Feasibility of Kangaroo Mother Care (KMC) Implementation in DepokCity Indonesia

摘要

Background: The infant and neonatal mortality rate in Depok Cityis still high, with low birth weight (LBW) and premature births being one of themain causes. In 2018, 14 out of 41 cases of early neonatal death were due toLBW. Studies show that Kangaroo Mother Care (KMC) can prevent or reduce LBWdeaths caused by hypothermia, but the implementation is still not evenlydistributed. Objective: Describe KMC feasibility as asupporting material for a KMC policy umbrella at Depok City.Method: Qualitative research was conducted with a RapidAssessment Procedure (RAP) design. A total of 56 informants were divided into 8discussion groups, 7 in-depth interviews and 2 Focus Group Discussions (FGD).The types of informants were families and inter-sectoral officers. Thematicanalysis was used to analyze the data. Results: KMCimplementation feasibility in Depok City in terms of facilities andinfrastructure was still limited and the quality was insufficient. The number ofhuman resources was still limited, and the competency was still not evenlydistributed. LBW family readiness can be maintained if provided with completeand accurate knowledge; therefore, a strong commitment may develop to continueKMC at home. The potential sources of KMC financing are found at healthfacilities and inter-sectoral; however, to use it, a legal umbrella at the citydistrict level is necessary. Conclusions: The factors ofpotential financing sources need to be followed up into a priority. This is toovercome the constraints of KMC feasibility implementation.