Relevant bibliographies by topics / Maternal health services – Uganda

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Academic literature on the topic 'Maternal health services – Uganda'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Maternal health services – Uganda"

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Ellis, Cathryn, Laura Schummers, and Jean-Francois Rostoker. "Reducing Maternal Mortality in Uganda: Applying the “Three Delays” Framework." International Journal of Childbirth 1, no. 4 (2011): 218–26. http://dx.doi.org/10.1891/2156-5287.1.4.218.

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PURPOSE: This article examines maternal mortality in Uganda through the “Three Delays” framework. This framework asserts that maternal mortality in developing countries results from three delays to accessing appropriate health care: (a) the delay in making a timely decision to seek medical assistance, (b) the delay in reaching a health facility, and (c) the delay in provision of adequate care at a health facility.STUDY DESIGN: This study provides a review and synthesis of literature published about maternal mortality, the “Three Delays” concept, Uganda, and sub-Saharan Africa between 1995 and 2010.MAJOR FINDINGS: The “Three Delays” framework has relevance in the Ugandan context. This framework allows for an integrated and critical analysis of the interactions between cultural factors that contribute to the first delay and inadequate emergency obstetrical care related to the third delay.MAJOR CONCLUSION: In order to reduce maternal mortality in Uganda, governments and institutions must become responsive to the cultural and health needs of women and their families. Initiatives that increase educational and financial status of women, antenatal care, and rates of institutional care may reduce maternal mortality in the long term. Improvements to emergency obstetrical services are likely to have the most significant impact in the short term.
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Mukuru, Moses, Suzanne N. Kiwanuka, Linda Gibson, and Freddie Ssengooba. "Challenges in implementing emergency obstetric care (EmOC) policies: perspectives and behaviours of frontline health workers in Uganda." Health Policy and Planning 36, no. 3 (2021): 260–72. http://dx.doi.org/10.1093/heapol/czab001.

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Abstract Uganda is among the sub-Saharan African Countries which continue to experience high preventable maternal mortality due to obstetric emergencies. Several Emergency Obstetric Care (EmOC) policies rolled out have never achieved their intended targets to date. To explore why upstream policy expectations were not achieved at the frontline during the MDG period, we examined the implementation of EmOC policies in Uganda by; exploring the barriers frontline implementers of EmOC policies faced, their coping behaviours and the consequences for maternal health. We conducted a retrospective exploratory qualitative study between March and June 2019 in Luwero, Iganga and Masindi districts selected based on differences in maternal mortality. Data were collected using 8 in-depth interviews with doctors and 17 midwives who provided EmOC services in Uganda’s public health facilities during the MDG period. We reviewed two national maternal health policy documents and interviewed two Ministry of Health Officials on referral by participants. Data analysis was guided by the theory of Street-Level Bureaucracy (SLB). Implementation of EmOC was affected by the incompatibility of policies with implementation systems. Street-level bureaucrats were expected to offer to their continuously increasing clients, sometimes presenting late, ideal EmOC services using an incomplete and unreliable package of inputs, supplies, inadequate workforce size and skills mix. To continue performing their duties and prevent services from total collapse, frontline implementers’ coping behaviours oftentimes involved improvization leading to delivery of incomplete and inconsistent EmOC service packages. This resulted in unresponsive EmOC services with mothers receiving inadequate interventions sometimes after major delays across different levels of care. We suggest that SLB theory can be enriched by reflecting on the consequences of the coping behaviours of street-level bureaucrats. Future reforms should align policies to implementation contexts and resources for optimal results.
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Burt, Jessica Florence, Joseph Ouma, Lawrence Lubyayi, et al. "Indirect effects of COVID-19 on maternal, neonatal, child, sexual and reproductive health services in Kampala, Uganda." BMJ Global Health 6, no. 8 (2021): e006102. http://dx.doi.org/10.1136/bmjgh-2021-006102.

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BackgroundCOVID-19 impacted global maternal, neonatal and child health outcomes. We hypothesised that the early, strict lockdown that restricted individuals’ movements in Uganda limited access to services.MethodsAn observational study, using routinely collected data from Electronic Medical Records, was carried out, in Kawempe district, Kampala. An interrupted time series analysis assessed the impact on maternal, neonatal, child, sexual and reproductive health services from July 2019 to December 2020. Descriptive statistics summarised the main outcomes before (July 2019–March 2020), during (April 2020–June 2020) and after the national lockdown (July 2020–December 2020).ResultsBetween 1 July 2019 and 31 December 2020, there were 14 401 antenatal clinic, 33 499 deliveries, 111 658 childhood service and 57 174 sexual health attendances. All antenatal and vaccination services ceased in lockdown for 4 weeks.During the 3-month lockdown, the number of antenatal attendances significantly decreased and remain below pre-COVID levels (370 fewer/month). Attendances for prevention of mother-to-child transmission of HIV dropped then stabilised. Increases during lockdown and immediately postlockdown included the number of women treated for high blood pressure, eclampsia and pre-eclampsia (218 more/month), adverse pregnancy outcomes (stillbirths, low-birth-weight and premature infant births), the rate of neonatal unit admissions, neonatal deaths and abortions. Maternal mortality remained stable. Immunisation clinic attendance declined while neonatal death rate rose (from 39 to 49/1000 livebirths). The number of children treated for pneumonia, diarrhoea and malaria decreased during lockdown.ConclusionThe Ugandan response to COVID-19 negatively impacted maternal, child and neonatal health, with an increase seen in pregnancy complications and fetal and infant outcomes, likely due to delayed care-seeking behaviour. Decreased vaccination clinic attendance leaves a cohort of infants unprotected, affecting all vaccine-preventable diseases. Future pandemic responses must consider impacts of movement restrictions and access to preventative services to protect maternal and child health.
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Atuhaire, Ruth, Robert Wamala, Leonard K. Atuhaire, and Elizabeth Nansubuga. "Regional differentials in early antenatal care, health facility delivery and early postnatal care among women in Uganda." Journal of Economics and Behavioral Studies 13, no. 4(J) (2021): 17–30. http://dx.doi.org/10.22610/jebs.v13i4(j).3174.

