Preliminary Workshop and Congress Program

Workshop

Kangaroo Mother Care as an evidence-based intervention: how to overcome resistance for integration into routine care of low birth weight and preterm infants at country level

Venue: Universidad Javeriana, Carrera 7 No. 40 - 62, Bogotá, Colombia

Auditorium: Felix Restrepo for meeting and posters, 6 rooms, each for group of 30 participants

Expected participants (capacity): 200 participants

Posters: implementation and dissemination of KMC at country level

Target audience: Health professionals involved in KMC implementation and dissemination in countries, health authorities, and policy makers

Language: English

14 November 2018

• Auditorium Felix Restrepo
• Registration of participants
• Display of posters
• Setting up of country stands (one per country)
• Welcome
• Distribution into groups by topic

1. Minimum indicators to evaluate dissemination at country level (Total number of live births who are premature and LBW per year, Distribution of premature and LBW births in the country, Total number of neonatal care units (NCU’s) and neonatal intensive care units (NICU’s),Mortality rate among premature and LBW’s, Total number of hospital-based KMC programs in the country, availability of high-risk follow-up KMC clinic or KMC program and maximum age of follow-up, utilization of KMC for transport of the preterm and LBW ) and indicators of KMC quality of care

2. Integrating KMC in the working objectives of non-governmental organizations (NGOs) and institutions
How could the definition of KMC and the inclusion criteria for the KMC program be standardized? What are the best strategies to support the first implementation of a KMC program and to stimulate sustainability? How does one build a set of KMC manuals that are easy to access and download?

3. KMC implementation in all the hospitals of a country
What are the best strategies for implementing KMC across a country? (What are the basic hospital needs/requirements for KMC implementation? Should levels of KMC implementation be devised to facilitate hospital level-specific adoption of KMC? How can the community participate in hospital based-KMC implementation?)

4. KMC transport
What is the most common mode of neonatal transport used in the country? What are the challenges to neonatal transport in the country? How can KMC transport be integrated into the system, as the best choice? What are the best strategies to inform and convince all primary health centers and first level hospitals on the safety and superiority of KMC for transportation? Do you have isolated areas? Did you try KMC as a mean for transportation? How to train primary health care centers and first level hospitals in KMC for transportation? Requirements? Is there any KMC training given to the paramedics who transport neonates?

5. Getting health ministries and professional associations on board
How many professional associations are/may be involved in national KMC implementation? What other government agencies need to be engaged in order for KMC to be implemented as a national program? Is there a role for academic institutions in KMC implementation? If so, which ones should be involved? What are the best strategies and needs to convince health ministries and professional associations to adopt KMC as a routine care for premature and LBW infant?

6. Establishing a system of KMC follow-up to assure safety and document benefits
Is there a national system of high-risk follow-up recommended by the health ministry and concerned professional organizations? What is the approximate compliance with these recommendations? Is there a national system of “tracking” KMC discharges and follow-up? What are the minimum requirements for this system to be adopted at country scale? What strategies may be employed for monitoring compliance to ambulatory KMC, at hospital and patient level? Is there a role for community-based high risk follow-up care of KMC discharges? What would be the risks and benefits for community-based ambulatory KMC?

7. KMC for term infants:  state of art 2018

• Afternoon group work in the 6 rooms of the new building of the PUJ
• Plenary meeting in the Felix Restrepo auditorium at the end of the day
• Viewing posters

15 November 2018

• Preparation of the report for each group
• Choice of the 3 best posters on KMC implementation and dissemination at country level for oral presentation during the congress
• Dinner for participants

Congress

Kangaroo Mother Care: the best neuro-protective strategy for the preterm and low birth weight, from birth up to one year corrected age.

Venue: Universidad Javeriana, Carrera 7 No. 40 - 62, Bogotá, Colombia
Auditorium: Felix Restrepo
Topics:  basic research on the neuro-protective effect of each component of KMC: kangaroo position, kangaroo nutrition, kangaroo discharge policies and follow-up (through neuro-physiology, neuro-sensorial stimulation, sensitization of the family, modification of the environment….etc…)
Expected participants (capacity): 300-350
Target audience: Health professionals involved in Kangaroo Mother Care (KMC) research and implementation
Language: English

16 and 17 of November 2018

• Registration of participants
• Display of posters
• Welcome
• Inauguration speech
• Presentation of the updated 2007-2017 evidence-based KMC guidelines of the Kangaroo Foundation
• Presentation of the report of the workshop
• State of the art on the follow-up of the preterm and LBW infant. Mild and severe sequelae. Economic and social burden for health systems and families.
• Neuro-protective effect of parental participation as providers of care to their LBW and preterm infant. Free access to neonatal units. Duties of parents. Rights of infants. Environment and necessary tools for parents in a NCU and NICU. Feelings of parents.
• Neuro-protective effect of the macro- and micro-environment on infants in NCU and NICU. Kangaroo position. Quality of sleep. Pain and stress, noise, touch and massage in kangaroo position. Brain maturation in a less stressful environment. Target: all preterm and LBW infants.
• Neuro-protective effect of kangaroo nutrition. Breastfeeding the preterm infant. Involvement of the mother. Direct stimulation of suckling at the breast.
• Neuro-protective effect of early discharge with early integration in the family. Empowerment of parents. Responsibility and involvement of parents with ambulatory care of the kangaroo infant, with or without oxygen dependency, up to 40 weeks of gestational age. Management of anxiety and post-partum depression.
• Neuro-protective effect of kangaroo follow-up during the first year of corrected age. Detection and early intervention in neurosensory impairments, in abnormal neuro-motor development, and in abnormal psychomotor development. Monitoring of somatic growth. Management of anxiety. Collective room in the outpatient clinic. Access to neuro and psychomotor specific stimulation. Teaching parents on specific exercises according to child development.
• Cost effectiveness of the KMC program for all preterm and LBW infants and their families. Definition of minimal activities for a one-year quality follow-up. Bogotá, with 17 KMC units, attends 80% of the preterm and LBW infants of its 8 million inhabitants. Evaluation of the cost per infant (equivalent in days of neonatology). Why not using this Colombian model for KMC dissemination at country level?
• Presentation of the 6 best abstracts (3 from the workshop and 3 from the congress

Dinner on the 16th of November. Traditional clothing suggested for representatives of countries. Short interviews with country representatives to produce a short video for the 17th (World Prematurity Day) and closing of the event.