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Academic literature on the topic 'Mothers – Mortality – Uganda'
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Journal articles on the topic "Mothers – Mortality – Uganda"
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McMURRAY, CHRISTINE. "MEASURING EXCESS RISK OF CHILD MORTALITY: AN EXPLORATION OF DHS I FOR BURUNDI, UGANDA AND ZIMBABWE." Journal of Biosocial Science 29, no. 1 (January 1997): 73–91. http://dx.doi.org/10.1017/s0021932097000734.
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This paper proposes a new method of measuring excess risk of child mortality in cross-sectional surveys, which is applied to DHS I data for Burundi, Uganda and Zimbabwe. The expected child mortality experience is estimated for each mother on the basis of child's age, mother's age at child's birth and her parity, and compared with her observed experience. Mothers who exceed their expected child mortality experience and also had more than one child die are considered to have excess child mortality. Zimbabwe had the greatest concentration of child deaths as measured by a simple ratio of mothers to deaths, but when observed experience was compared with expected it had less than half as many excess deaths as Uganda and Burundi. In all three countries mother's education had a strong negative association with the risk of excess child mortality, and in Zimbabwe and Burundi there were significant regional differences.
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Kaberuka, Will, Alex Mugarura, Javan Tindyebwa, and Debra S. Bishop. "Factors determining child mortality in Uganda." International Journal of Social Economics 44, no. 5 (May 8, 2017): 633–42. http://dx.doi.org/10.1108/ijse-08-2015-0201.
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Purpose The purpose of this paper is to establish socio-economic factors and maternal practices that determine child mortality in Uganda. Design/methodology/approach The paper examines the role of sex, birth weight, birth order and duration of breastfeeding of a child; age, marital status and education of the mother; and household wealth in determining child mortality. The study employs a logistic regression model to establish which of the factors significantly impacts child mortality in Uganda. Findings The study established that education level, age and marital status of the mother as well as household wealth significantly impact child mortality. Also important are the sex, birth weight, birth order and breastfeeding duration. Research limitations/implications Policies aimed at promoting breastfeeding and education of female children can make a significant contribution to the reduction of child mortality in Uganda. Practical implications Health care intervention programs should focus on single, poor and uneducated mothers as their children are at great risk due to poor and inadequate health care utilization. Originality/value This paper could be the first effort in examining child mortality status in Uganda using a logistic regression model.
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Edwards, Grace. "From policy to practice: the challenges facing Uganda in reducing maternal mortality." International Journal of Health Governance 23, no. 3 (September 3, 2018): 226–32. http://dx.doi.org/10.1108/ijhg-06-2017-0031.
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Purpose The purpose of this paper is to describe the challenges faced by health professionals in meeting Millennium Goal 5 and reducing maternal mortality in Uganda. Design/methodology/approach Uganda is a low income land locked country with some major challenges around maternal health. There are many comprehensive and visionary plans produced by the Ugandan Government, however, there is a disconnect between policy and practice and there are many barriers to be addressed in order to reduce maternal mortality in Uganda. Findings Despite making considerable progress in reducing maternal mortality, Millenium Development Goal (MDG) 5 was not achieved and every day 300 children and 20 mothers die in Uganda. Major barriers include lack of resources, both human and equipment, disparities in access to care, lack of clinical skills and knowledge and financial constraints. The Millennium goals are now behind us and focus has shifted to the sustainable development goals (SDGs). The Ugandan Government must focus on using these goals as part of developing the maternal and child health strategy by prioritising the human resource and health financial issues and continuing to work towards reducing maternal and perinatal mortality. Originality/value This paper gives a succinct review of the progress of Uganda towards meeting the Millennium Goal 5 and makes key recommendations for addressing SDG 3.
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Ahn, Namkee, and Abusaleh Shariff. "Determinants of Child Height in Uganda: A Consideration of the Selection Bias Caused by Child Mortality." Food and Nutrition Bulletin 16, no. 1 (March 1995): 1–12. http://dx.doi.org/10.1177/156482659501600109.
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This paper reports a methodology for analysis and presents the determinants of child height in Uganda. A two-stage estimation method that evaluated the effects of covariates on child height for age after controlling for the selection bias caused by child mortality was necessary. Important determinants of child health in Uganda are the child's and some maternal characteristics. Some environmental factors (at the levels of both community aggregate and household) have significance. The effects of mothers’ characteristics were relatively more sensitive to correction of the selection bias. In particular, mother's secondary education almost doubled its effect and became significant in determining the height of children. Overall results suggest that Uganda is facing a phase of health transition in which the effect of socio-economic variables (at both individual and community levels) are beginning to show up significantly. Although an all-round developmental effort is essential, selective interventions aiming to improve female education and, where that is difficult, extension of appropriate information through radio are likely to improve the survival and health of children.
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Orach, Christopher Garimoi. "Maternal Mortality Estimated Using the Sisterhood Method in Gulu District, Uganda." Tropical Doctor 30, no. 2 (April 2000): 72–74. http://dx.doi.org/10.1177/004947550003000205.
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A community-based retrospective maternal mortality study using the Sisterhood method was conducted in Gulu district between February and March 1996. The objectives were to estimate the magnitude of and identify factors associated with maternal mortality in the district. Atotal of 5522 adult respondents, randomly selected from 27 parishes, of the five counties in the district were interviewed. Between 1960–1996 324 maternal deaths occurred in the sisterhood sample. The maternal mortality rate (MMR) was estimated to be 662 per 100 000 deliveries [95% confidence interval (CI) 421–839 per 100 deliveries]. The leading causes of maternal death were: haemorrhage 45.1%; obstructed labour 26.2%; puerperal sepsis 9.6%; anaemia 2.2%; AIDS 2.2%; and gunshot wounds (GSW) 1.0%. Factors associated with maternal mortality included: age − 31.8% of the mothers who died were below 20 years; education − 57.1% had no formal education; 65% of the mothers had delivered at home, 50.6% had been attended to by untrained traditional birth attendants (TBAs), while 37.8% were attended to by relatives. The MMR was found to be 1.3 times higher than the estimated national MMR of 500 per 100 000 deliveries. Most maternal deaths (80.9%) were due to preventable causes, being related to low socioeconomic status and low-level education of women in the district. The intractable civil war in the district was a major underlying and contributory factor to the high maternal mortality in the area. A multifaceted approach to reduce maternal mortality in the district should target improving the socioeconomic conditions in the district with special emphasis on encouraging and supporting female education. Intensive education on maternal healthcare in antenatal clinics be conducted targeting husbands/spouses and relatives who care for the prenatal/pregnant and postnatal mothers. There is need for more trained TBAs per village who should be given effective support supervision. Ambulance transport services, motor and bicycle be made available at the district and community levels. At a national level the security situation should be improved in the district.
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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 (April 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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Kananura, Rornald Muhumuza. "Mediation role of low birth weight on the factors associated with newborn mortality and the moderation role of institutional delivery in the association of low birth weight with newborn mortality in a resource-poor setting." BMJ Open 11, no. 5 (May 2021): e046322. http://dx.doi.org/10.1136/bmjopen-2020-046322.
