e-ISSN 2589-9228 · p-ISSN 2589-921x
server-injected
Open Access

Compliance on Kangaroo Mother Care Program Among Mothers in The Province of Camarines Sur

,
DOI: 10.18535/raj.v9i05.603· Pages: 22-50· Vol. 9, No. 05, (2026)· Published: May 10, 2026
PDF
Views: 22 PDF downloads: 8

Abstract

Low birth weight (LBW) and prematurity continue to be leading causes of neonatal morbidity and mortality, particularly in resource-limited settings. Kangaroo Mother Care (KMC), a cost-effective, evidence-based intervention, has been widely adopted in hospitals to address these challenges. However, its continued implementation at home post-discharge remains underexplored. This descriptive-correlational study aimed to assess the compliance of 142 mothers practicing KMC at home in the province of Camarines Sur. The study utilized a self-made questionnaire and unstructured interviews to evaluate compliance across four key domains: preparation for KMC, positioning baby correctly for KMC, skin-to-skin contact and exclusive breastfeeding, and monitoring of the baby’s condition. Additionally, it examined the influence of sociodemographic variables and psychosocial factors, such as social, personal, emotional, and support system, on maternal compliance. Results revealed that while most mothers complied with essential KMC practices, lowest adherence was noted in aspects such as breast milk expression and extended skin-to-skin contact. Personal and emotional factors significantly influenced compliance. The findings underscore the need for targeted interventions, such as enhanced post-discharge education and community-based support, to promote sustained and effective Kangaroo Mother Care at home. A proposed plan is recommended to enhance maternal adherence and further reduce neonatal complications in Camarines Sur.

Keywords

Kangaroo Mother Carematernal complianceskin-to-skin contactexclusive breastfeeding

References

  1. Akinwunmi, B., & Tayo, A. (2020). The effect of kangaroo care on maternal attachment among mothers of preterm infants. The Nigerian Journal of Clinical Practice, 23(3), 353-358. doi:10.4103/njcp.njcp_354_19DOI ↗Google Scholar ↗
  2. Aklilu Habte, Aiggan Tamene and Addisalem Gizachew. (2023). Compliance toward key elements of kangaroo mother care and its predictors among postnatal mothers with preterm and/or low birth weight newborns in southern Ethiopia, 2021: A count analysis - PubMed Central. (n.d.). PubMed Central (PMC). Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC10214052/Google Scholar ↗
  3. Albert, J. R. G., Dumagan, J. C., & Martinez, A. Jr. (2015). Inequalities in Income, Labor, and Education: The Challenge of Inclusive Growth. Philippine Institute for Development Studies. Retrieved from https://pidswebs.pids.gov.ph/CDN/PUBLICATIONS/pidsdps1530.pdfGoogle Scholar ↗
  4. Alyafei, A., & Easton-Carr, R. (2024). The Health Belief Model of Behavior Change. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK606120/#article-161679.s1Google Scholar ↗
  5. Arya, Sugandha, et. Al. (2021). Immediate "Kangaroo Mother Care" and Survival of Infants with Low Birth Weight. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34038632/#:~:text=Neonatal%20death%20occurred%20in%20theGoogle Scholar ↗
  6. Aryan Gupta, (2025). Spearman’s Rank Correlation: The Definitive Guide To Understand. Retrieved from https://www.simplilearn.com/tutorials/statistics-tutorial/spearmans-rank-correlation#spearmans_rank_correlationGoogle Scholar ↗
  7. Bijayalaxmi Panda. (2024). A Supportive Family for Successful Kangaroo Mother Care (KMC): A Review. Retrieved from https://www.researchgate.net/publication/380153637_A_Supportive_Family_for_Successful_Kangaroo_Mother_Care_KMC_A_ReviewGoogle Scholar ↗
