Challenges faced by mothers practicing kangaroo mother care in neonatal intensive care unit in public hospitals, Addis Ababa,Ethiopia,2020.

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Addis Abeba University


Background: Kangaroo Mother Care (KMC)- is found to improve the survival of preterm and low birth babies. Mothers who practice are more sensitive to changes in their babies. In spite of these benefits, mothers face barriers to practice KMC; some of these are inadequacy of resources, lack of support from staff and family and, low awareness about KMC. Objective: To assess challenges faced by mothers practicing Kangaroo mother care in Neonatal intensive care unit in public hospitals in Addis Ababa, Ethiopia 2020 Methods: The study is institutional based cross sectional quantitative study. The study area was selected by systematic random sampling method. Five public hospitals that provide NICU service were including in the study. The desired sample size for the study was 237 calculated using a single population proportion formula. A structured questionnaire was administered for data collection. Bivariate and multivariate analysis was used for analysis. Strength of association was measured using odds ratio, and 95% confidence intervals. Statistical significance is declared at P value <0.05. Results: A total of 237 mothers from 5 public hospitals with their preterm infants were enrolled in the study. Mother who delivered by C/S (elective included) were 4.4 times more likely to be challenged to practice KMC Mothers who had back pain were 3.10 times ([AOR= 3.10, 95% CI: 0.94, 4.22]), abdominal pain 8.06 times ([AOR= 8.062, 95% CI: 1.352, 10.22]), head ache 2.228 times ([AOR= 2.228, 95%CI: 0.192, 9.813]) and those who reported discomfort of bed/chair were 0.4 times ([AOR= 0.446, 95%CI: 0.96, 2.075]) more likely to be challenged to practice respectively. Mothers who stated as they have shortage of clothes to change for themselves and for their preterm infants were 3.96 times more likely to be challenged ([AOR= 3.96, 95%CI: 1.84, 8.58]). Likewise mothers who reported that the hospital has no area to wash their clothes were 2.49 more likely to be challenged ([AOR= 2.49, 95% CI: 0.75, 8.22]) Conclusion: The study revealed that mothers practicing KMC face challenges related to the mode of delivery and post natal condition of the mother. Hospital infrastructure was also one of the challenges identified by the research, hence for mothers to practice KMC without a challenge they should be supported and encouraged.



Mothers,kangaroo mother care,neonatal intensive care unit ,public hospitals