mother Care Services: Lessons from a Multi-country Study in Africa.” BioMed Central Health Services Research 14 (293): 1–10.

Bleser, W. K., M. Miller-Day, D. Naughton, P. L. Bricker, P. F. Cronholm, and R. A. Gabbay. 2014. “Strategies for Achieving Whole-practice Engagement and Buy-in to the Patient-centered Medical Home.” Annals of Family Medicine 12 (1): 37–45.

Bradshaw, M. J., and A. J. Lowenstein. 2013. Innovative Teaching Strategies in Nursing and Related Health Professions. 6th ed. Sudbury: Jones and Bartlett.

Brantuo, M. N. A., E. Cristofalo, M. M. Meheš, J. Ameh, N. O. Brako, F. Boahene, S. B. Adjei, E. Opoku, H. Banda, Y. T. Wang, A. A. Forgor, D. Punguire, K. Brightson, C. Sottie, S. Owusu Agyei, J. E. Williams, A. Sulemana, A. R. Oduro, M. Gyampong, D. Sarpong, E. Andrews, M. Gyansa-Lutterodt, A. Hodgson, C. Bannerman, and F. Abdullah. 2014. “Evidence-based Training and Mentorship Combined with Enhanced Outcomes Surveillance to address the Leading Causes of Neonatal Mortality at the District Hospital Level in Ghana.” Tropical Medicine and International Health 19 (4): 417–426.

Center for Creative Leadership. 2016. “An Organizational Analysis of Leadership Effectiveness and Development Needs.” (accessed 10 August 2016).

Creswell, J. W. 2013. Qualitative Inquiry and Research Design. 3rd ed. London: SAGE.

Gagliardi, A. R., F. Webster, and S. E. Straus. 2015. “Designing a Knowledge Translation Mentorship Program to Support the Implementation of Evidence-based Innovations.” BioMed Central Health Services Research 15(198).

Grove, S. K., J. R. Gray, and N. Burns. 2015. Understanding Nursing Research: Building an Evidence-based Practice. 6th ed. St. Louis: Elsevier Saunders.

Hénard, F., and D. Roseveare. 2012. “Fostering Quality Teaching in Higher Education: Policies and Practices.” (accessed 10 August 2016).

Kearney-Nunnery, R. 2016. Advancing Your Career – Concepts of Professional Nursing. 6th ed. Philadelphia: F. A. Davis Company.

Langdridge, D., and G. Hagger-Johnson. 2013. Introduction to research methods and data analysis in psychology. 3rd ed. London: Pearson Prentice Hall.

Lawn, J. E., J. Mwansa-Kambafwile, B. L. Horta, F. C. Barros, and S. Cousens. 2010. “‘Kangaroo Mother Care’ to Prevent Neonatal Deaths due to Preterm Birth Complications.” International Journal of Epidemiology 39(supplement 1): i144–i154.

Marshall, A. P., S. A. West, and L. M. Aitken. 2011. “Preferred Information Sources for Clinical Decision making: Critical Care Nurses’ Perceptions of Information Accessibility and Usefulness.” Worldviews on Evidence-Based Nursing 8 (4): 224–235.

Nilsen, P. 2015. “Making Sense of Implementation Theories, Models and Frameworks.” Implementation Science 10(53).

Nyqvist, K. H., G. C. Anderson, N. Bergman, A. Cattaneo, N. Charpak, R. Davanzo, U. Ewald, O. Ibe, S. Ludington-Hoe, S. Mendoza, C. Pallás-Alonso, J. C. Ruiz Peláez, J. Sizun, and A M. Widström. 2010. “Towards Universal Kangaroo Mother Care: Recommendations and Report from the First European Conference and Seventh International Workshop on Kangaroo Mother Care.” Acta Paediatrica 99 (6): 820–826.

Solomons, N., and C. Rosant. 2012. “Knowledge and Attitudes of Nursing Staff and Mothers towards Kangaroo Mother Care in the Eastern Sub-district of Cape Town.” South African Journal of Clinical Nutrition 25 (1): 1–33.

Tiffen, J., C. J. Corbridge, and L. Slimmer. 2014. “Enhancing Clinical Decision making: Development of a Contiguous Definition and Conceptual Framework.” Journal of Professional Nursing 30 (5): 399–405.

Titler, M. G. 2008. “The Evidence for Evidence-based Practice.” In Patient Safety and Quality: An Evidence-based Handbook for Nurses edited by R. G. Hughes. Rockville: Agency for Healthcare Research and Quality. (accessed 21 July 2015).

USAID. 2012. MCHIP. Kangaroo Mother Care Implementation Guide. (accessed 12 December 2015).



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