  8. Bhat, Adi. (2025). Descriptive Correlational: Descriptive vs Correlational Research. Retrieved from https://www.questionpro.com/blog/descriptive-research-vs-correlational-research/Google Scholar ↗
  9. BMJ Public Health. (2024). 'Counselling is the only thing to do': healthcare providers' experience of Kangaroo Mother Care in Bangladesh – a qualitative study. Retrieved from https://bmjpublichealth. bmj.com/content/2/2/e001133Google Scholar ↗
  10. Bugayon, Michelle T., et al. (2024). Navigating Parenhood Alone: The Lived Experiences of Filipino Single Mothers in Chilf-Rearing. Retrieved from https://scimatic.org/storage/journals/11/pdfs/3750.pdfGoogle Scholar ↗
  11. Canadian Paediatric Society. (2024). Skin-to-skin care (SSC) for term and preterm infants. Retrieved from https://cps.ca/en/documents/position/skin-to-skin-careGoogle Scholar ↗
  12. Carruthers, Kathryn, et al. (2023). Infection prevention and control measures for preterm infants discharged into the community: a scoping review protocol. Retrieved from https://link.springer.com/article/10.1186/s13643-023-02236-yDOI ↗Google Scholar ↗
  13. Charpak, N., Lefèvre-Cholay, H., Kangaroo Foundation, Ministry of Health and Social Protection of Colombia, World Food Program of the United Nations, Maternal and Child Health Integrated Program (MCHIP), & JSI Research & Training Inst. (2007). Kangaroo Mother Care Method Training Manual. Science And Tenderness. Retrieved from Retrieved from http://fundacioncanguro.co/PFMMC/en/docs/KMCMM/2.%20THE%20KANGAROO%20POSITION.pdfGoogle Scholar ↗
  14. Children’s Health, (2024). The importance of handwashing for kids. Retrieved from https://www.childrens.com/health-wellness/importance-of-hand-washing-for-kids-infographicGoogle Scholar ↗
  15. Cleveland Clinic. (2025). Kangaroo Care (Skin to Skin): What It Is & Benefits. Retrieved from https://my.clevelandclinic.org/health/treatments/12578-kangaroo-careGoogle Scholar ↗
  16. Cai U. Ordinario. (2019). UN flags low birth weight of PHL babies. Retrieved from https://businessmirror.com.ph/2019/05/20/un-flags-low-birth-weight-of-phl-babies/#:~:text=NEARLY%20half%20a%20million%20Filipino%20babie s%20are%20born,to%20a%20report%20released%20by%20the%20United%20Nations.Google Scholar ↗
  17. Calibo, Anthony Pascual et al. (2021). Scaling up kangaroo mother care in the Philippines using policy, regulatory and systems reform to drive changes in birth practices. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC8381328/Google Scholar ↗
  18. Cleveland Clinic. (2023). Kangaroo Care. Retrieved from https://my.clevelandclinic.org/health/treatments/12578-kangaroo-careGoogle Scholar ↗
  19. Cleveland Clinic. (2025). Kangaroo care: What it is and benefits for your baby. Retrieved October 30, 2023, from https://my.clevelandclinic.org/health/treat ments/12578-kangaroo-careGoogle Scholar ↗
  20. E A Adejuyigbe, et. Al. (2023). Evaluation of the impact of continuous Kangaroo Mother Care (KMC) initiated immediately after birth compared to KMC initiated after stabilization in newborns with birth weight 1.0 to < 1.8 kg on neurodevelopmental outcomes: Protocol for a follow-up study. Retrieved on July 25, 2023 from https://pubmed.ncbi.nlm.nih.gov/37038239/Google Scholar ↗
  21. European Foundation for the Care of Newborn Infants (EFCNI Academy). (2021). Kangaroo Mother Care (KMC). Retrieved from https://www.efcni.org/activities/efcni-academy/kmc/Google Scholar ↗
  22. Fajar Sari Tanberika and Kiki Susanti. (2020). Factors that Influence Pregnant Mothers’ Classes in the Work Area Kuala Lahang Health Center of Indragiri Hilir District. Retrieved from https://jurnal.ikta.ac.id/aisch/article/download/1573/220/3044Google Scholar ↗
