Table 3.

Matrix of facilitating factors and barriers affecting the accessibility and utilization of KMC service by the PLBWIs in MDH, in 2018

	Availability of KMC service	Accessibility of KMC service	Acceptability of KMC service	Affordability of KMC service	Personal Behavior	Quality of care
Facilitating factors	Availability of KMC providers	Social support -Parents utilized KMC service 24 h	LBWI recognized as a human being	KMC perceived as a cheap service
		Knowledge on KMC and timing of KMC message dissemination	KMC perceived as a safe service to an LBWI
		Health linkage systems -refer LBWIs to secondary facility level for further management	Preference of KMC as LBWI care
			Parental affection
			Lived experience -positive outcome with KMC service
			Motivation talks by mothers who practiced KMC and experience a positive outcome
			Perceived causes of LBWI birth -medical and trauma
Barriers	Non- availability of KMC providers	Social obligation -fulfilling gender roles	Associating LBWI birth to a spiritual punishment and a consequence of diversion norm		Lack of women empowerment in decision making	Compromised quality care -poor documentation, monitoring and follow-up
		Learning about KMC when after giving birth to an LBWI	LBWI identified as ‘these kinds of people’			Inadequate skill by KMC provider