1. Kangaroo Mother Care Mali
Nah’Tivah Ross
Twin infants are receiving skin-to-skin Kangaroo Mother Care contact at Gabriel Touré Hospital in Bamako, Mali.

2. Mali, Africa
Where: interior Western Africa, southwest of Algeria, north of Guinea, Cote d'Ivoire, and Burkina Faso, west of Niger
Geography: landlocked; divided into three natural zones: the Southern, Cultivated Sudanese; the Central, Semiarid Sahelian; and the northern, arid Saharan
Natural Resources: gold, phosphates, kaolin, salt, limestone, uranium, gypsum, granite, hydropower
Terrain: mostly flat to rolling northern plains covered by sand; savanna in south, rugged hills in northeast
Population:17,467,108 (July, 2016)
Official Language: French, Mali has 13 national languages in addition to its official language
Slightly less than twice the size of Texas
"The World Factbook: MALI." Central Intelligence Agency. Central Intelligence Agency, 12 Jan Web. 20 Feb

3. Infant Mortality Rate: Country

4. Demographics High total fertility rate of 6 children per woman
Despite decreases, Mali’s infant, child, and maternal mortality rates remain among the highest in sub-Saharan Africa because of
limited access to and adoption of family planning
early childbearing, short birth intervals
the prevalence of female genital cutting
infrequent use of skilled birth attendants
lack of emergency obstetrical and neonatal care
AJ+. "Why Is Mali's Infant Mortality Rate Almost Three Times the Global Average?" Medium. AJ+ On the News, 11 Feb Web. 20 Feb

5. KMC Implementation in Mali
Infant mortality rate:
Total: 100 deaths/1,000 live births
Male: deaths/1,000 live births
Female: 93.2 deaths/1,000 live births (2016 est.)
Maternal mortality rate:
587 deaths/100,000 live births
Mali is the 2nd country in the world, after Afghanistan with the highest infant mortality rate and the 18th in maternal mortality rate.
Nurse Fatoumata Kamissoko helps a mother wrap her baby in the Kangaroo Mother Care position.
Bamako, Mali

6. 2008: Save the Children opened its first Kangaroo Mother Care Center
KMC is often conceptualized around three components:
Skin-to-skin position: The baby is secured upright in a skin-to-skin position against the mother’s chest.
Nutrition: Exclusive breastfeeding (which includes the feeding of expressed breast milk) is the preferred choice of feeding whenever possible.
Discharge and follow-up: The baby is discharged home in the skin-to-skin position as soon as breastfeeding has been established, the infant gains weight and the mother is competent in the handling of her baby and receives ambulatory care with regular follow-up/review visits to a health care facility
The components of kangaroo mother care
BERGH, Dr Anne-Marie. EVALUATION OF KANGAROO MOTHER CARE SERVICES IN MALI (2012): Web. 20 Feb

7. KMC three phases: pre-implementation, implementation and institutionalization
Phase 1: Creation of awareness and commitment to implementation (pre-implementation phase)
Phase 2: followed by preparation to implementation and initial implementation (implementation phase)
Phase 3: ending with integration into routine practice and sustaining practice (institutionalization phase)
Stages of progress in implementation

8. Thank you
Nah’Tivah Ross