TABLE 4.

Proposed Operational Framework for Catalyzing KMC Uptake Along the Health Facility to Community Continuum Based on Study Findings in Karnataka, India

Community	Health Facility	Community
Antenatal care	Pregnancy + childbirth + hospitalization of the low birth weight baby	Continuation of KMC for 4–6 weeks at home
CHWs’ Role^a	HCWs’ Role	CHWs’ Role
Educate and counsel mothers and the community on KMC and exclusive breastfeeding Inform about need for childbirth at a health facility Identify peer mothers as KMC champions Identify potential foster KMC providers	Support mothers at antenatal visits on KMC Ensure support from all HCWs, including peer mothers and foster KMC providers, for mothers to initiate and maintain KMC Recognize HCWs who promote KMC as champions Ensure foster KMC providers are identified and that they begin supervised KMC provision at the health facility before discharge	Reinforce information on KMC through home visits after discharge daily for a week; find ways to enhance KMC duration Encourage foster KMC providers to provide skin-to-skin contact or assist with household chores Ensure mothers monitor babies during KMC

Abbreviations: CHW, community health worker; HCW, health care worker; KMC, kangaroo mother care.
↵^aExtrapolated from this study’s findings.