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This study aimed at examining regional differentials in maternal healthcare services in Uganda. Using a sample of 1,521 women of reproductive ages (15-49) from Eastern and Western sub-regions of Uganda, and non-linear Oaxaca’ Blinder Multivariate Decomposition method, we assessed differentials in utilization of early antenatal care, health facility delivery and early postnatal care services among the women, henceforth, establishing main predictors of regional inequalities that will enable policymakers to make better evenly interventions and focused decisions. The study reveals that differentials in the utilization of maternal healthcare services are not only hindered by social and economic barriers, but also widespread disparities in the utilization of existing services. Significant differentials were attributed to both variation in women’s characteristics and effects of coefficients. Findings showed that the gap in early antenatal care would reduce on average by 31.6% and 34.7% of differences in availability of community health workers and media exposure respectively, were to disappear. Furthermore, the gap would increase on average by 68.8% and 12.6% in absence of the variation in effects of maternal education, and wealth respectively. The gap in health facility delivery would reduce on average by 24.6% and 37.2% of differences in community health worker availability and media exposure were to disappear respectively and increase on average by 54.9% in the absence of variations in effects of maternal education. The gap in EPNC would reduce on average by 18.5% and 17.17% of differences in maternal education and community health worker availability were to disappear respectively and increase on average by 52.8% and 8.4% in the absence of the variation in effects of maternal education and wealth respectively. Progress towards equitable maternal health care should focus more on strategies that guarantee even distribution of community health workers, broad dissemination of maternal healthcare information and girl child education completion in Uganda.
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Nabudere, Harriet, Delius Asiimwe, and Rhona Mijumbi. "Task shifting in maternal and child health care: An evidence brief for Uganda." International Journal of Technology Assessment in Health Care 27, no. 2 (2011): 173–79. http://dx.doi.org/10.1017/s0266462311000055.

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The Problem: There is a shortage and maldistribution of medically trained health professionals to deliver cost-effective maternal and child health (MCH) services. Hence, cost-effective MCH services are not available to over half the population of Uganda and progress toward the Millennium Development Goals for MCH is slow. Optimizing the roles of less specialized health workers (“task shifting”) is one strategy to address the shortage and maldistribution of more specialized health professionals.Policy Options: (i) Lay health workers (community health workers) may reduce morbidity and mortality in children under five and neonates; and training for traditional birth attendants may improve perinatal outcomes and appropriate referrals. (ii) Nursing assistants in facilities might increase the time available from nurses, midwives, and doctors to provide care that requires more training. (iii) Nurses and midwives to deliver cost-effective MCH interventions in areas where there is a shortage of doctors. (iv) Drug dispensers to promote and deliver cost-effective MCH interventions and improve the quality of the services they provide. The costs and cost-effectiveness of all four options are uncertain. Given the limitations of the currently available evidence, rigorous evaluation and monitoring of resource use and activities is warranted for all four options.Implementation Strategies: A clear policy on optimizing health worker roles. Community mobilization and reduction of out-of-pocket costs to improve mothers’ knowledge and care-seeking behaviors, continuing education, and incentives to ensure health workers are competent and motivated, and community referral and transport schemes for MCH care are needed.
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Dey, Teesta, Sam Ononge, Andrew Weeks, and Lenka Benova. "Immediate postnatal care following childbirth in Ugandan health facilities: an analysis of Demographic and Health Surveys between 2001 and 2016." BMJ Global Health 6, no. 4 (2021): e004230. http://dx.doi.org/10.1136/bmjgh-2020-004230.

