The CKMC Study was designed as an experimental test to assess the effectiveness of Kangaroo Mother Care Method as a community-based intervention to reduce neonatal and infant mortality. KMC Method, that was Kangaroo Mother Care Method, was a method to stabilize the newborn, keeping it in 24-hour skin-to-skin contact. Thus, the method involves placing the newborn, immediately after birth, without cloth, except for diapers and cap, in an upright position between the mother’s breasts for skin-to-skin contact.
The study was implemented with a randomized cluster design. Four upazilas have been selected, one in Sylhet Division and three in Dhaka Division. The study covered 42 clusters; a cluster being a union. Fifty percent of the clusters were KMC intervention clusters and 50% were control clusters, stratified by union population size and distance to the upazila hospital.
A household surveillance system monitors pregnancies, vital events, reported morbidity, nutritional status, breastfeeding, skin-to-skin contact and sleeping pattern for 27 months. All women expected to deliver within the first 15 months of the project and consenting to participate in the study had enrolled as study subjects. Birth weight was measured within 72 hours of birth.
The Community-based Kangaroo Mother Care Study was conducted in the following steps:
The CKMC study was a very large and complex in nature and the first of its kind in Bangladesh, and for the first time all data were collected by using portable handheld computers.
The study was commissioned by the Population Council, USA and funded by the William and Flora Hewlett Foundation, the John D. and Catherine T. Mac Arthur Foundation, Save the Children Saving Newborn Lives, and the USAID.