Facilitating factors and barriers to kangaroo mother care utilisation in low- and middle-income countries: A scoping review.
Facilitating factors and barriers to kangaroo mother care utilisation in low- and middle-income countries: A scoping review.
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DOI：
10.4102/phcfm.v13i1.2856
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发表时间：
2021-08-23
影响因子：
2
通讯作者：
Ginindza TG
中科院分区：
文献类型：
--
作者：
Mathias CT;Mianda S;Ohdihambo JN;Hlongwa M;Singo-Chipofya A;Ginindza TG
袋鼠妈妈护理 (KMC) 已在低收入和中等收入国家 (LMIC) 广泛采用，以尽量减少低出生体重婴儿 (LBWI) 的不良后果。然而，中低收入国家的新生儿和儿童死亡率负担仍然过高。因此，本次范围审查旨在找出中低收入国家 LBWI 父母（低出生体重婴儿 [PLBWI] 父母）利用 KMC 的障碍、挑战和促进因素的证据。我们从 SciELO、Google Scholar、JSTOR、LILACS、Academic search Complete、PubMed、CINAHL with full text 和 Medline 数据库中检索了 1990 年 1 月至 2020 年 8 月期间在中低收入国家进行并以英文发表的研究。我们采用了 Arksey 和 O’Malley 的框架来进行范围界定审查。潜在的研究被导出到 Endnote X7 参考管理软件以进行摘要和全文筛选。两名独立审稿人使用标准化表格进行了并行摘要和全文筛选。使用主题内容分析对结果进行分析。我们生成了 22 040 项研究，去除重复后，有 42 项研究符合全文筛选条件，22 项研究（大多数来自撒哈拉以南非洲地区）被纳入内容分析。分析得出八个主题：获取、认同、协调与协作、医疗问题、动机、社会支持-性别义务和赋权、时间和时机以及传统/文化规范。识别影响 KMC 的因素可以优化 KMC 的利用。需要开展更多研究，旨在确定影响中低收入国家 PLBWI 中 KMC 使用的影响因素，以提供循证策略，以加强实践，为中低收入国家及其他地区 PLBWI 中 KMC 使用的政策和决策者提供信息。
Kangaroo mother care (KMC) has been widely adopted in low-and middle-income countries (LMICs) to minimise low birthweight infants’ (LBWIs) adverse outcomes. However, the burden of neonatal and child mortality remains disproportionately high in LMICs. Thus, this scoping review sought to map evidence on the barriers, challenges and facilitators of KMC utilisation by parents of LBWIs (parent of low birthweight infant [PLBWI]) in LMICs. We searched for studies conducted in LMICs and published in English between January 1990 and August 2020 from SciELO, Google Scholar, JSTOR, LILACS, Academic search complete, PubMed, CINAHL with full text, and Medline databases. We adopted Arksey and O’Malley’s framework for conducting scoping reviews. Potential studies were exported to Endnote X7 reference management software for abstract and full article screening. Two independent reviewers did a parallel abstract and full article screening using a standardised form. The results were analysed using thematic content analysis. We generated 22 040 studies and after duplicate removal, 42 studies were eligible for full-text screening and 22 studies, most form sub-Saharan Africa, were included in the content analysis. Eight themes emerged from the analysis: access, buy-in, co-ordination and collaboration, medical issues, motivation, social support-gender obligation and empowerment, time and timing and traditional/cultural norms. Identifying factors affecting KMC may optimise KMC utilisation. Additional studies aiming at identifying influencing factors that affect KMC utilisation amongst PLBWIs’ in LMICs need to be conducted to provide evidence-based strategies to enhance practice, inform policy and decision-makers in KMC utilisation amongst the PLBWIs in LMICs and beyond.
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作者：
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DOI：
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发表时间：
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影响因子：
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