Phuong Hoa_Scaling-Up Kangaroo Mother Care in Vietnam

8/2/2019 Phuong Hoa_Scaling-Up Kangaroo Mother Care in Vietnam

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Kangaroo mother care scaling up in

Vietnam


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Outline of presentation

1. The history of Kangaroo Mother Care

(KMC) implementation in Vietnam2. Scaling up and the plan for nationwide

implementation of KMC


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History of Kangaroo Mother Careimplementation in Vietnam

1986: first introduced in department of pediatricsin Uongbi hospital in Northern Vietnam.

Four staff were sent to Colombia for KMC training:

- 1996: 2 staff of Uongbi (in the North)

- 1997: 2 staff of Tudu hospital (in the South)

1998: LAPPEL supported for KMCimplementation in Uongbi and Tudu hospitals (1 inthe North and another in the South of Vietnam)

From 2000: scaling up with WHO, SC, Netherlandand Government support


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KMC at the beginning

Uong Bi KMC Center

TU DU KMC CenterThe biggest obstetric facilityin the SEAR

First introduced and KMCin the North

The training uniton KMC

in the South


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Scaling up


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Training activities

2000-2002 National Trainers with internationalconsultant supervision trained:

Staff of 14 central/provincial hospitals (7 in theNorth and 7 in the South)

2003-2012 National Trainers trained:

Staff from 30 more provincial hospitals andseveral district hospitals

So far, more than 50 hospitals including districthospitals were under training with a team with atleast 2 staff (one doctor and one nurse/midwife)per each hospital


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Training activities

Training for international participants from:

- Cambodia

- Laos

- Bangladesh

- France

- Germany

- Australia

- SwedenCampuchia,Lo,Phap,Canada,c, Uc


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Development of materials

- Manual on KMC from Columbiatranslated and adapted

- WHO Kangaroo mother care guidetranslated into Vietnamese

- KMC content adapted in WHO

essential newborn care course- Kangaroo Mother Care section

developed in National guideline


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KMC in hospital

Implementation


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Out patientKMC


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Supportive group for KMC at community


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Sharing information and experience

- Every 2 years workshop in Uong bi andTu du hospitals (1999, 2002, 2006, 2008)

- Participation of key staff from the twoKMC training hospitals in severalInternational workshops

- National workshop in 2007 conducted byMoH


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Every two years workshop inTudu and Uong bi hospitals

National workshop 2007 in Hanoi


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Collaboration activities


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Research


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KMC in the National guidelines

1. KMC was included as a important topicto put in the newborn care part in theNational Guidelines for Reproductive

health care services. (approved in 2009 by MOH)

2. KMC recommended in the Nationalguideline used for establishing theNeonatal health care unit at different

health facility levels. (approved in 2011 by MOH)


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Contents of KMC in the National guidelines

KMC at the community level:

Skin to skin contact immediately after birth.

Support mother to breastfeed the baby within1 hour after delivery with baby in skin to skinon the mother chests.

In the case of referral, encourage to put the

baby in skin to skin with mother or otherfamily member during transportation.


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At hospitals:

Doctors, midwives and nurses in Obstetric

and Pediatric departments need to betrained on counselling and implementationof KMC in hospital.

To arrange at least 1 room for KMC


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KMC during referral:

Encourage and support mother, family to use

KMC on the way to the hospital.

Let baby in Kangaroo position when giving caresuch as: oxygen, tube feeding ect.


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Lessons learned

Having key persons who are really interested inKMC implementation and support from hospitalleader is very important

Successful models have been multiplied in thecountry by experience sharing between projectsrelated to maternal and child health

International support and collaborations mobiliseKMC expansion

National guidelines are the most important factorfor national wide implementation of KMC


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Challenges

Motivate health staff and strengthen theircapacity to practice KMC as part of routine careof LBW/PT babies at all levels of care

Enable women and families to practice KMC,especially early initiation of breastfeeding andexclusive breastfeeding by discharge

Get better information on health outcomes ofLBW/PT babies and KMC acceptability andresults to guide programs


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Next steps

Strengthen training programs: Establish 3 model training units on KMC for 3 regions

Scale up KMC training in target provinces

Scale up KMC as part of National Plan forSM & NB care 2011-2015:

Establish KMC and newborn unit in 63 priority districtsand related provincial hospitals

Develop a system for monitoring of KMC andfollow up of LBW/PT babies after discharge


23/23Thank you for your attention!

Phuong Hoa_Scaling-Up Kangaroo Mother Care in Vietnam

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