  23. Frontiers. (2024). Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study. Retrieved from https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1419828/fullDOI ↗Google Scholar ↗
  24. Furdon, Susan A. (2023). Prematurity. Retrieved on May 25, 2024 from https://emedicine.medscape.com/article/975909-overview?fbclid=IwZXh0bgGoogle Scholar ↗
  25. NhZW0CMTAAAR1u8h5viaAn9ewvC3ldfJvJIyKqp-Ib4sPEJOlSqkPvlAqqTGoogle Scholar ↗
  26. Ghazi, M., Zare, M., Ramezani, M., Heidarzadeh, M., & Behnam Vashani, H. (2021). The effect of home visit program based on the continued Kangaroo Mother Care on maternal resiliency and development of premature infant: A randomized clinical trial. American Journal of Perinatology, 38(12), 1239-1245. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC7829586/Google Scholar ↗
  27. Global Foundation for the care of newborn infants. (2025). Kangaroo Mother Care (KMC). Retrieved from https://www.gfcni.org/gfcni-academy/kangaroo-mother-care#:~:text=Kangaroo%20Mother%20Care%20(KMC)%20is,skin% 20contact%20and%20close%20monitoringGoogle Scholar ↗
  28. Hassan, Muhammad Muneeb et al. (2024). Investigating socioeconomic disparities of Kangaroo mother care on preterm infant health outcomes. Taylor & Francis Online. Retrieved from https://www.tandfonline.com/doi/full/10.1080/0167482X.2023.2299982DOI ↗Google Scholar ↗
  29. Healthy Newborn Network. (2017). Kangaroo Mother Care In Malawi: Improving Uptake Using A Customized Wrap. Retrieved from https://www.healthynewbornnetwork.org/hnn-content/uploads/KMC-Wrapper-brief-FOR-PRINT-August-17.pdfGoogle Scholar ↗
  30. Hepti Muliyati, Rizal Damanik and Katrin Roosita, (2019). Association Between Kangaroo Mother Care and Stress Level of Mothers with Low Birth Weight Infants. Pakistan Journal of Nutrition, 18: 1128-1132. Retrieved from https://scialert.net/abstract/?doi=pjn.2019.1128.1132#:~:text=Result s%3A%20The%20result%20showed%20that%20lower%20maternal%20stress,birth%20weight%20infants%20to%20reduce%20postpartum%20maternal%20stress.Google Scholar ↗
  31. Healthline. (2023). Complications of premature birth. Retrieved from https://www.healthline.com/health/pregnancy/premature-baby-complicationsGoogle Scholar ↗
  32. Himani Yadav , Bijayalaxmi Panda , and Neeraj Jham, (2024). A Supportive Family for Successful Kangaroo Mother Care (KMC): A Review. Retrieved from https://www.researchgate.net/publication/380153637 _A_Supportive_Family_for_Successful_Kangaroo_Mother_Care_KMC_A_ReviewGoogle Scholar ↗
  33. Hodgson, B. A., Willoughby, K., & Hegyi, T. (2020). A kangaroo care pathway for NICU staff and families. Advances in Neonatal Care, 20(1), 40-46. doi:10.1097/ANC.0000000000000721DOI ↗Google Scholar ↗
  34. Intan Silviana Mustikawati, et al. (2014). Barriers and facilitators of kangaroo mother care in low birth weight infants: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 19(Suppl1), S41–S46.Google Scholar ↗
  35. Kwesiga, Doris et al. (2022). Improving Post-discharge Practice of Kangaroo Mother Care: Perspectives From Communities in East-Central Uganda. Retrieved from https://www.frontiersin.org/journals/pediatrics/articles/ 10.3389/fped.2022.934944/fullDOI ↗Google Scholar ↗
  36. Kurt, FY et. Al. (2020). The Effect of Kangaroo Care on Maternal Attachment in Preterm Infants. Retrieved on May 24, 2025 from https://journals.lww.com/njcp/fulltext/2020/23010/The_Effect_of_Kangaroo_Care_on_Maternal_Attachment.5.aspx?fbclid=IwZXh0bgNhZW0CMTAAAR1TIq8sejDs5RDX8DZ-33lRUgPL7tC_FiSZX2Usl5TdKDLUdQc-XvGtceg_ae m_ASSpENkUMfNLHiGHeDf0qx5dZb1CwQGKvbPl0FyaqepY6PVLT58DHO7JDBekQJ9IzI5YwoVbNhFi6g1OaGCpzGOdGoogle Scholar ↗
