Acceptability of the Kangaroo Mother Care at the University Hospital of Treichville in Côte d’Ivoire

Submitted: 28 February 2022
Accepted: 29 May 2022
Published: 20 October 2022
Abstract Views: 327
PDF: 265
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Background. Kangaroo Mother Care (KMC) is a low-tech, highimpact intervention for preterm and low-birth-weight newborns. In 2019, Côte d’Ivoire opened its first KMC unit. We wanted to determine KMC’s acceptability in Côte d’Ivoire after a year.
Methods. This qualitative study used semi-structured interviews in September 2020 at the Teaching Hospital of Treichville’s first KMC unit. Mothers of preterm and low birth weight babies who received KMC were studied. Deductive (TFA-driven) framework analysis was performed. Coded using Nvivo 12.
Results. KMC was acceptable overall. Mothers knew KMC’s goal and benefits, including self-confidence and breastfeeding benefits. Most women reported that the method was easy to implement and were confident in implementing KMC at the unit or in the household, even though some of them found KMC not aligned with their cultural values. Some mothers, especially housewives and self-employed, highlighted the benefits of KMC, but they must have given up.
Conclusions. Our study highlighted the need to increase KMC awareness, advocacy, education, and training for pregnant women and the community to reduce preterm and low birth weight infant mortality and morbidity.

Kramer MS. (1987). Determinants of low birth weight: methodological assessment and metaanalysis. Bull World Health Organ; 65: 663–737.

Bagla P. Low Birth Weight Policy Brief. 7.

Kim D, Saada A. (2013). The Social Determinants of Infant Mortality and Birth Outcomes in Western Developed Nations: A Cross-Country Systematic Review. Int J Environ Res Public Health; 10: 2296–335. DOI:

Lawn JE, Blencowe H, Oza S, et al. (2014) Every Newborn: progress, priorities, and potential beyond survival. Lancet Lond Engl ; 384: 189–205. DOI:

Global targets 2025, (accessed 26 August 2021).

Althabe F, Howson CP, Kinney M, et al. Born too soon: the global action report on preterm birth, (2012, accessed 8 July 2021).

Kangaroo mother care: a practical guide, (accessed 8 July 2021).

Charpak N, Ruiz JG, Zupan J, et al. (2005). Kangaroo Mother Care: 25 years after. Acta Paediatr Oslo Nor; 94: 514–522. DOI:

Abraham A, Binoy S, Naganuri M. (2017). Knowledge, Attitude and Practice of Kangaroo Mother Care by Postnatal Mothers who Gave Birth to Preterm and Low Birth Weight Babies in Public Hospitals, Eastern Ethiopia. J Neonatal Biol; 06. Epub ahead of print 1 January 2017. DOI: 10.4172/2167-0897.1000264.

Olawuyi O, Ezenwa BN, Fajolu IB, et al. Knowledge, attitude and practice of kangaroo mother care among mothers in the neonatal wards of a tertiary care center. Pan Afr Med J 2021; 38: 364. DOI:

Bergh A-M, Kerber K, Abwao S, et al.(2014). Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa. BMC Health Serv Res; 14: 293. DOI:

Gupta M, Jora R, Bhatia R. (2007). Kangaroo Mother Care (KMC) in LBW infants—a Western Rajasthan experience. Indian J Pediatr 2007; 74: 747–49. DOI:

Plan d’action chaque nouveau né 2018-2020.pdf, (accessed 8 July 2021).

Sekhon M, Cartwright M, Francis JJ. (2017). Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res ; 17:88. DOI:

Kampekete GSM, Ngoma C, Masumo M. (2018). Acceptance of kangaroo mother care by mothers of premature babies. Afr J Midwifery Womens Health; 12: 178–88. DOI:

Robertson AE, Crowley T. (2020). Adolescent mothers’ lived experiences whilst providing continuous kangaroo mother care: A qualitative study. Health SA Gesondheid ; 25: 1450. DOI:

Gathwala G, Singh B, Singh J.(2010). Effect of Kangaroo Mother Care on physical growth, DOI:

breastfeeding and its acceptability. Trop Doct ; 40: 199–202.

Dehghan M, Kashaninia Z, Sajedi F, et al. (2015). Effect of Kangaroo Mother Care on the Self-esteem of Mothers of Preterm Infants Hospitalized in the Neonatal Intensive Care Unit. J Client-Centered Nurs Care; 1: 177–182. DOI:

Nguah SB, Wobil PN, Obeng R, et al. (2011). Perception and practice of Kangaroo Mother Care after discharge from hospital in Kumasi, Ghana: A longitudinal study. BMC Pregnancy Childbirth; 11. Epub ahead of print December. DOI: 10.1186/1471-2393-11-99. DOI:

Blomqvist YT, Nyqvist KH. (2011). Swedishmothers' experience of continuous Kangaroo Mother Care. J Clin Nurs; 20: 1472–480. DOI:

Flacking R, Ewald U, Starrin B. (2007).‘I wanted to do a good job’: experiences of “becoming a mother” and breastfeeding in mothers of very preterm infants after discharge from a neonatal unit. Soc Sci Med; 64: 2405–16. DOI:

Cattaneo A, Davanzo R, Worku B, et al. (1998)). Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings. Acta Paediatr Oslo Nor; 87:976–85. DOI:

Athanasopoulou E, Fox JRE.(2014). Effects of Kangaroo Mother Care on Maternal Mood and Interaction Patterns Between Parents and Their Preterm, Low Birth Weight Infants: A Systematic Review. Infant Ment Health J ; 35: 245–62. DOI:

Muliyati H, Damanik R, Roosita K. (2019). Association Between Kangaroo Mother Care and Stress Level of Mothers with Low Birth Weight Infants. Pak J Nutr ; 18: 1128–32. DOI:

Bajaj S, Nanavati R, Sureka S, et al. (2015). Knowledge, Attitude and Practice Study of Kangaroo Mother Care Practices in a Tertiary Care Center: Does Knowledge Really Affect the Attitude and Practice? Perinatology; 16: 62–8.

Chan GJ, Labar AS, Wall S, et al.(2016). Kangaroo mother care: a systematic review of barriers and enablers. Bull World Health Organ 2016; 94: 130-41J. DOI:

Rasaily R, Ganguly K, Roy M, et al. (2017). Community based kangaroo mother care for low birth weight babies: A pilot study. Indian J Med Res; 145: 51. DOI:

Smith ER, Bergelson I, Constantian S, et al.(2017). Barriers and enablers of health system adoption of kangaroo mother care: a systematic review of caregiver perspectives. BMC Pediatr 2017; 17: 35. DOI:

Ayers S, Olander EK (2013). What are we measuring and why? Using theory to guide perinatal research and measurement. J Reprod Infant Psychol; 31: 439–48. DOI:

Vesel L, Bergh A-M, Kerber KJ, et al.(2015). Kangaroo mother care: a multi-country analysis of health system bottlenecks and potential solutions. BMC Pregnancy Childbirth; 15: S5. DOI:

Marie Laurette Agbré Yacé, Reproductive Health Research Unit, National Institute of Public Health



Supporting Agencies


Doukouré, D., Kourouma, K. R., Agbré Yacé, M. L., Cissé, L., Some Méazieu, C., N’Guetta Manouan, M., Lasme, E. A., Bayo, S., Aké-Tano, S. O. P., Sackou Kouakou, J., & Konan Kouakou, V. (2022). Acceptability of the Kangaroo Mother Care at the University Hospital of Treichville in Côte d’Ivoire. Journal of Public Health in Africa, 13(3).


Download data is not yet available.