Table 5 Waves of KMC expansion in the three countries

• Focus: Infant and child survival

• Strategy: Scale-up of effective proven, low-cost preventive care and treatment for diseases contributing to under-five mortality

• Focus: Newborn survival

• Strategy: Continuum of care approach: institutionalisation of essential newborn care (ENC)

• Focus: Preterm and LBW survival

• Strategy: Global acceleration of KMC as a high-impact intervention

India

Government policies and initiatives

-

• Janani Shishu Suraksha Karyakram (complete care for mother-baby dyad)

• Navjaat Shishu Suraksha Karayakram (ENC)

• Neonatal Task Service Group (2013) – development of KMC guidelines

• KMC integrated into the India Newborn Action Plan (INAP) (2014)

KMC implementation

• 3 centres of excellence introduced KMC services in 2000

• Training initiatives (2002–6)

• Half the facilities that responded to the self-report survey introduced KMC after 2009

• Revitalisation after the Ninth International KMC Conference in Ahmedabad (Nov 2012)

• Introduction and implementation of KMC in all districts of Tamil Nadu state (2013)

Indonesia

Government policies and initiatives

-

• Indonesian Neonatal Working Group: set goal of introducing KMC as the standard protocol for LBW care in up to five teaching hospitals within two years (2007)

• National KMC Task Force Team (2009)

• KMC integrated into the Mother and Baby Friendly Hospital (RSSIB) guidelines (2009)

• Guidelines for in-hospital care of the LBW infant (2009)

• Revised Standards for Hospital Accreditation (2012)

• KMC integrated into the Indonesian Newborn Action Plan (INAP) (2014)

KMC implementation

• Third International KMC Workshop (2000)

• 2 centres for practical training

• Coordination of training by Perinasia

• 3 centres of excellence (2008/9)

• Support for 10 hospitals (2009–10)

• Support for 3 hospitals (2011)

• Selected community health centres (Garut district) (2009)

• Seminar and workshop, Gajah Mada University, Yogyakarta (2009)

• Continued training by Perinasia

• Further attempts to institutionalise KMC

Philippines

Government policies and initiatives

-

• New policies and protocol on essential newborn care (2009) – close collaboration with Safe Motherhood

• ‘First Embrace’ (essential intrapartum newborn care) (2012)

• Initiation of the Program of Care for the Small Baby that includes the full KMC package (2015)

KMC implementation

• 1 centre of excellence with 1 city-wide network on KMC through local government unit (Manila)

• 2 additional centres of excellence with 3 more being developed (Bless-Tetada KMC Foundation)

• 30 neonatologists trained as trainers by the Bless-Tetada KMC Foundation

• Accreditation of a further 2 centres of excellence

• Development of 10 more centres through the Bless-Tetada KMC Foundation

• 5 other centres being developed through Dr Jose Fabella Memorial Hospital

• From 2013 to 2015:

- Expansion from 13 to 51 facilities with KMC services (44 public and 7 private hospitals)

- Expansion from 4 to 16/17 regions

• 22 facilities trained in the Program of Care for the Small Baby (2015)