  37. Lawal, T. V., Lawal, D. I., & Adeleye, O. J. (2023). Determinants of Kangaroo Mother Care among low-birth-weight infants in low resource settings. PLOS Global Public Health, 3(9), e0002015.Google Scholar ↗
  38. Ludington-Hoe, S. M. (2011). Evidence-based review of physiologic effects of kangaroo care. Current Women's Health Reviews, 7(6), 516–522.Google Scholar ↗
  39. Macayaon, R., & Faller, E. (2024). Integration of the Kangaroo Mother Care into the Mother and Child Care Program in a Government Hospital in Marinduque. International Journal of Research Publication and Reviews, 5(9), 2602-2610. https://ijrpr.com/uploads/V5ISSUE9/IJRPR33363.pdfGoogle Scholar ↗
  40. Marzieh Mohammadi, et al. (2021). Implementation and Effectiveness of Continuous Kangaroo Mother Care: a Participatory Action Research Protocol. Retrieved on July 25, 2023 from https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-021-00367-3#Abs1DOI ↗Google Scholar ↗
  41. Mayo Clinic. (2024). Premature birth - Symptoms and causes. Retrieved from https://www.mayoclinic.org/diseases-conditions/premature-birth/symptoms-causes/syc-20376730Google Scholar ↗
  42. McLeod, Saul. (2023). Questionnaire Method in Research. Retrieved from https://www.simplypsychology.org/questionnaires.htmlGoogle Scholar ↗
  43. Mehrpisheh, S., Doorandish, Z., Farhadi, R., Ahmadi, M., & Moafi, M. (2023). The effectiveness of Kangaroo Mother Care (KMC) on depression, anxiety, and stress of mothers with premature infants. Journal of Neonatal Nursing. https://doi.org/10.1016/j.jnn.2023.03.002. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1355184123000467DOI ↗Google Scholar ↗
  44. Meniano, S. (2023). E. Visayas eyes ‘kangaroo mother care’ to monitor infants. Philippine News Agency. https://www.pna.gov.ph/articles/1210727. retrieved from https://www.pna.gov.ph/index.php/articles/1207492Google Scholar ↗
  45. Mithila Koreti and Pramita Muntode Gharde. 2022. A Narrative Review of Kangaroo Mother Care (KMC) and Its Effects on and Benefits for Low Birth Weight (LBW) Babies. Retrieved from https://pubmed.ncbi.nlm.nih.gov/36582577/Google Scholar ↗
  46. Mutinke Zulu, et al. (2020). Perception and practice of Kangaroo Mother Care after discharge from the Women and Newborn Hospital, Lusaka, Zambia. Journal of Pregnancy and Newborncare. Retrieved from https://www.researchgate.net/publication/348994580Google Scholar ↗
  47. Nationwide Children's Hospital. (2025). Kangaroo Care for Your Infant. Retrieved from https://www.nationwidechildrens.org/family-resources-education/health-wellness-and-safety-resources/helping-hands/kangaroo-care-for-your-infantGoogle Scholar ↗
  48. New Born Baby (2019). Kangaroo Mother Care. Retrieved from https://newbornwhocc.org/pdf/Kangaroo_Mother_Care-2019.pdfGoogle Scholar ↗
  49. NHS. (2025). Skin-to-skin contact with your newborn - Start for Life. Retrieved from https://www.nhs.uk/start-for-life/baby/baby-basics/caring-for-your-baby/skin-to-skin-contact-with-your-newborn/Google Scholar ↗
  50. NHS. (2022). Breastfeeding your premature baby. Retrieved from https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breast feeding/premature-baby/Google Scholar ↗
  51. Park, J. (2020). Effects of Kangaroo Mother Care on Maternal Attachment, Maternal Role Confidence and Maternal Role Satisfaction in Mothers of Healthy Full-Term Newborns: A Quasi-Experimental Study. Journal of Women's Health, 6(1), 9–16.Google Scholar ↗
  52. Pary Mohammad Aziz, (2024). Experience and expression of postnatal mothers practicing kangaroo mother care: A qualitative study. Retrieved from https://skolar.ai/app?tab=search-papersGoogle Scholar ↗
