Barriers to Implementing Kangaroo Mother Care in Neonatal Care Services in Luanda

Authors

  • Juan Carlos Mirabal Requena Doctor in Medical Sciences, Master in Natural Medicine and Bioenergetics, Second Degree Specialist in Family Medicine, First Degree Specialist in Physical Medicine and Rehabilitation, Holder Professor, Assistant Researcher, University of Medical Sciences Sancti Spíritus, Cuba, Multiprofile Clinic, Luanda, Angola Author
  • Belkis Mura Matienzo Master's Degree in Neonatal Nursing, Specialist in Pediatric Cardiovascular Intensive Care. Bachelor's Degree in Nursing, University of Belas, Luanda, Benfica, Angola Author
  • Jennifer Pérez Mura Nutritionist, Cardiozono Clinic: Luanda, Benfica, Angola Author
  • Joaquín Rogelio García Romero First-Level Intensive Care Specialist, Assistant Professor, Multi-Profile Clinic, Luanda, Angola Author
  • Juan Leandro Azcuy Duribe General Physician, Gelvisol Medical Center, Luanda, Angola Author
  • Belkis Álvarez Escobar Doctor in Medical Sciences, Master in Satisfactory Longevity, Second Degree Specialist in Family Medicine, Holder Professor, Associate Researcher, University of Medical Sciences, Faculty of Medical Sciences Dr. Faustino Pérez Hernández, Vocational Training Department, Sancti Spiritus, Cuba Author

DOI:

https://doi.org/10.47363/JFMPM/2025(2)114

Keywords:

Premature Infant, Kangaroo-Mother Care Method, Skin-to-Skin Care, Humanized Neonatal Care, Implementation Barriers, Health Personnel Training, Infant Mortality

Abstract

Background: Kangaroo Mother Care (KMC) is an evidence-based strategy to provide vital support for preterm or low-birth-weight infants, developed in response to shortages of technological and human resources. It combines qualified, humanized care with biopsychosocial interventions centered on skin-to-skin contact.

Objective: To analyze the barriers limiting effective implementation of KMC in neonatal services at maternity hospitals in Luanda, Angola.

Development: Although KMC is used globally (in both low- and high-income countries), its application in Luanda remains limited. This setting faces high birth rates and insufficient resources for neonatal care. Continuous, specialized training of nursing staff is identified as a critical factor for adequate care delivery, enabling integrated support for the newborn and family as a unit, and is essential for KMC adoption.

Conclusions: KMC represents an effective, humanized approach for immediate neonatal care in Luanda. Urgent training of healthcare staff in caring for preterm mother-infant dyads is fundamental. Furthermore, increasing prenatal KMC awareness among the population may contribute to reducing infant mortality under one year of age.

Author Biographies

  • Juan Carlos Mirabal Requena, Doctor in Medical Sciences, Master in Natural Medicine and Bioenergetics, Second Degree Specialist in Family Medicine, First Degree Specialist in Physical Medicine and Rehabilitation, Holder Professor, Assistant Researcher, University of Medical Sciences Sancti Spíritus, Cuba, Multiprofile Clinic, Luanda, Angola

    Juan Carlos Mirabal Requena, Doctor in Medical Sciences, Master in Natural Medicine and Bioenergetics, Second Degree Specialist in Family Medicine, First Degree Specialist in Physical Medicine and Rehabilitation, Holder Professor, Assistant Researcher, University of Medical Sciences Sancti Spíritus, Cuba, Multiprofile Clinic, Luanda, Angola

  • Belkis Mura Matienzo, Master's Degree in Neonatal Nursing, Specialist in Pediatric Cardiovascular Intensive Care. Bachelor's Degree in Nursing, University of Belas, Luanda, Benfica, Angola

    Belkis Mura Matienzo, Master's Degree in Neonatal Nursing, Specialist in Pediatric Cardiovascular Intensive Care. Bachelor's Degree in Nursing, University of Belas, Luanda, Benfica, Angola

  • Jennifer Pérez Mura, Nutritionist, Cardiozono Clinic: Luanda, Benfica, Angola

    Jennifer Pérez Mura, Nutritionist, Cardiozono Clinic: Luanda, Benfica, Angola

  • Joaquín Rogelio García Romero, First-Level Intensive Care Specialist, Assistant Professor, Multi-Profile Clinic, Luanda, Angola

    Joaquín Rogelio García Romero, First-Level Intensive Care Specialist, Assistant Professor, Multi-Profile Clinic, Luanda, Angola

  • Juan Leandro Azcuy Duribe, General Physician, Gelvisol Medical Center, Luanda, Angola

    Juan Leandro Azcuy Duribe, General Physician, Gelvisol Medical Center, Luanda, Angola

  • Belkis Álvarez Escobar, Doctor in Medical Sciences, Master in Satisfactory Longevity, Second Degree Specialist in Family Medicine, Holder Professor, Associate Researcher, University of Medical Sciences, Faculty of Medical Sciences Dr. Faustino Pérez Hernández, Vocational Training Department, Sancti Spiritus, Cuba

    Belkis Álvarez Escobar, Doctor in Medical Sciences, Master in Satisfactory Longevity, Second Degree Specialist in Family Medicine, Holder Professor, Associate Researcher, University of Medical Sciences, Faculty of Medical Sciences Dr. Faustino Pérez Hernández, Vocational Training Department, Sancti Spiritus, Cuba

Downloads

Published

2025-07-01