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IntroductionProgress in reducing maternal and neonatal mortality, particularly in sub-Saharan Africa, is insufficient to achieve the Sustainable Developmental Goals by 2030. The first 24 hours following childbirth (immediate postnatal period), where the majority of morbidity and mortality occurs, is critical for mothers and babies. In Uganda,<50% of women reported receiving such care. This paper describes the coverage, changes over time and determinants of immediate postnatal care in Uganda after facility births between 2001 and 2016.MethodsWe analysed the 2006, 2011 and 2016 Ugandan Demographic and Health Surveys, including women 15–49 years with most recent live birth in a healthcare facility during the survey 5-year recall period. Immediate postnatal care coverage and changes over time were presented descriptively. Multivariable logistic regression was used to examine determinants of immediate postnatal care.ResultsData from 12 872 mothers were analysed. Between 2006 and 2016, births in healthcare facilities increased from 44.6% (95% CI: 41.9% to 47.3%) to 75.2% (95% CI: 73.4% to 77.0%) and coverage of immediate maternal postnatal care from 35.7% (95% CI 33.4% to 38.1%) to 65.0% (95% CI: 63.2% to 66.7%). The majority of first checks occurred between 1 and 4 hours post partum; the median time reduced from 4 hours to 1 hour. The most important factor associated with receipt of immediate postnatal care was women having a caesarean section birth adjusted OR (aOR) 2.93 (95% CI: 2.28 to 3.75). Other significant factors included exposure to mass media aOR 1.38 (95% CI: 1.15 to 1.65), baby being weighed at birth aOR 1.84 (95% CI: 1.58 to 2.14) and receipt of antenatal care with 4+Antenatal visits aOR 2.34 (95% CI: 1.50 to 3.64).ConclusionIn Uganda, a large gap in coverage remains and universal immediate postnatal care has not materialised through increasing facility-based births or longer length of stay. To ensure universal coverage of high-quality care during this critical time, we recommend that maternal and newborn services should be integrated and actively involve mothers and their partners.
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Pariyo, George W., Chrispus Mayora, Olico Okui, et al. "Exploring new health markets: experiences from informal providers of transport for maternal health services in Eastern Uganda." BMC International Health and Human Rights 11, Suppl 1 (2011): S10. http://dx.doi.org/10.1186/1472-698x-11-s1-s10.

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Nathan, Isabirye, Agnes Nyabigambo, Agnes Kayego, Peter Waiswa, Kele Moley, and Salimah Walani. "Readiness for implementation of preconception care in Uganda; a review on the current policy, health system barriers, opportunities and way forward." International Journal of Pregnancy & Child Birth 7, no. 3 (2021): 68–72. http://dx.doi.org/10.15406/ipcb.2021.07.00231.

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Background: Uganda like other low-income countries, preconception health has received no attention. Communications in this article are derived from preliminary findings of an ongoing preconception baseline pilot in Luuka-a rural eastern district of Uganda. This is a phased study, including a desk review of literature and a short baseline pilot. Methods: The review followed the methodology of systematic reviews. Key electronic databases were searched including PUBMED/MEDLINE and google scholar. Also, reports from ministries/academic institution libraries and views from experts were done. English articles published post 2000, covering preconception care, barriers, facilitators and policies were included in the review. Out of 110 shortlisted abstracts, 28 were included. Studies were extracted onto structured formats and analysed using the narrative synthesis approach. Results: There exist unstructured preconception health and service guidelines in Uganda. Barriers to preconception service integration into the district’s health system include; lack of a clear policy, careworn health system and care seeker related factors. Opportunities for preconception service integration include; poor maternal and neonatal health indicators, positive change in health seeking behaviour, existence of a gap in the care continuum, functional VHT system to link the community to services, anticipated roll out of key family care practises by Ministry of Health Uganda, and improved access to radio & mobile phones. Conclusion: Formulation of clear preconception guidelines, testing health system integration approaches, stakeholders’ engagement, awareness creation and strengthening the supply side is recommended as a way forward
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Nabukeera, Madinah. "The impact of the Country’s health services’ expenditure on the success of MDGs, Goal 4/SDG 3: Reduction of child mortality in Uganda (2000-2016)." Archives of Business Research 8, no. 8 (2020): 69–82. http://dx.doi.org/10.14738/abr.88.8858.

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Safeguarding access to health services is a serious challenge for poor countries if the Sustainable Development Goals are to (SDGs) are to be achieved. This paper scrutinizes the case of Uganda, a country which is trying to improve its health sector amid a lot of challenges between 2000-2016 to assess how the country has performed in the reduction of child mortality given its expenditure. This study involved analyzing the available data drawn from various sources i.e., time series data on public health expenditure was obtained from Ministry of Health reports and the budget and Ministerial Policy Statements for the period 2000-2016. This data was further demarcated into parameters such as per capita government spending on health in Uganda shillings, health spending as a proportion of Gross Democratic Product (GDP) and private health spending as a proportion of total health spending. Findings revealed that non-significant negative effect of GDP per capita growth on infant mortality rate from 2000 to 2016, a negative effect of GDP per capita on under-five mortality in Uganda from 2000 to 2016, albeit the effect is non-significant (P>0.05), decline in Maternal Mortality Rate (MMR) from 527 death per 100,000 live birth in 1995 to 336 death per 100,000 live birth in 2016, and there is a negative but insignificant effect of health sector budget allocation on the MMR in Uganda since the P-value (0.199). Maternal mortality fell significantly in Uganda due to some interventions in the health sector. The decline is likely to have been cause due to supply and demand situations. There is need to improve funding in the health sector in order to improve quality health services through better coordination, health management, transportation, access, infrastructure at the district level.
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Andriano, Liliana, and Christiaan W. S. Monden. "The Causal Effect of Maternal Education on Child Mortality: Evidence From a Quasi-Experiment in Malawi and Uganda." Demography 56, no. 5 (2019): 1765–90. http://dx.doi.org/10.1007/s13524-019-00812-3.

