Effect of kangaroo mother care initiated in community settings on financial risk protection of low-income households
A randomised controlled trial in Haryana, India
Bibliographic Data
| ID | 21881460 |
|---|---|
| Authors | Tarun Shankar Choudhary (0000-0003-0093-8341, Society for Applied Studies, corresponding author), Sarmila Mazumder (0000-0003-4200-6112, Society for Applied Studies), Øystein Ariansen Haaland (0000-0001-5288-7879, University of Bergen), Sunita Taneja (0000-0003-3338-9799, Society for Applied Studies), Roy Bahl (0000-0001-7936-6985, World Health Organization), Jose Martines (University of Bergen), Maharaj Kishan Bhan (0000-0002-1408-1310, Indian Institute of Technology Delhi), Ole F Norheim (0000-0002-5748-5956, University of Bergen), Halvor Sommerfelt (0000-0002-5670-9786, Norwegian Institute of Public Health), Neeraj Bhandari (0000-0003-0349-087X, Society for Applied Studies), Kjell Arne Johansson (0000-0001-8912-8710, University of Bergen) |
| Year | 2022 |
| Volume | 7 |
| Issue | 11 |
| Pages | e010000 |
| Publication date | 2022-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2022-010000 |
| PMID | 36379593 |
| OpenAlex | W4309066549 |
| Language | EN |
| Citations received | 1 |
| References cited | 26 |
INTRODUCTION: Many families in low-income and middle-income countries have high out-of-pocket expenditures (OOPE) for healthcare, and some face impoverishment. We aimed to assess the effect of Kangaroo Mother Care initiated in community setting (ciKMC) on financial risk protection estimated by healthcare OOPE, catastrophic healthcare expenditure (CHE) and impoverishment due to healthcare seeking for low birthweight infants, using a randomised controlled trial design. METHODS: We included 4475 low birthweight infants randomised to a ciKMC (2491 infants) and a control (1984 infants) arm, in a large trial conducted between 2017 and 2018 in Haryana, India. We used generalised linear models of the Gaussian family with an identity link to estimate the mean difference in healthcare OOPE, and Cox regression to estimate the HRs for CHE and impoverishment, between the trial arms. RESULTS: Overall, in the 8-week observation period, the mean healthcare OOPE per infant was lower (US$20.0) in the ciKMC arm compared with the control arm (US$25.6) that is, difference of -US$5.5, 95% CI -US$11.4 to US$0.3, p=0.06). Among infants who sought care it was US$8.5 (95% CI -US$17.0 to -US$0.03, p=0.03) lower in the ciKMC arm compared with the control arm. The HR for impoverishment due to healthcare seeking was 0.56 (95% CI 0.36 to 0.89, p=0.01) and it was 0.91 (95% CI 0.74 to 1.12, p=0.37) for CHE. CONCLUSION: ciKMC can substantially reduce the cost of care seeking and the risk of impoverishment for households. Our findings show that supporting mothers to provide KMC to low birthweight infants at home, in addition to reducing early infant mortality, may provide financial risk protection. TRIAL REGISTRATION NUMBER: CTRI/2017/10/010114
Economics · Health care · Randomized controlled trial · Demography · Infant Development and Preterm Care · Infant Nutrition and Health · Medicine · Mobile Health and mHealth Applications · Internal Medicine · Pediatrics
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| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |