Harnessing the Power of Skin-to-Skin Contact: Policy, Education, and Support for Preterm Infant Care

Abstract

Premature birth remains a major contributor to neonatal mortality and morbidity, particularly in low- and middle-income countries such as South Africa. Skin-to-Skin Contact (SSC), or Kangaroo Mother Care, is an evidence-based, life-saving intervention that improves survival, growth, breastfeeding, and neurodevelopment in preterm infants. Despite its proven effectiveness, SSC is underutilized in many neonatal intensive care units (NICUs). This PhD study highlights the systemic and educational barriers to routine SSC implementation and offers a framework for sustainable integration. Three core requirements emerged: clear institutional policies, structured and continuous education for both healthcare providers and parents, and comprehensive counselling and support systems. Together, these elements provide a blueprint for ensuring that SSC becomes a consistent standard of care, thereby improving outcomes for both infants and their families.