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Abstract Since the 1980s, the demographic literature has suggested that maternal schooling plays a key role in determining children’s chances of survival in low- and middle-income countries; however, few studies have successfully identified a causal relationship between maternal education and under-5 mortality. To identify such a causal effect, we exploited exogenous variation in maternal education induced by schooling reforms introducing universal primary education in the second half of the 1990s in Malawi and Uganda. Using a two-stage residual inclusion approach and combining individual-level data from Demographic and Health Surveys with district-level data on the intensity of the reform, we tested whether increased maternal schooling reduced children’s probability of dying before age 5. In Malawi, for each additional year of maternal education, children have a 10 % lower probability of dying; in Uganda, the odds of dying for children of women with one additional year of education are 16.6 % lower. We also explored which pathways might explain this effect of maternal education. The estimates suggest that financial barriers to medical care, attitudes toward modern health services, and rejection of domestic violence may play a role. Moreover, being more educated seems to confer enhanced proximity to a health facility and knowledge about the transmission of AIDS in Malawi, and wealth and improved personal illness control in Uganda.
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Dissertations / Theses on the topic "Maternal health services – Uganda"

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Nankwanga, Annet. "Factors influencing utilisation of postnatal services in Mulago and Mengo Hospitals Kampala, Uganda." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Maternal and child-health and health education are three major concerns of public health organisations and researchers throughout the world. Health education for mothers is a strategy many countries have adopted to improve maternal and child-health. The present study was carried out in Uganda with the objective of exploring the factors influencing the utilisation of postnatal services at Mulago and Mengo hospitals, a government and private hospital. Both hospitals are located in Kampala district in Uganda. The survey, was completed by 330 women who responded to a structured questionnaire that was given to them six to eight weeks after delivery. Questions that were asked generated demographic information about the mothers<br>mothers&rsquo<br>knowledge about postnatal services<br>mothers&rsquo<br>socio-economic status and barriers to utilisation of the postnatal services. The participants included all women who delivered in Mulago and Mengo hospitals in November 2003 except for those who had had a neonatal death. The data was analysed using descriptive and inferential statistics. Some of the key findings of the study were that most women lacked awareness about postnatal services and those who knew about these services only knew about immunisation and family planning services. The majority of the mothers did not know about other services, such as physiotherapy, counselling, growth monitoring, and physical examination. Lack of money for transport or service costs, distance from the health care facility, not being aware of the services, lack of somebody to take care of the child at home were some of the main barriers to utilisation of postnatal services. Others included, lack of education, lack of employment, lack of decision-making powers, and lack of time to go back for the service. The ministry of health should educate women and communities about the importance of postnatal care, its availability, and the importance of women having decision-making power over their own health. The health service organization should improve on the quality of care by ensuring that services are provided at convenient hours with privacy, confidentiality and respect and it should evaluate the services periodically from the users perspective to maintain the quality of service.
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Atuhaire, Lydia. "Barriers and facilitators to uptake of cervical cancer screening among women accessing maternal and child health services in Kampala, Uganda." University of Western Cape, 2013. http://hdl.handle.net/11394/3924.

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Magister Public Health - MPH<br>The aim of the study was to explore the challenges to uptake of cervical cancer screening among women accessing maternal and child health services at Nsambya Hospital in Kampala, Uganda.
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Kabagambe, Agaba Daphine. "Analysing human rights accountability towards ending preventable maternal morbidity and morality in Uganda." University of the Western Cape, 2017. http://hdl.handle.net/11394/6304.

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Doctor Legum - LLD<br>The persistence of preventable Maternal Morbidity and Mortality (hereafter MMM), in the developing world, despite ground breaking technological and scientific advances, is unacceptable. There is no cause of death and disability for men between ages 15 and 44 that comes close to the large scale of maternal mortality and morbidity. Thus, the prevalence of high MMM ratios indicates the side-lining of women's rights. Surprisingly, the causal factors of preventable MMM and interventions needed to reverse the pervasively high numbers are now well known. Yet, hundreds of women continue to die daily and to suffer lifelong illnesses while giving birth. In Uganda, despite various regulatory, policy and programmatic strategies, the most recent survey revealed that the maternal mortality ratios were at a staggering 438 per 100,000 live births.
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McLendon, Pamela Ann. "Opening Doors for Excellent Maternal Health Services: Perceptions Regarding Maternal Health in Rural Tanzania." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc500156/.

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The worldwide maternal mortality rate is excessive. Developing countries such as Tanzania experience the highest maternal mortality rates. The continued exploration of issues to create ease of access for women to quality maternal health care is a significant concern. A central strategy for reducing maternal mortality is that every birth be attended by a skilled birth attendant, therefore special attention was placed on motivations and factors that might lead to an increased utilization of health facilities. This qualitative study assessed the perceptions of local population concerning maternal health services and their recommendations for improved quality of care. The study was conducted in the Karatu District of Tanzania and gathered data through 66 in-depth interviews with participants from 20 villages. The following components were identified as essential for perceived quality care: medical professionals that demonstrate a caring attitude and share information about procedures; a supportive and nurturing environment during labor and delivery; meaningful and informative maternal health education for the entire community; promotion of men’s involvement as an essential part of the system of maternal health; knowledgeable, skilled medical staff with supplies and equipment needed for a safe delivery. By providing these elements, the community will gain trust in health facilities and staff. The alignment the maternal health services offered to the perceived expectation of quality care will create an environment for increased attendance at health facilities by the local population.
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Mayanja, Rehema. "Decentralized health care services delivery in selected districts in Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Decentralization of health services in Uganda, driven by the structural adjustment programme of the World Bank, was embraced by government as a means to change the health institutional structure and process delivery of health services in the country. Arising from the decentralization process, the transfer of power concerning functions from the top administrative hierachy in health service provision to lower levels, constitutes a major shift in management, philosophy, infrastructure development, communication as well as other functional roles by actors at various levels of health care. This study focused its investigation on ways and levels to which the process of decentralization of health service delivery has attained efficient and effective provision of health services. The study also examined the extent to which the shift of health service provision has influenced the role of local jurisdictions and communities. Challenges faced by local government leaders in planning and raising funds in response to decentralized health serdelivery were examined.
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Mbabazi, Muniirah. "Exploring the efficacy of maternal, child health and nutrition interventions in Uganda." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/48215/.

