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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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Contents of KMC in the National guidelines
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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Contents of KMC in the National guidelines
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
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23/23Thank you for your attention!