India has been at the forefront of kangaroo mother care (KMC) promotion and implementation in the past three decades. In this article, we describe the history of KMC implementation in India and how KMC has become the standard of care for all preterm or low-birth-weight infants. We distinguish three phases in the development of KMC implementation and scale-up: the early years, the slow middle years and becoming a leader.
World Health Organization. Recommendations for Care of the Preterm or Low Birth Weight Infant. 2022.
2.
World Health Organization. Kangaroo Mother Care: A Practical Guide. 2003.
3.
NyqvistK, AndersonC, BergmanN, . State of the art and recommendations: kangaroo mother care: application in a high-tech environment. Acta Paediatr. 2010;99:812–819.
4.
Conde-AgudeloA, Diaz-RosselloJL.Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev. 2016;8:Cd002771.
5.
World Health Organization. Kangaroo Mother Care: A Transformative Innovation in Health Care. Global position paper. 2023.
6.
World Health Organization. Health in 2015: from MDGs to SDGs. 2015. AccessedJanuary4, 2022. https://www.who.int/data/gho/publications/mdgs-sdgs
7.
United Nations India. Our work on the Sustainable Development Goals in India. AccessedFebruary10, 2024. https://india.un.org/en/sdgs
8.
United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), Levels & Trends in Child Mortality: Report 2022, Estimates developed by the United Nations Inter-agency Group for Child Mortality Estimation, United Nations Children’s Fund, New York, 2023. AccessedMarch22, 2024. https://childmortality.org/wp-content/uploads/2023/01/UN-IGME-Child-Mortality-Report-2022.pdf
9.
Government of India, National Health Mission. India Newborn Action Plan. Child Health Division, Ministry of Health and Family Welfare, Government of India; 2014. AccessedFebruary10, 2024. http://nhm.gov.in/images/pdf/programmes/inap-final.pdf
10.
World Health Organization. Survive Thrive: Transforming Care for Every Small and Sick Newborn. 2019.
11.
CattaneoA, DavanzoR, BergmanN, . Kangaroo mother care in low-income countries. J Trop Pediatr. 1998Oct; 44(5):279–282.
12.
UdaniRH, NanavatiRN, MauskarAV, . Innovation—K.E.M. Kangaroo Bag for Kangaroo Mother Care. Accessed February10, 2024. https://fundacioncanguro.co/wp-content/uploads/2019/02/Rekha-Udani-4.pdf
13.
RamanathanK, PaulVK, DeorariAK, . Kangaroo mother care in very low birth weight infants. Indian J Pediatr. 2001Nov; 68(11):1019–1023.
14.
KadamS, BinoyS, KanburW, . Feasibility of kangaroo mother care in Mumbai. Indian J Pediatr. 2005; 72 (1):35–38.
15.
SumanRP, UdaniR, NanavatiR.Kangaroo mother care for low birth weight infants: a randomized controlled trial. Indian Pediatr. 2008Jan; 45 (1):17–23.
16.
Government of India. Facility Based Newborn Care Operational Guide: Guidelines for Planning and Implementation. Ministry of Family Health and Welfare; 2011. AccessedMay1, 2023. https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1409&lid=766
17.
Government of India, National Rural Health Mission. Navjaat Shishu Suraksha Karyakram. Basic Newborn Care and Resuscitation Program Training Manual. Government of India, Ministry of Health and Family Welfare; n.d. AccessedFebruary10, 2024. https://cghealth.nic.in/ehealth/2013/Training_Portal/pdf/NSSK/NavjaatShishuTrgMan.pdf
18.
EngmannC, WallS, DarmstadtG, ., On behalf of the participants of the Istanbul KMC Acceleration Meeting. Consensus on kangaroo mother care acceleration. Lancet. 2013;382:e26–e27.
19.
BerghAM, de Graft-JohnsonJ, KhadkaN, . The three waves in implementation of facility-based kangaroo mother care: a multi-country case study from Asia. BMC Int Health Hum Rights. 2016Jan27; 16:4.
UdaniRH, RaoS, BerghAM.Implementation and evaluation of kangaroo mother care services in India. https://fundacioncanguro.co/wp-content/uploads/2018/01/20_rekha_udani_text.pdf
22.
Government of India. Kangaroo Mother Care & Optimal Feeding of Low Birth Weight Infants: Operational Guidelines for Programme Managers & Service Provider. Ministry of Health and Family Welfare, Child Health Division; 2014. AccessedJuly21, 2021. https://www.nhm.gov.in/images/pdf/programmes/child-health/guidelines/Operational_Guidelines-KMC_&_Optimal_feeding_of_Low_Birth_Weight_Infants.pdf
23.
MazumderS, TanejaS, DubeB, . Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial. Lancet. 2019Nov9; 394(10210):1724–1736.
24.
WHO Immediate KMC Study Group. Immediate “kangaroo mother care” and survival of infants with low birth weight. N Engl J Med. 2021May27; 384(21):2028–2038.
25.
KMC Scale-up Study Group.Scaling up kangaroo mother care in Ethiopia and India: a multi-site implementation research study. BMJ Glob Health. 2021Sep; 6(9):e005905.
26.
World Health Organization. Kangaroo Mother Care: Implementation Strategy for Scale-up Adaptable to Different Country Contexts. 2023. Accessed May18, 2023. https://apps.who.int/iris/rest/bitstreams/1501085/retrieve
27.
KMC QI Collaboration of Karnataka. Sustaining extended kangaroo mother care in stable low birthweight babies in NICU: a quality improvement collaborative of six centres of Karnataka. BMJ Open Qual. 2023Oct; 12(Suppl.3):e002307.
28.
Government of Maharashtra, UNICEF, KMC Foundation of India. Home Based Kangaroo Mother Care. Manual for Implementation at Primary Health Care Level. State Family Welfare Bureau, Government of Maharashtra; 2021. AccessedFebruary10, 2024. https://iec.unicef.in/public/uploads/documents/8fee0e711fc03f7149a924f37c8dc8d3.pdf