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Introduction and background: Malnutrition, particularly undernutrition remains a major development challenge for sub-Saharan Africa. There has been mixed progress in reducing undernutrition and the numbers remain unacceptably high. However, high impact nutrition interventions have been recommended for implementation in high burden malnutrition countries to address undernutrition. Countries have responded by designing policies and programmes that reflect these recommendations. However, there is limited evidence of what works and how in local contexts. Objectives: This research explored the efficacy of nutrition interventions and modality of delivery of interventions and programmes in Uganda at national, local government and community levels. Specifically this study examined key stakeholders’ experiences of current nutrition interventions at district level in Uganda; assessed the effectiveness of previous nutrition specific and nutrition sensitive interventions on maternal and child health outcomes in Uganda; and examined the relationship between socio demographic and health factors on nutrition outcomes in Uganda. Methods and subjects: Using a combination of methods (mixed methods), this study explored nutrition interventions targeting mothers of reproductive age and children (0-5 years) in three separate studies. A systematic review was conducted to explore existing evidence on the nature of maternal and child health and nutrition interventions; and methods used to deliver them since 1986-2014. Studies were included if they were done in Uganda and reported health and nutrition related outcomes among the study group. Included studies were assessed for quality using the Newcastle Ottawa Scale. Twenty-two predominantly cross-sectional and longitudinal studies were included in the review. A qualitative study covering project implementers and project beneficiaries (n=85) in local communities was conducted using face-to-face interviews. Interviews explored methods used to deliver interventions and implementers’ and community participants’ perspectives and experiences of on-going nutrition interventions at local government (LG) and community level. Community beneficiaries were mothers or caretakers of children aged 0-59 months accessing interventions from two studied projects, while implementers were project staffs or health workers on the same projects. Interviews were transcribed verbatim and thematically analysed. Population based data of the 2011 Uganda demographic and health Survey (DHS) was quantitatively analysed. Logistic regressions analyses were done to establish factors that influence child stunting and anaemia in Uganda. Models were constructed based on 2350 stunted and 2056 child anaemia cases in the data set. Using a multilevel model design of mixed methods research, findings from each study were triangulated to obtain complementary information on the study phenomena. Results: Results suggest that planning and implementation of nutrition interventions in Uganda has transformed from random to systematic implementation since 1986. Nutrition interventions delivered diverse activities to address multiple causes of undernutrition in Uganda. However, activities were predominantly non-integrated delivered specifically at facilities or in communities. Methods of delivering interventions were broad to include community and health system compatible strategies (community mobilisation, outreaches and individual or group nutrition education and counselling) to prevent, manage and treat undernourished cases at facilities and within communities. Results further showed that maternal anaemia status, age of child and geographic factors were associated with stunting and anaemia in children. Further, the qualitative study showed, there was a conducive policy environment to implement multi-sectoral nutrition interventions in Uganda. There were linkages, collaborations and partnerships to delivery multi-sectoral integrated nutrition actions in communities and LG. Results however reveal that the dominance of external partners in implementing nutrition interventions; and absence of functional coordinating structures and mechanisms hinders intervention scale up. Further there was a need to address system and community barriers that affect implementation to improve nutrition outcomes and scale up at LG and community level. Conclusion: There have been great strides towards solving challenges of malnutrition in Uganda. Integrated approaches using community mobilisation and nutrition education and counselling at health facilities were among common delivery methods. However, bottlenecks exist in prioritisation and commitment to scale. There is a need to strengthen integrated approaches to delivering interventions across the LG and communities for multi-sectoral programming and implementation to reduce the number of undernourished Ugandans.
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Nyberg, White Maria. "Preventing maternal mortality : - Nurses’ and midwives’ experiences from Tanzanian maternal health care services." Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116479.

