{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:20:36Z","timestamp":1741324836512,"version":"3.38.0"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Early initiation with optimal duration of Kangaroo Mother Care (KMC), for all stable small babies (&lt;2000grams at birth), is essential for accelerated reduction of neonatal mortality. The purpose of this paper is to explore the support received by mothers along the health facility-community continuum and its association with KMC practice.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>All live small babies aged &gt;\u2009 4 weeks of life, who were residing in the Gangawati sub-district, were recruited on a rolling basis (Dec 2017-Sept 2018) to obtain the estimated sample size of 210. Mother-baby dyads were visited in their homes to collect information [knowledge, attitude, and support received] for\u00a0KMC initiation and maintenance till required. Secondary data on KMC duration was obtained from the district-wide project database.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 209 mothers with 227 small babies were interviewed (18 had twins). The mothers had a mean age of 23 (\u00b14) years; and 7(\u00b15) years of education, with 5 (\u00b12) family members &gt;\u2009 18 years in their households. More than half (51%) of the babies were female with a mean age of 35.6 (\u00b17.5)days\/ 4-6weeks and mean birth weight of 1693.6 (\u00b1221.4)grams irrespective of gestational age; 21.6% of whom were \u2264\u20091500g at birth. Most of the babies 205 (90.3%) were initiated on KMC at the health facility. The score obtained for KMC initiation [45%} and KMC maintenance support at the health facility [51.3%] was minimal. Multiple regression linear analysis showed that overall KMC support at the health facility was significantly higher for first-time mothers [\u03b2 coefficient -1.54 (95% CI -2.87, -0.22)] and better knowledge scores on KMC [\u03b2 coefficient 0.21 (05% CI 0.01, 0.42)]. KMC maintenance support was significantly higher for first-time mothers [\u03b2 coeff -3.62 (95% CI -6.29, -0.96)] and for mothers whose\u00a0babies had lower birth weights [\u03b2 coeff -4.27 (95% CI -7.50, -1.05)].<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Mothers require support to initiate and continue KMC along the health facility-community continuum (S1 Table). The role of support at home would require further exploration to determine its association with KMC practice.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0308738","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T18:30:32Z","timestamp":1741285832000},"page":"e0308738","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["An exploration of the support received by mothers for kangaroo mother care practice along the health facility-community continuum in a sub-district of Northern Karnataka, India"],"prefix":"10.1371","volume":"20","author":[{"given":"Maryann","family":"Washington","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-6462","authenticated-orcid":true,"given":"Leah","family":"Macaden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prem K.","family":"Mony","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumithra","family":"Selvam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annetta","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"issue":"3","key":"pone.0308738.ref001","doi-asserted-by":"crossref","first-page":"e23355","DOI":"10.1002\/ajhb.23355","article-title":"Determinants 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