DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202004

Usability and acceptability of a hypothermia monitoring device in a community setting

Madhuri Mukane, Annika Gage, Priyanka Choubey

Abstract


Background: The present pilot study aimed to test the usability and acceptability of the hypothermia monitoring device, i.e., temp watch, among the mothers/caregivers of low birth infants (LBW) and community health workers (ASHA workers) who visited them.

Methods: Eligible LBW new-borns (<2500 grams) were recruited after written informed consent from parents and were followed-up for 28 days with intermittent visits from assigned ASHA workers. The parents recorded hypothermia episodes and KMC hours in a patient diary. Feedback was taken from these mothers and ASHA workers at the end of study.

Results: The weight gain at 28th day of the recruited babies was significant (p=0.01) as compared to the weight at enrolment on day 0. Among the recruited population (n=50 LBW infants), 57% of the subjects reported the device alerted for hypothermia at least once a week. All the mothers of the recruited babies thought that the temp watch device was useful for hypothermia monitoring and the alerts helped in maintaining the baby’s temperature. All ASHA workers were satisfied with the device and reported a positive behavioral change in the mothers KMC hours at the end of the study.

Conclusions: The temp watch was useful in hypothermia monitoring in LBW infants in a low resource home setting. The usability and acceptability of the device was tested in mothers and ASHA workers with positive feedbacks from both populations. This suggests a need for the intro-duction of the device as a community-based intervention for hypothermia monitoring in LBW infants.


Keywords


Community health workers, Hypothermia, Intervention, Kangaroo mother care, Low birth weight feedback

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References


Singh A, Pathak PK, Chauhan RK, Pan W. Infant and child mortality in India in the last two decades: a geospatial analysis. PLoS One. 2011;6(11).

NIMS I, and Unicef. Infant and child mortality in India: Levels, trends and determinants, 2012. National Institute for Medical Statistics (NIMS), Indian Council of Medical Research (ICMR), and UNICEF, India Country Office, New Delhi. Available at: http://www.indiaenvironmentportal. org.in/content/366656/infant-and-child-mortality-in-india-levels-trends-and-determinants/. Accessed on 24th January 2020.

Shahraki AD, Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF, et al. World health report: make every mother and child count. J Med Sci. 2005;7(8):1066-74.

Nabiwemba EL, Atuyambe L, Criel B, Kolsteren P, Orach CG. Recognition and home care of low birth weight neonates: a qualitative study of knowledge, beliefs and practices of mothers in Iganga-Mayuge Health and Demographic Surveillance Site, Uganda. BMC Pub Health. 2014;14(1):546.

ALE, T. Operational guidelines, 2015. Available at: http://www.nccmis.org/document/Operational-guidelines-Introduction-of-RVV-in-the-UIP-in-India.pdf. Accessed on 20th January 2020.

Malhotra S, Zodpey SP. Operations research in public health. Indian J Pub Health. 2010;54(3):145.

Reddy MP, Murki S, Kiran S, Rao P, Maram S. Neonatal hypothermia monitoring and alerting device, acceptability among mothers and caregivers. Inter J Res Rev. 2019;6(12):217-20.

Jagadish AS, Benakappa A, Benakappa N, Morgan G. A randomized control trial of hypothermia alert device in low birth weight new-borns and the effect on kangaroo mother care and weight gain. Inter J Contemp Pediatr. 2019;7(1):52-6.

Aboubaker S, Qazi S, Wolfheim C, Oyegoke A, Bahl R. Community health workers: a crucial role in newborn health care and survival. J Global Health. 2014; 4(2):020302.

Gogia S, Sachdev HS. Home visits by community health workers to prevent neonatal deaths in developing countries: a systematic review. Bullet World Health Organization. 2010;88:658-66.

Lunze K, Bloom DE, Jamison DT, Hamer DH. The global burden of neonatal hypothermia: systematic review of a major challenge for new-born survival. BMC Med. 2013;11(1):24.

Ghosh S, Varerkar SA. Undernutrition among tribal children in Palghar district, Maharashtra, India. PloS One. 2019;14(2):e0212560.

Matkar SL. “Please, Sir, I Want Some More.” A Case Study of Child Mortality of Palghar District, State of Maharashtra, India. 2017. Available at: https://boa.unimib.it/retrieve/handle/10281/150298/213942/7th.ISF.Oxford%202017.pdf. Accessed on 18th January 2020.

Darmstadt GL, Kumar V, Yadav R, Singh V, Singh P, Mohanty S, et al. Introduction of community-based skin-to-skin care in rural Uttar Pradesh, India. J Perinatol. 2006;26(10):597-604.

Kumar R, Aggarwal AK. Body temperatures of home delivered new-borns in north India. Trop Doct. 1998;28(3):134-6.

Bang AT, Reddy HM, Baitule SB, Deshmukh MD, Bang RA. The incidence of morbidities in a cohort of neonates in rural Gadchiroli, India: seasonal and temporal variation and a hypothesis about prevention. J Perinatol. 2005;25(1):18-28.

Neogi SB, Sharma J, Chauhan M, Khanna R, Chokshi M, Srivastava R, et al. Care of newborn in the community and at home. J Perinatol. 2016;36(3):13-7.

Daga S. Reinforcing kangaroo mother care uptake in resource limited settings. Mater Health Neonatol Perinatol. 2018;4(1):26.