  53. PhilAtlas. (2025). Camarines Sur. Retrieved from https://www.philatlas.com/luzon/r05/camarines-sur.htmlGoogle Scholar ↗
  54. Philippine Statistic Authority. (2025). Registered Live Births in the National Capital Region. Retrieved from https://rssoncr.psa.gov.ph/content/ registered-live-births-national-capital-region-2023Google Scholar ↗
  55. Philippine Statistics Authority. (2024). 2023 Annual Provincial Labor Market Statistics (Preliminary Results). Retrieved from https://psa.gov.ph/statistics/labor-force-survey/node/1684065368Google Scholar ↗
  56. Philippine Statistics Authority. (2021). 2021 Births Special Release. Retrieved from https://psa.gov.ph/system/files/vsd/2021%20Births_Special%20 Release.pdf?fbclid=IwZXh0bgNhZW0CMTAAAR1UPgVe_-0EZHaj1bVZh0A 3AQRjRJd_f0kCAlGoogle Scholar ↗
  57. Power of Nutrition. (2025). Kangaroo mother care: A simple act of love with big benefits for babies and mothers. Retrieved from https://www.power ofnutrition.org/news/kangaroo-mother-care-a-simple-act-of-love-with-big-be nefits-for-babies-and-mothers#:~:text=Kangaroo%20mother%20care%20i s%20a,other%20caregivers%20of%20the%20family.Google Scholar ↗
  58. Qian Cai. (2024). Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study. Retrieved from https://pubmed.ncbi.nlm.nih.gov/39040865/Google Scholar ↗
  59. ResearchGate. (2015). Overcoming socio-cultural barriers to the scale-up of kangaroo mother. Retrieved from https://www.researchgate.net/figure/Overcoming-socio-cultural-barriers-to-the-scale-up-of-kangaroo-mother-care-and-preterm_fig6_281749388Google Scholar ↗
  60. Rosa-Mangeret, Flavia, et. Al. (2022). 2.5 Million Annual Deaths—Are Neonates in Low- and Middle-Income Countries Too Small to Be Seen? A Bottom-Up Overview on Neonatal Morbi-Mortality. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC9148074/Google Scholar ↗
  61. Ryan C.V. Lintao, Erlinda F.Llamas-Clark, and Ourlad Alzeus G. Tantengco. (2022). Socioeconomic disparities in adverse birth outcomes in the Philippines. Retrieved from https://www.researchgate.net/publication/359865382_Socioeconomic_disparities_in_adverse_birth_outcomes_in_the_PhilippinesGoogle Scholar ↗
  62. Samsudin, et al. (2022). Maternal Kangaroo care education program in the neonatal intensive care unit improved mothers’ perceptions, knowledge, perceived barriers and stress relates to premature infant. National Library of Medicine, National Cnter for Biotechnology Information. PMC. 349-357, doi: 10.1002/nop2.1311. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC9748066/DOI ↗Google Scholar ↗
  63. Science Alert. (2019). Association Between Kangaroo Mother Care and Stress Level of Mothers with Low Birth Weight Infants. Retrieved from https://scialert.net/fulltext/?doi=pjn.2019.1128.1132Google Scholar ↗
  64. Shim, J., Park, J., Kim, H., Lee, S., & Kim, Y. (2022). Impact of maternal employment status on neonatal outcomes and early childhood development. Frontiers in Pediatrics, 10, 934944. https://doi.org/10.3389/fped.2022.934944DOI ↗Google Scholar ↗
  65. Shirazi, S., Keshavarz, M., Pezaro, S., Amzajerdi, A., & Jahanfar, S. (2025). The effect of post discharge Kangaroo mother care with and without telephone advice on anthropometric indexes of preterm newborns: a randomized clinical trial. BMC Pediatrics, 25(1), 221. https://doi.org/10.1186/s12887-024-05355-0. Retrieved from https://pubmed.ncbi.nlm.nih.gov/40108542/#:~:text=No%20significant%20differences%20were%20observed,research%20may%20usefully%20inform%20these.DOI ↗Google Scholar ↗