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Background: Half a million women died during pregnancy or childbirth in 2005. Bleeding, infections, high blood pressure, obstructed labor, unsafe abortions, malaria and HIV/Aids were the main causes. Tanzania is a highly affected country with 460 maternal deaths per 100 000 live births. Nurses and midwives play an important role in preventing maternal mortality. Purpose: The aim of this study was to explore and analyze nurses’ and midwives’ experiences of maternal mortality prevention on the Tanzanian island of Unguja. Method: Interviews with nine nurses and midwifes from four different hospitals and health care facilities were conducted with the assistance of an interpreter. A structural analysis designed by Ricoeur was undertaken. Results: The findings suggest that family planning, a more accessible health care, referral of severe cases, medical interventions, health education, community resource persons and involving fathers in maternal health care are preventive strategies that can reduce maternal mortality. Conclusion: To further improve the quality of maternal mortality prevention further knowledge aboutindividual differences in learning from health education is needed.  Involvement of all fathers in maternal health care should also be considered. Training of unskilled personnel is believed to improve early identification of life-threatening complications and thereby reduce maternal mortality.<br>Bakgrund: En halv miljon kvinnor i världen dog under graviditet eller förlossning under 2005. Huvudorsaker var blödningar, infektioner, högt blodtryck, långdragna förlossningar, osäkra aborter, malaria samt HIV/Aids. Tanzania är ett drabbat land med 460 fall av mödradödlighet per 100 000 levande födda barn. Sjuksköterskor och barnmorskor spelar en viktig roll i det preventiva arbetet mot mödradödlighet. Syfte:  Syftet med studien var att utforska och analysera sjuksköterskors och barnmorskors upplevelser och erfarenhet av  arbetet mot mödradödlighet på ön Unguja, Tanzania. Metod: Intervjuer med nio sjuksköterskor och barnmorskor från fyra olika sjukhus/hälsocentraler genomfördes med hjälp av en tolk. En strukturanalys utformad av Ricoeur genomfördes. Resultat: Resultatet visar att familjeplanering, en mer tillgänglig hälso- och sjukvård, remitterande av patienter med allvarliga komplikationer, medicinska interventioner, hälsoutbildning, resurspersoner i samhället och att involvera pappor i mödrahälsovården var preventiva strategier som kan minska mödradödlighet. Slutsats: För att ytterligare förbättra arbetet mot mödradödlighet tycks mer kunskap om individers förmåga att ta till sig hälsoutbildning behövas. Att i ännu större utsträckning även välkomna alla blivande pappor till mödrahälsovården föreslås också kunna fungera preventivt. Utbildning för outbildade kvinnor som hjälper till vid förlossningar (Traditional Birth Attendants) tros kunna förbättra tidig identifikation av livshotande komplikationer och därmed kunna minska mödradödligheten.
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Atmarita. "Assessing the determinants of maternal mortality in Indonesia." Ann Arbor, Mich. : University of Michigan, 1999. http://books.google.com/books?id=SxUvAAAAMAAJ.

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Kanu, Alhassan Fouard. "Health System Access to Maternal and Child Health Services in Sierra Leone." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7394.

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The robustness and responsiveness of a country's health system predict access to a range of health services, including maternal and child health (MCH) services. The purpose of this cross-sectional study was to examine the influence of 5 health system characteristics on access to MCH services in Sierra Leone. This study was guided by Bryce, Victora, Boerma, Peters, and Black's framework for evaluating the scaleup to millennium development goals for maternal and child survival. The study was a secondary analysis of the Sierra Leone 2017 Service Availability and Readiness Assessment dataset, which comprised 100% (1, 284) of the country's health facilities. Data analysis included bivariate and multivariate logistic regressions. In the bivariate analysis, all the independent variables showed statistically significant association with access to MCH services and achieved a p-value < .001. In the multivariate analysis; however, only 3 predictors explained 38% of the variance (R� = .380, F (5, 1263) = 154.667, p <.001). The type of health provider significantly predicted access to MCH services (β =.549, p <.001), as did the availability of essential medicines (β= .255, p <.001) and the availability of basic equipment (β= .258, p <.001). According to the study findings, the availability of the right mix of health providers, essential medicines, and basic equipment significantly influenced access to MCH services, regardless of the level and type of health facility. The findings of this study might contribute to positive social change by helping the authorities of the Sierra Leone health sector to identify critical health system considerations for increased access to MCH services and improved maternal and child health outcomes.
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Aihara, Yoko Sirikul Isaranurug. "Effect of maternal and child health handbook on maternal and child health promoting belief and action /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737949.pdf.

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Books on the topic "Maternal health services – Uganda"

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Family Planning Service Expansion and Technical Support Project. Uganda: Final country report. SEATS Project, JSI/Washington], 2000.

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Uganda. Uganda national policy guidelines for family planning and maternal health service delivery. The Ministry, 1992.

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Millennium development goals: Report for Uganda 2010 : special theme, accelerating progress towards improving maternal health. Ministry of Finance, Planning, and Economic Development, 2010.

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Maternal and child health. 3rd ed. Jones & Bartlett Learning, 2013.

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Feifer, Chris Naschak. Maternal health in Jamaica: Health needs, services, and utilization. Population and Human Resources Dept. and Technical Dept., Latin American and the Caribbean Regional Office, The World Bank, 1990.

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Heisler, Marjean. Montana: Maternal and child health needs assessment. Family and Community Health Bureau, Health Policy and Services Division, Montana Department of Public Health and Human Services, 2000.

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Govindasamy, Pavalavalli. Maternal education and the utilization of maternal and child health services in India. International Institute for Population Sciences, 1997.

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Wright, Keith. Community based health care in Uganda: The experiences of the Uganda Community Based Health Care Association. The Association, 1992.

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Service, Ghana Statistical, Ghana Health Service, and Macro International, eds. Ghana maternal health survey 2007. Ghana Statistical Service, 2009.

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Maternal-child home health aide training manual. Lippincott-Raven, 1998.

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Book chapters on the topic "Maternal health services – Uganda"

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Morewitz, Stephen J. "Counseling, Medical, and Shelter Services." In Domestic Violence and Maternal and Child Health. Springer US, 2004. http://dx.doi.org/10.1007/978-0-306-48530-5_9.

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Faramand, Taroub Harb. "Integrating Gender to Improve HIV Services in Uganda." In Improving Health Care in Low- and Middle-Income Countries. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_12.

