kachule: scaling up to a continuum of facilty based and community kmc
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7/28/2019 Kachule: Scaling Up to a Continuum of Facilty Based and Community KMC
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Th
irteen
years
ofKMC
Practic
einM
alawi
S
calingup
toacontin
uumo
f
facil
ity-basedandcomm
unityKMC
EnelesiKa
chule
MinistryofHealth
Malawi
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7/28/2019 Kachule: Scaling Up to a Continuum of Facilty Based and Community KMC
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Bac
kground
KMCint
roducedinMalawiin1999
ZombaCentral
Hospital
2001-20
05:Trainingandsupportto6hospitals(SNL1)
KMCintroducedinallCentral/referralhospitals
2005:NationalKMCguidelines
2007:RetrospectiveevaluationofKMC
2008-20
11:
KMCincludedinintegratedmaterna
landnewborn
trainin
gmanuals(SN
L2&MCHIP)
KMCestablishedinm
ajorityofdistricthospitals
7learningdistricts
expansionto
communityKM
C
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Year
#facilities
1999
1
2002
2
2003
1
2004
1
2005
1
2006
1
2007
0
Total
7
KMCFAC
ILITIES
GOVT-10
4
CHAM-17 C
entral
teaching
hospitals
Slow
up-take
7
Pre-2008
121
4
5
5
4
1
4
1
1
#fac
ilities
20
10
20
09
Ye
ar
20
08
20
11
TOTAL
Country-wide
scale-up
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0246810
12
14
16
18
20
22
24
26
28
30
1.
1.CCreatea
wareness
reatea
wareness
2.
2.Comm
ittoimplement
Comm
ittoimplement
3.
3.Preparetoimplem
ent
Pr
eparetoimplem
ent
4.
4.Implement
Implement
5.
5.Inte
grateinto
Inte
grateinto
rou
tinepractice
rou
tinepractice
6.
Sustainnew
6.
Sustainnew
practices
practices
(2)
(2)
(4)
(7)
Cumu
lativescore
Score
perstage:
(7)
(6)
Prog
resswithimplementatio
n
14facilitiesfrom
centralhospital
tocom
munity
healthcentres
evaluated
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7/28/2019 Kachule: Scaling Up to a Continuum of Facilty Based and Community KMC
5/13
0246810
12
14
16
18
20
22
24
26
28
30
1.
1.CCreatea
wareness
reatea
wareness
2.
2.Comm
ittoimplement
Comm
ittoimplement
3.
3.Preparetoimplem
ent
Pr
eparetoimplem
ent
4.
4.Implement
Implement
5.
5.Inte
grateinto
Inte
grateinto
rou
tinepractice
rou
tinepractice
6.
Sustainnew
6.
Sustainnew
practices
practices
(2)
(2)
(4)
(7)
Cumu
lativescore
Score
perstage:
(7)
(6)
Prog
resswithimplementatio
n
MEAN
SCORE:16.33
Maximumscore
30
Scorerange
:
10.3420.0
7
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KMC
practic
e
KMCisroutinec
areforLBW/preterm
babiesinMalawi
Lowercadrestaffprovidem
ostofthe
servicesinKMCunits
There
isalinkwithHSAson
dischargefor
contin
uumofcare
LBW/pretermbab
iesdeliveredathome
are
referre
dtothefacilityforKM
C
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Typeso
fKMC
ContinuousKMC.
IntermittentKMC.
Criterion:
FacilityKMC-Birth
weight
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