  66. Sibel Kucukoglu et. Al. (2021). The Effect of Kangaroo Care on Breastfeeding and Development in Preterm Neonates. Retrieved on May 24, 2024 from https://www.sciencedirect.com/science /article/abs/pii/S0882596321000609? fbclid=IwZXh0bgNhZW0CMTAAAR1HbAZjlj_Cz7KbdBah6lhTEK2_7CMVvCBSUtopSrtLebHXb36oUANE5SM_aem_ASSh3SLijFw0KcDtoLbQxWWkPvRScmvGqORS2Xv1lpMQFob3D9QtJ8rHnsRiQ4sJqqeCrAP331GQk4JkFCj39jcjGoogle Scholar ↗
  67. Sindhu Sivanandan and Mari Jeeva Sankar. (2023). Kangaroo mother care for preterm or low birth weight infants: a systematic review and meta-analysis. Retrieved on July 25, 2023 at https://pubmed.ncbi.nlm.nih.gov/37277198/Google Scholar ↗
  68. Stadd, Karen et. Al. (2020). A Kangaroo Care Pathway for NICU Staff and Families, The Proof is in the Pouch. Retrieved on May 24, 2024 from https://journals.lww.com/advancesinneonatalcare/abstract/2020/02000Google Scholar ↗
  69. /a_kangaroo_care_pathway_for_nicu_staff_and.3.aspxGoogle Scholar ↗
  70. Stanford Medicine Children’s Health, (2025). Low Birth Weight. Retrieved from https://www.stanfordchildrens.org/en/topic/default?id=low-birth-weight-90-P02382Google Scholar ↗
  71. Sugandha Arya et al. (2023). Effect on neonatal sepsis following immediate kangaroo mother care in a newborn intensive care unit: a post-hoc analysis of a multicentre, open-label, randomised controlled trial. Retrieved on July 25, 2023 from https://pubmed.ncbi.nlm.nih.gov/37251633/Google Scholar ↗
  72. Taguiam, H. C. (2024). Level of awareness, attitude, and barriers to compliance on Kangaroo Mother Care (KMC): Basis for development of health education materials. Retrieved from https://journal.aide-inc.net/index.php/aide-irj/article/view/118Google Scholar ↗
  73. Taskou, Chrysoula. (2023). Early direct skin-to-skin contact between mother and newborn in promoting breastfeeding: A literature review. World Journal of Biology Pharmacy and Health Sciences, 16(01), 038–043. https://pdfs.semanticscholar.org/4e8f/33b257901b6b388cc3c5ca933c13dcbb0925.pdfGoogle Scholar ↗
  74. Teñoso, A.L., et al. (2023). Breastfeeding Compliance and Associated Factors Among First-Time Mothers at a Government Hospital in Urdaneta City, Pangasinan: A Cross-Sectional Study. Retrieved from https://ijrpr.com/uploads/V4ISSUE12/IJRPR20701.pdfGoogle Scholar ↗
  75. Turney, Shaun. (2023). Chi-Square (Χ²) Tests | Types, Formula & Examples. Scribbr. Retrieved from https://www.scribbr.com/statistics/chi-square-tests/Google Scholar ↗
  76. UNICEF UK Baby Friendly Initiative. (2025). Skin-to-skin contact. Retrieved from https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/imple menting-standards-resources/skin-to-skin-contact/Google Scholar ↗
  77. UNICEF UK, (2023). Skin-to-Skin Contact. Retrieved from https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/implement ing-standards-resources/skin-to-skin-contact/Google Scholar ↗
  78. UNICEF. (2023). Low birthweight. Retrieved from https://data.unicef.org/topic/nutrition/low-birthweight/Google Scholar ↗
  79. University of Rochester Medical Center, (2023). Low Birth Weight. Retrieved on August 30, 2023 from https://www.urmc.rochester.edu/encyclopedia/content.Google Scholar ↗
  80. aspx?contenttypeid=90&contentid=p02382#:~:text=low%20birth%20weight-,Low%20birth%20weight%20is%20a%20term%20used%20to%20describGoogle Scholar ↗
  81. e%20babies,often%20caused%20by%20premature%20birth.Google Scholar ↗
  82. USAID. (2019). Kangaroo Mother Care Saves Newborns. Retrieved from https://www.mchip.net/sites/default/files/KMC%20advocacy%20paper_Philippines_0.pdfGoogle Scholar ↗
