The Analysis of Kangaroo Mother Care Implementation at Public Health Center in Indonesia

Indri Paradillah, Evi Martha, Farandi Agesti Ramadhan, Irene Tenriana, Lutfi Rinaldi Syahbana, Izmi Arisa Putri Lubis, Hadi Pratomo


Background: Infant mortality is one of the sensitive indicators to know the degree of health of a country and even to measure the level of progress of a nation. The Low Birth Weight Babies (LBW) are the highest cause of infant mortality in Depok until it reaches 81 cases in 2019. One of the efforts made by public health office to reduce the infant mortality rate is to use Kangaroo Mother Care. This research aims to analyze the implementation of Kangaroo Mother Care Program in public health center in Depok, Indonesia. 

Methods: The method of study is qualitative with purposive sampling approach.

Result: The results showed that the informants were not aware of the existence of Mayor Regulation Number 89 year 2020 regarding Kangaroo Method Care. Health workers do not yet have sufficient knowledge about the implementation of the Kangaroo Method of Care. The implementation of the Kangaroo Method of Care is still not supported by complete facilities. Human Resources is also still inadequate.

Conclusion: The conclusion of this research is the Kangaroo Method Care program has not run optimally. There needs to be an effort to improve the implementation of the Kangaroo Method Care program at the public health center.


Kangaroo Mother Care, Implementation, Public Health CenterBackground: Infant mortality is one of the sensitive indicators to know the degree of health of a country and even to measure the level of progress of a nation. The Low Birth Weight Babies (LBW) ar

