KANGAROO MOTHER Caremonth and Year: ______

KANGAROO MOTHER CAREMonth and Year: ______

Data sheet for low birth weight babies

KANGAROO MOTHER CARE

DATA SUMMARY REPORT

Name of Unit………………………………………………………………

Table 1: Numbers of Admissions, babies discharged and deaths

Variable / Frequency
Low birth weight admission characteristics
Total number of LBW babies admitted to neonatal unit
Total number of deaths among LBW babies admitted to neonatal unit (not including KMC deaths)
Number of babiesreferred to KMC unit
Number of KMC admissions and continuing cases
Number of continuing KMC cases from previous months
New KMC admissions
Total KMC cases (continuing KMC cases + new KMC admissions)
Number of babies discharged
Number of babies discharged
Number discharged against medical advice
Number absconded
Number referred out of KMC unit for special medical care
Number of neonatal deaths in the KMC unit

Table 2: Weight gain or loss in the month

Variable / Frequency
Number of babies who gained weight
Number of babies who lost weight

Table 3: KMC deaths by background characteristics)

Characteristic / Number of babies (T) / Number of deaths (B) / Percentage (B/T*100)
Weight
<1000g
1000g– 1499g
1500g – 1999g
2000g– 2500g

Total

Age of mother
≤20 years
21 – 30
31 – 40
>40

Total

Parity
1
2 – 4
>4

Total

Table 4: Complications

Characteristic

/

Number of babies with complications

Pneumonia / Septicaemia / Apnoea / Other (describe) / Total

Weight

<1000
1000- 1499
1500 - 1999
2000 - 2500
Total

Table 5: Length of stay of babies under KMC Practice for those discharged in the month (in days)

Length of stay of babies in the KMC unit (all reasons)
Total number of babies discharged from the KMC unit (all reasons)
Average stay (in days)
Shortest stay (in days)
Longest stay (in days)
Length of stay of babies in the KMC unit for those discharged against medical advice
Total number of babies discharged from the KMC unit against medical advice
Average stay (in days)
Shortest stay (in days)
Longest stay (in days)
Length of stay of babies absconded from theKMC unit
Total number of babies absconded from the KMC unit
Average stay (in days)
Shortest stay (in days)
Longest stay (in days)
Length of stay of babies that died in the KMC unit
Total number of babies that died in the KMC unit
Average stay (in days)
Shortest stay (in days)
Longest stay (in days)

Milestones: (e.g. training, staff turnover, changes to norms and procedures)

______

Challenges faced:

______

Solutions proposed:

______

Other comments:

______

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