  83. Villanueva-Uy, M. E. T., Van Haute, M. Q., Kasahara, E. S., & De Leon-Mendoza, S. (2021). A meta-analysis on the effect of kangaroo mother care on preterm mortality. Acta Medica Philippina, 55(1), Article ID. https://doi.org/10.47895/amp.v55i1.1131DOI ↗Google Scholar ↗
  84. Villanueva-Uy, M. E. T., Villanueva-Uy, L. M., Chung, A. L. T., & De Leon-Mendoza, S. (2021). Kangaroo Mother Care Implementation at the Philippine General Hospital: A Quality Assurance Initiative. BMC Pregnancy and Childbirth, 21(9), 990-997. https://doi.org/10.1186/s12884-021-03748. Retrieved from file:///C:/Users/User/Downloads /37.KMCimplementationPGHActa2021-12-21.pdfDOI ↗Google Scholar ↗
  85. Western Pacific WHO. (2025). Scaling up Early Essential Newborn Care. Retrieved from https://www.who.int/westernpacific/activities/scaling-up-early-essential-newborn-careGoogle Scholar ↗
  86. Wikipedia. (2024). Social support. In Wikipedia, The Free Encyclopedia. Retrieved from https://en.wikipedia.org/wiki/Social_supportGoogle Scholar ↗
  87. World Health Organization. (2021). Kangaroo mother care started immediately after birth critical for saving lives, new research shows. Retrieved from https://www.who.int/news/item/26-05-2021-kangaroo-mother-care-started-immediately-after-birth-critical-for-saving-lives-new-research-showsGoogle Scholar ↗
  88. World Health Organization. (2025). Women of reproductive age (15-49) population (thousands). Retrieved from https://platform.who.int/data /maternal-newborn-child-adolescent-ageing/indicator-explorer-new/mca/wo men-of-reproductive-age-%2815-49-years%29-population-%28thousands% 29Google Scholar ↗
  89. World Health Organization. (2025). Scaling up Early Essential Newborn Care (who.int). Retrieved from https://www.who.int/westernpacific/activities/ scaling-up-early-essential-newborn-careGoogle Scholar ↗
  90. World Health Organization. (2025). Preterm and low birth weight infants. Retrieved from https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/newborn-health/preterm-and-low-birth-weight/Google Scholar ↗
  91. World Health Organization. (2021). Preterm birth. Retrieved from https://www.who.int/news-room/fact-sheets/detail/preterm-birthGoogle Scholar ↗
  92. World Health Organization. (2021). Kangaroo mother care started immediately after birth critical for saving lives, new research shows. World Health Organization. Retrieved from https://www.who.int/news/item/26-05-2021-kangaroo-mother-care-started-immediately-after-birth-critical-for-saving-lives-new-research-showsGoogle Scholar ↗
  93. World Health Organization. (2023). Kangaroo mother care: Implementation strategy for scale-up adaptable to different country contexts. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789240071643Google Scholar ↗
  94. World Health Organization. 2023. Kangaroo mother care Implementation strategy for scale-up adaptable to different country context. Retrieved from https://iris.who.int/bitstream/handle/10665/367625/9789240071636-eng.pdf?sequence=1Google Scholar ↗
  95. World Health Organization. (2022). WHO recommendations for care of the preterm or low-birth-weight infant. https://apps.who.int /iris/bitstream/handle/10665/363699/9789240060050-eng.pdfGoogle Scholar ↗
  96. World Health Organization. (2003). Kangaroo mother care: a practical guide. Retrieved from https://www.who.int/publications/i/item/9241590351Google Scholar ↗
  97. WHO & UNICEF. (2025.). Breastfeeding. Retrieved from https://www.who.int/health-topics/breastfeedingGoogle Scholar ↗
Author details
Chiradee P. Panelo RN MAN
Camarines Sur Polytechnic Colleges
✉ Corresponding Author
👤 View Profile →🔗 Is this you? Claim this publication
Dale B. Panelo RN MAN
Camarines Sur Polytechnic Colleges
👤 View Profile →🔗 Is this you? Claim this publication