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  1. UN Inter-agency Group for Child Mortality. Levels & Trends in childhood mortality [Internet]. Report 2020. 2020. 1–56 p. Available from:
  2. Stevens LM, Lynm C, Glass RM. Low birth weight. J Am Med Assoc. 2014;287(2):270.
  3. Martha E, Amelia T, Wuryaningsih CE, Zakiah, Hasanah IJ, Pratomo H. Implementation of The Kangaroo mother care (KMC) program in Depok Regional General Hospital and two PONED Public Health Centers in Depok, Indonesia. J Neonatal Nurs. 2020 Aug 1;
  4. Siramaneerat I, Agushybana F, Meebunmak Y. Maternal Risk Factors Associated with Low Birth Weight in Indonesia. Open Public Health J. 2018;11(1):376–83.
  5. Nurdyana, Karima N. Perawatan Metode Kanguru Bayi Berat Lahir Rendah Kangaroo Care Methods for Low Birth Weight Babies. 2019;3(November):326–9.
  6. Adisasmita A, Izati Y, Choirunisa S, Pratomo H, Adriyanti L. Kangaroo mother care knowledge, attitude, and practice among nursing staff in a hospital in Jakarta, Indonesia. PLoS One. 2021 Jun 1;16(6 June).
  7. Jamali QZ, Shah R, Shahid F, Fatima A, Khalsa S, Spacek J, et al. Barriers and enablers for practicing kangaroo mother care (KMC) in rural Sindh, Pakistan. PLoS One. 2019 Jun 1;14(6).
  8. Chan GJ, Valsangkar B, Kajeepeta S, Boundy EO, Wall S. What is kangaroo mother care? Systematic review of the literature. J Glob Health. 2016;6(1).
  9. Shah RK, Sainju NK, Joshi SK. Knowledge, Attitude and Practice towards Kangaroo Mother Care. J Nepal Health Res Counc [Internet]. 2018 Jan 1;15(3 SE-Original Articles):275–81. Available from:
  10. Assessment of Self-Reported Practice Regarding Kangaroo Mother Care Among Nurses in Lagos State, Nigeria. 2020;
  11. Profil Kesehatan UPTD Puskesmas PONED X Tahun 2019. 2019;1–16.
  12. Swarnkar K, Vagha J. Effect of kangaroo mother care on growth and morbidity pattern in low birth weight infants. J Krishna Inst Med Sci Univ. 2016;5(1):91–9.
  13. WHO. Kongoro mother care: A Practical Guide. 2003;1–54. Available from: papers3://publication/uuid/479e6443-eb86-4d96-99d4-bdf0d462186e
  14. Mustikawati IS, Pratomo H, Martha E, Murty AI, Adisasmita AC. Barriers and facilitators to the implementation of Kangaroo Mother Care in the community - A qualitative study. J Neonatal Nurs. 2020 Apr 1;26(2):109–14.
  15. Kourouma KR, Agbré-yacé ML, Doukouré D, Cissé L, Some-méazieu C, Ouattara J, et al. Barriers and facilitators to kangaroo mother care implementation in Cote d ’ Ivoire : a qualitative study. 2021;9:1–15.
  16. Kinshella MLW, Hiwa T, Pickerill K, Vidler M, Dube Q, Goldfarb D, et al. Barriers and facilitators of facility-based kangaroo mother care in sub-Saharan Africa: a systematic review. BMC Pregnancy Childbirth. 2021 Dec 1;21(1).
  17. Rowlands G, Shaw A, Jaswal S, Smith S, Harpham T. Health literacy and the social determinants of health: A qualitative model from adult learners. Health Promot Int. 2017;32(1):130–8.
  18. Silva LJ da, Leite JL, Silva TP da, Silva ÍR, Mourão PP, Gomes TM. Management challenges for best practices of the Kangaroo Method in the Neonatal ICU. Rev Bras Enferm. 2018;71:2783–91.
  19. Utami S, Huang MC. Health care providers’ perception, knowledge, barriers and practice of kangaroo care for preterm baby in Indonesia. J Neonatal Nurs [Internet]. 2019;25(4):205–8. Available from:
  20. Adzitey SP, Wombeogo M, Mumin AH, Adzitey F. Knowledge and Attitude of Nurses in the Tamale Metropolis toward Kangaroo Mother Care (KMC). Ann Med Health Sci Res. 2017;7(6):454–9.
  21. Al-Shehri H, Binmanee A. Kangaroo mother care practice, knowledge, and perception among NICU nurses in Riyadh, Saudi Arabia. Int J Pediatr Adolesc Med [Internet]. 2021 Mar;8(1):29–34. Available from:
  22. Prof. Dr. Soekidjo Notoatmojo, S.K.M. MCH. Promosi Kesehatan dan Perilaku Kesehatan. first. Jakarta: Rineka Cipta; 2012.
  23. Tahir, H.N., Fatmi Z. Kangaroo mother care: opportunities and implications for rural Pakistan. J Pak Med Assoc [Internet]. 2019;69(11):1725–1729. Available from:
  24. Mudiyah S, Pratomo H. Perawatan Metode Kanguru Pada Bidan Di Kabupaten Musi Rawas Sumatera Selatan Tahun 2016. 2016;3(2):128–41.
  25. Perinasia. Formulir Pendaftaran Pelatihan Manajemen BLR dengan Metode Kanguru Tahun 2020. 2020;
  26. Chan G, Bergelson I, Smith ER, Skotnes T, Wall S. Barriers and enablers of kangaroo mother care implementation from a health systems perspective: A systematic review. Health Policy Plan. 2017;32(10):1466–75.
  27. Amelia T, Pratomo H, Adisasmita AC, Martha E, Rustina Y, Murty AI, et al. Feasibility of Kangaroo Mother Care (KMC) Implementation in Depok City, Indonesia. Glob Pediatr Heal. 2021;8.
  28. Bilal SM, Tadele H, Abebo TA, Tadesse BT, Muleta M, W/Gebriel F, et al. Barriers for kangaroo mother care (KMC) acceptance, and practices in southern Ethiopia: a model for scaling up uptake and adherence using qualitative study. BMC Pregnancy Childbirth. 2021;21(1):1–12.
  29. Yue J, Liu J, Williams S, Zhang B, Zhao Y, Zhang Q, et al. Barriers and facilitators of kangaroo mother care adoption in five Chinese hospitals: A qualitative study. BMC Public Health. 2020;20(1):1–11.
  30. Gondwe A, Munthali A, Ashorn P, Ashorn U. Investigating Preterm Care at the Facility Level: Stakeholder Qualitative Study in Central and Southern Malawi. Matern Child Health J. 2016 Jul;20(7):1441–7.



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