Experiences of Xhosa women providing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa

Kangaroo mother care has been recognized as an intervention to improve preterm birth outcomes by the World Health Organization. Kangaroo mother care requires high user engagement and consists of continuous skin-to-skin contact between the mother and infant and exclusive breastfeeding. We conducted a qualitative study of Xhosa women (n = 10) practicing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa. All interviews were conducted in isiXhosa, audio-recorded, and transcribed. The transcribed data were analysed using thematic analysis. Four themes emerged: (1) Kangaroo mother care, a beneficial but foreign concept; (2) distress in the Kangaroo mother care ward; (3) the missing umbilical cord: cultural experiences of mothers in the Kangaroo mother care ward; and (4) the Kangaroo mother care village: interpersonal relations in the ward. Our study showed that cultural practices still pose a challenge to fully accepting Kangaroo mother care. We suggest more studies on cultural sensitivity to encourage acceptance of interventions that affect culturally diverse groups.