Factors Influencing Implementation of Continuous Kangaroo Mother Care Innovation Technology A Case of Embu Health Facilities, Embu County, Kenya
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Abstract
This study investigated the factors influencing the implementation of Kangaroo Mother Care (KMC) technology in Embu County health facilities, Kenya. The study focused specifically on financial support factors, health workers' role factors, facility readiness factors, and management-related strategies. The research utilized a descriptive survey design. Data were collected via questionnaires from 282 health workers (doctors and nurses) at level-four and level-five health facilities, which included Embu Level Five General Referral and Teaching Institution and Consolata Hospital, Kyeni, which is also a level-five faith-based Catholic institution, using stratified random sampling. Analysis was done with SPSS version 26.0, which employed both descriptive and inferential statistics. Key findings revealed that all examined factors, financial-related, health workers-related, facility-related, and management-related, significantly positively impacted continuous kangaroo mother care implementation. Financial-related factors had a coefficient of 0.246 (p = 0.000), while healthcare workers' factors had 0.281 (p = 0.000), facility-related factors had 0.294 (p = 0.000), and management-related factors had 0.170 (p = 0.000). These results underscore the necessity of sustainable funding, adequate resources, well-trained staff, and effective leadership for successful continuous KMC adoption. Advocacy efforts should be intensified to increase government budget allocations and attract adequate donor funding dedicated to KMC programs. Healthcare facilities should explore fee-for-service models to generate revenue that can be reinvested into KMC programs. Regular training programs and workshops on the latest KMC practices and protocols are essential for healthcare workers. Developing efficient resource allocation strategies will ensure that facilities have the necessary supplies and equipment to support KMC practices. Hospital policymakers and hospital administrators should take responsibility to explore fee-for-service models to generate revenue. As for the regular training, the County KMC program managers will be responsible for ensuring that this is done, and new health workers will also be included for continuity purposes.
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