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Dynes, Michelle M., Laura Miller, Tamba Sam, Mohamad Alex Vandi, Barbara Tomczyk, and John T. Redd. "The Services and Sacrifices of the Ebola Epidemic’s Frontline Healthcare Workers in Kenema District, Sierra Leone." In Global Maternal and Child Health. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_21.

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Ackers, Louise, Gavin Ackers-Johnson, Joanne Welsh, Daniel Kibombo, and Samuel Opio. "Autonomy, Evidence and Methods in Global Health." In Anti-Microbial Resistance in Global Perspective. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-62662-4_2.

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AbstractThis chapter discusses the growing impact that funding bodies have on the design, delivery and evaluation of global health interventions with specific emphasis on the UK’s Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) funding programme. It explains the reasons for focusing the antimicrobial resistance intervention on maternal sepsis and describes the context within which the Maternal Sepsis Intervention took place; in a Regional Referral Hospital in Western Uganda.
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Meneses-Navarro, Sergio, David Meléndez-Navarro, and Alejandro Meza-Palmeros. "Contraceptive Counseling and Family Planning Services in the Chiapas Highlands: Challenges and Opportunities for Improving Access for the Indigenous Population." In Global Maternal and Child Health. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_14.

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Colom, Alejandra, and Marcela Colom. "Poverty, Local Perceptions, and Access to Services: Understanding Obstetric Choices for Rural and Indigenous Women in Guatemala in the Twenty-First Century." In Global Maternal and Child Health. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_32.

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Navarro, Sergio Meneses, Blanca Pelcastre Villafuerte, and Marisol Vega Macedo. "Maternal Mortality and the Coverage, Availability of Resources, and Access to Women’s Health Services in Three Indigenous Regions of Mexico: Guerrero Mountains, Tarahumara Sierra, and Nayar." In Global Maternal and Child Health. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71538-4_9.

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Ngianga, Kandala (Shadrack). "Socio-Demographic Determinants of Anaemia in Children in Uganda: A Multilevel Analysis." In Advanced Techniques for Modelling Maternal and Child Health in Africa. Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-6778-2_9.

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Necochea, Edgar, Maria da Luz Vaz, Ernestina David, and Jim Ricca. "Applying a Standards-Based Approach to Reduce Maternal Mortality and Improve Maternal and Neonatal Services in Mozambique." In Improving Health Care in Low- and Middle-Income Countries. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_9.

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Nabacwa, Mary Ssonko, Jeremy Waiswa, Martin Kabanda, Olive Sentumbwe, and Susan Anibaya. "Culture, Traditions and Maternal Health: A Community Approach Towards Improved Maternal Health in the Northern Uganda Districts of Gulu, Moroto and Kotido." In Social Indicators Research Series. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-16166-2_11.

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Conference papers on the topic "Maternal health services – Uganda"

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Awotwi, Johanna E. "ICT-enabled delivery of maternal health services." In the 6th International Conference. ACM Press, 2012. http://dx.doi.org/10.1145/2463728.2463798.

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Kananura, Rornald Muhumuza. "017: STRENGTHENING MONITORING AND EVALUATION SYSTEM FOR MATERNAL AND NEWBORN INTERVENTIONS: A CASE STUDY OF MATERNAL AND NEWBORN STUDY IN EASTERN UGANDA." In Global Forum on Research and Innovation for Health 2015. British Medical Journal Publishing Group, 2015. http://dx.doi.org/10.1136/bmjopen-2015-forum2015abstracts.17.

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Mubangizi, Vincent. "LACK OF FAMILY PLANNING IS AN AVOIDABLE CAUSE OF MATERNAL AND CHILD DEATH IN UGANDA." In EPHP 2016, Bangalore, 8–9 July 2016, Third national conference on bringing Evidence into Public Health Policy Equitable India: All for Health and Wellbeing. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/bmjgh-2016-ephpabstracts.53.

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Mahapatro, Meerambika. "Barriers to Utilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal Health Services among Rural Women in Orissa A Qualitative assessment." In 2nd Annual Global Healthcare Conference (GHC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2251-3833_ghc13.55.

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Mutebi, Aloysius, and Elisabeth kiracho Ekirapa. "132: BENEFITS OF A MATERNAL AND CHILD HEALTH TRANSPORT VOUCHER STUDY. A TRANSPORTER'S PERSPECTIVE IN PALLISA DISTRICT IN EASTERN UGANDA." In Global Forum on Research and Innovation for Health 2015. British Medical Journal Publishing Group, 2015. http://dx.doi.org/10.1136/bmjopen-2015-forum2015abstracts.132.

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Octavia, Eva Nur, and Pandu Riono. "Effectivity of National Health Insurance on Maternal Health in Developing Countries: A Systematic Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.03.

