Updated Jul 28, 2020

Experimental study on Kangaroo Mother Care (KMC) versus traditional care for low birth weight infants (LBWI) 20 yrs follow-up

http://www.fundacioncanguro.co/

Nathalie Charpak

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KMC keeps LBWI in skin-to-skin contact on their mothers' chest, providing a human “incubator”, which in addition loves and protects the infant, breastfeed and takes him away from the hospital, avoiding hospital-acquired infections.

Full KMC method has 3 mayor components: 1) kangaroo position (KP) or direct skin-to-skin contact between the mother and the baby, initiated as soon as possible and maintained continuously until the baby regulates temperature, 2) kangaroo nutrition (KN) based on exclusive breastfeeding whenever possible, and 3) KMC discharge policies early discharge from the neonatal unit while in KP, under a st...
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Full KMC method has 3 mayor components: 1) kangaroo position (KP) or direct skin-to-skin contact between the mother and the baby, initiated as soon as possible and maintained continuously until the baby regulates temperature, 2) kangaroo nutrition (KN) based on exclusive breastfeeding whenever possible, and 3) KMC discharge policies early discharge from the neonatal unit while in KP, under a strict follow up until 40 weeks of gestational age, and a high risk follow up, up to at least one year of corrected age.​ Worldwide implementation of KMC will impact infant mortality and will enhance growth and somatic, neurological and psychomotor development as we demonstrated it in 2017 in our last study of follow up at 20 years. KMC at country level is still a challenge, even in Colombia (53 KMC programs). This was the main topic of the workshop for the XII International Conference (INK) in 2018. The INK Congress focused on all the neuro-protective evidence-based measures that can be implemented to protect the brain of the LBWI. The long lasting results of the saving brains KMC study were the motor of this meeting.
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Stage 4: Transition to Scale

KMC had significant, long-lasting social and behavioral protective effects after 20 years. Coverage with this evidence-based healthcare intervention should be extended to the 18 million infants born each year who are candidates for the method.
Registered in Colombiain Colombia

Focus Areas:

Cognitive Development, Behavioural Development, Child Protection and 4 MoreSEE ALL

Cognitive Development, Behavioural Development, Child Protection, Health, Human Centered Design, Maternal Newborn and Child Health and NutritionSEE LESS

800,000
Lives Impacted to Date
1
Key Partner
10,000,000
Customers
8
Employees
Verified Funding
?

Problem

LBWI is the direct or associated cause of 50% of neonatal deaths worldwide. KMC is a human-based affordable intervention decreasing neonatal mortality and rationalizes resource use mainly in developing countries The Kangaroo Foundation (KF), is a non-profit organization, from Colombia which has pioneered the scientific study and dissemination of KMC worldwide for 30yrs. It was necessary to evaluate long-lasting effects of KMC to stimulate adoption and accelerate diffusion of KMC.

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Solution

In 1978, Dr E. Rey ideated KMC empirically in Colombia. In 1989, the Kangaroo Foundation chose science to evaluate the method but it has taken a long time to prove that is not only acceptable, but has advantages over conventional care. KMC decreases neonatal mortality, promotes breastfeeding, decreases nosocomial infection, hospital stay, pain and stress, empowers the mother, protects the growing brain against external aggression and better the cognitive and social life 20 years later

Target Beneficiaries

All LBWI in the world: less than 2500g or 37 weeks at birth, 15 millions are born each year and candidates to KMC as their mother and families. All health workers at all levels of tecnological developement who deal with these fragile infants, must be trained or sensitized for implementation of KMC or for transportation in KMC to facilities able to take in charge the infant. The whole society protecting with KMC the brain of these high risk infants.

Mission and Vision

We hope that with these first results showing long term effects of cognitive and behavioral development KMC will complement systematically neonatal care in any country in the future 10 yrs, the challenge is how to diffuse quickly KMC with full quality of care. The Kangaroo Foundation, with its experience is the best leader to conduct this dissemination.

Competitive Advantage

KMC is a human-based intervention that addresses a complex problem, which the traditional approach (incubators) cannot be afforded in most low- and middle-income countries. In addition to thermal regulation, KMC improves survival, quality of life, neurodevelopment, growth and maturation, with demonstrated effects up to young adulthood. KMC does not replace traditional neonatal care in the hospital, but improves and complements it. It not only empowers families and humanizes neonatal care, but frees technical resources (incubators, hospital beds), improving the efficiency of neonatal care. It is adaptable to all regions, especially low- and middle-income countries, where neonatal units don’t have necessarily proper facilities or have reduced coverage. Worldwide implementation of KMC will impact infant mortality and will enhance growth and somatic, neurological and psychomotor development for the millions of LBW infants born each year in low and middle-income countries.

Planned Goals and Milestones

1} KMC at country level is a challenge, even in Colombia (53 KMC programs) 2) Certification of quality KMC programs 3) Translation of KMC e-learning platform
Funding Goal530,000
Projected Cumulative Lives Impacted1
New Implemented CountriesDominican Republic, Ecuador, Colombia, Cameroon, Burkina Faso, Benin, Senegal, Philippines, Cote d'Ivoire, Indonesia, Spain
New Feature1) Changing the idea that KMC is skin to skin contact. KMC is a full intervention with an impact not only on mortality but on the quality of life. especilly the protection of this brain exposed to soon to agressive environement and which need to growth in a non stressfull niche like the kangaroo position. .

The Team Behind the Innovation

In 1989, Dr. Nathalie Charpak, Pediatrician, and Dr. Juan Gabriel Ruiz, Pediatrician and Clinical Epidemiologist, co-leaded a multidisciplinary team that conducted several clinical studies on KMC and eventually gave rise to Kangaroo Foundation. They produced evidence on safety of KMC, and conducted the first and seminal RCT evaluating the effectiveness of all the components of the intervention, as well as research on impact, feasibility, uptake, barriers, and cost effectiveness of KMC.

EXECUTIVE TEAM INCLUDES WOMEN

Milestone

Mar 2020
Key Partnership
Research
 
as part of
 Neuroimaging data analysis
Jun 2015
Jan 2014
Lives Impacted
800,000
Feb 1978
Created

Supporting Materials

Colombia-health-Ministry-Guidelines-spanish-version.pdf
KMC-in-photos.pdf
KMC-Gold-learning.pdf