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ABSTRACT Background: Improving maternal health services is one of the main objectives in reducing maternal mortality. The national health insurance system is one of the efforts to achieve Universal Health Coverage (UHC) which aims to ensure that people can access health services without financial difficulties as stated in the third point of SDGs 2030. This system ensures that women are able to access quality maternal health services. This study aimed to review the effectiveness of national health insurance implementation on maternal health service in developing countries, systematically. Subjects and Method: This was a systematic review conducted by searching for articles through three databases, namely Cinahl, Medline, and JSTOR. The search was carried out using the Population, Intervention, Comparison, Outcome, Study Design (PICO-S method). In the identification stage, it was found 251 articles and 8 articles were selected to meet the criteria for this study. Results: The national health insurance system was an effort to ensure that women of reproductive age were able to access quality maternal health services. However, there were still gaps in the utilization of health services which are influenced by factors of education, economic status, and geographic area. Conclusion: The implementation of the national health insurance system has an impact on increasing the utilization of maternal health services, especially in developing countries. Keywords: national health insurance, women of reproductive age, maternal health services, developing country Correspondence: Eva Nur Octavia. Postgraduate of Reproductive Health, Faculty of Public Health, Universitas Indonesia. Jl. Margonda Raya, Pondok Cina, Beji, Depok 16424, East Java. Email: evanuroctavia@gmail.com. Mobile: +62 87759656772 DOI: https://doi.org/10.26911/the7thicph.04.03
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Kiberu, Vincent Micheal, and Vincent Micheal Kiberu. "E-Health Readiness Assessment in Uganda: Integration of Telemedicine Services into Public Healthcare System." In 2016 IEEE International Conference on Healthcare Informatics (ICHI). IEEE, 2016. http://dx.doi.org/10.1109/ichi.2016.43.

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Himanshu, M., Anil Kumar, BG Chandrashekarappa, Praveen Kumar, M. Suresh, and DT Uma. "RELATIONSHIP BETWEEN MATERNAL HEALTH SERVICES AND MATERNAL DEATHS DUE TO DIRECT OBSTETRIC CAUSES OVER FIVE-YEAR PERIOD IN KARNATAKA: AN EQUITY FOCUSED EVALUATION." In EPHP 2016, Bangalore, 8–9 July 2016, Third national conference on bringing Evidence into Public Health Policy Equitable India: All for Health and Wellbeing. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/bmjgh-2016-ephpabstracts.1.

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Dehury, Ranjit Kumar. "MATERNAL HEALTH SERVICES IN THE TRIBAL COMMUNITY OF BALASORE DISTRICT, ODISHA: CHALLENGES AND IMPLICATIONS." In EPHP 2016, Bangalore, 8–9 July 2016, Third national conference on bringing Evidence into Public Health Policy Equitable India: All for Health and Wellbeing. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/bmjgh-2016-ephpabstracts.3.

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Yovitha, Yuliejantiningsih, Rakhmawati Dini, and Maulia Desi. "Preventing Child Sexual Abuse for Early Childhood Trough Maternal and Child Health Services Empowerment." In Proceedings of the 1st International Conference on Education and Social Science Research (ICESRE 2018). Atlantis Press, 2019. http://dx.doi.org/10.2991/icesre-18.2019.29.

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Reports on the topic "Maternal health services – Uganda"

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Chukwuemeka Ugwu, Chukwuemeka Ugwu. Effects of Quality Health Care and Support Networks on Maternal and Children Outcomes in Uganda. Experiment, 2017. http://dx.doi.org/10.18258/9360.

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Abdel-Tawab, Nahla, and Maha El-Rabbat. Maternal and neonatal health services in Sudan: Results of a situation analysis. Population Council, 2010. http://dx.doi.org/10.31899/rh1.1006.

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Abuya, Timothy, Mardieh Dennis, Dennis Matanda, Francis Obare, and Ben Bellows. Impacts of removing user fees for maternal health services on universal health coverage in Kenya. International Initiative for Impact Evaluation (3ie), 2018. http://dx.doi.org/10.23846/pw3ie91.

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Santhya, K. G., and Santhya Jejeebhoy. Providing maternal and newborn health services: Experiences of auxiliary nurse midwives in Rajasthan. Population Council, 2012. http://dx.doi.org/10.31899/pgy2.1062.

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Talukder, Md, Ubaidur Rob, Laila Rahman, Ismat Hena, and A. K. M. Zafar Khan. A P4P model for increased utilization of maternal, newborn and child health services in Bangladesh. Population Council, 2011. http://dx.doi.org/10.31899/rh11.1030.

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Abdel-Tawab, Nahla, Sarah Loza, and Amal Zaki. Helping Egyptian women achieve optimal birth spacing intervals through fostering linkages between family planning and maternal/child health services. Population Council, 2008. http://dx.doi.org/10.31899/rh4.1136.

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Talukder, Md, Ubaidur Rob, Ismat Hena, Farhana Akter, Mohammad Rahman, and Md Julkarnayeen. Workshop report: Introducing pay-for-performance (P4P) approach and increase utilization of maternal, newborn, and child health services in Bangladesh. Population Council, 2010. http://dx.doi.org/10.31899/rh12.1007.

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Ainul, Sigma, Md Hossain, Md Hossain, et al. Trends in maternal health services in Bangladesh before, during and after COVID-19 lockdowns: Evidence from national routine service data. Population Council, 2020. http://dx.doi.org/10.31899/rh14.1037.

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Rahman, Laila, Dipak Shil, Md Rashid, et al. Manual on financial mechanism for the health facilities: Introducing pay-for-performance approach to increase utilization of maternal, newborn, and child health services in Bangladesh. Population Council, 2010. http://dx.doi.org/10.31899/rh12.1001.

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Talukder, Md, Ubaidur Rob, Laila Rahman, et al. Facility assessment report: Introducing pay-for-performance (P4P) approach to increase utilization of maternal, newborn, and child health services in Bangladesh. Population Council, 2010. http://dx.doi.org/10.31899/rh12.1004.

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