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ObjectivesTo assess low birth weight’s (LBW) mediation role on the factors associated with newborn mortality (NM), including stillbirth and the role of institutional delivery in the association between LBW and NM.Design and participantsI used the 2011–2015 event histories health demographic data collected by Iganga-Mayuge Health Demographic and Surveillance Site (HDSS). The dataset consisted of 10 758 registered women whose birth occurred at least 22 weeks of the gestation period and records of newborns’ living status 28 days after delivery.SettingThe Iganga-Mayuge HDSS is in Eastern Uganda, which routinely collects health and demographic data from a registered population of at least 100 000 people.Outcome measureThe study’s key outcomes or endogenous factors were perinatal mortality (PM), late NM and LBW (mediating factor).ResultsThe factors that were directly associated with PM were LBW (OR=2.55, 95% CI 1.15 to 5.67)), maternal age of 30+ years (OR=1.68, 95% CI 1.21 to 2.33), rural residence (OR=1.38, 95% CI 1.02 to 1.85), mothers with previous experience of NM (OR=3.95, 95% CI 2.86 to 5.46) and mothers with no education level (OR=1.63, 95% CI 1.21 to 2.18). Multiple births and mother’s prior experience of NM were positively associated with NM at a later age. Institutional delivery had a modest inverse role in the association of LBW with PM. LBW mediated the association of PM with residence status, mothers’ previous NM experience, multiple births, adolescent mothers and mothers’ marital status. Of the total effect attributable to each of these factors, LBW mediated +25%, +22%, +100%, 25% and −38% of rural resident mothers, mothers with previous experience of newborn or pregnancy loss, multiple births, adolescent mothers and mothers with partners, respectively.ConclusionLBW mediated multiple factors in the NM pathways, and the effect of institutional delivery in reducing mortality among LBW newborns was insignificant. The findings demonstrate the need for a holistic life course approach that gears the health systems to tackle NM.
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Babughirana, Geoffrey, Sanne Gerards, Alex Mokori, Benon Musasizi, Nathan Isabirye, Isaac Charles Baigereza, Grace Rukanda, Emmanuel Bussaja, Stef Kremers, and Jessica Gubbels. "Effects of Implementing the Timed and Targeted Counselling Model on Pregnancy Outcomes and Newborn Survival in Rural Uganda: Protocol for a Quasi-Experimental Study." Methods and Protocols 3, no. 4 (October 29, 2020): 73. http://dx.doi.org/10.3390/mps3040073.
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Background: Although mortality rates have declined in Uganda over the last decade, maternal mortality is still high at 336 deaths per 100,000 live births, as is infant mortality at 43 deaths per 1000 live births. One in every 19 babies born in Uganda does not live to celebrate their first birthday. Many of these deaths occur within the first 28 days of life, forming the single largest category of death. Promising effects for preventing death are expected from timed and targeted counselling (ttC), an intervention package of key messages and actions that address integrated health and nutrition needs of the mothers and children, barriers and negotiation agreement, to cause sustainable behavioural change at specific timelines in the first 1000 days. Methods: The study has a quasi-experimental design in order to evaluate the implementation and effectiveness of the ttC intervention. Participants are pregnant women who have been registered by village health team (VHT) members and who live in Hoima (intervention region) or Masindi (control region) districts, who will be monitored throughout their pregnancy up to at least six weeks after delivery. A multi-stage sampling technique will be employed to select participants, the study sites being purposively chosen. Sample size is determined using the pregnancy rate from the population estimates, resulting in a total required sample of 1218 (609 each in the intervention and control group). Study instruments that will be used include the Ugandan VHT household register (in which all mothers to be studied will be registered), the ttC register (an additional tool for the study area), and a study questionnaire, to collect data at outcome level. Univariate, bivariate and multivariate analyses will be performed using SPSS to evaluate intervention effects on outcomes (e.g., relationship between pregnancy outcomes and antenatal attendance). In addition, quantitative findings will be triangulated with qualitative data, and collected through interviews and focus group discussions with participants and implementers. Discussion: The proposed study will examine the effectiveness of implementing ttC to improve maternal and child outcomes in Uganda. If ttC is effective, broader implementation of appropriate antenatal services can be advised as essential newborn care improvements. Trial registration: PACTR, PACTR202002812123868. Registered on 25 February 2020.
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Ogbo, Felix A., John Eastwood, Andrew Page, Oniovo Efe-Aluta, Chukwudi Anago-Amanze, Eshioramhe A. Kadiri, Ifegwu K. Ifegwu, Sue Woolfenden, and Kingsley E. Agho. "The impact of sociodemographic and health-service factors on breast-feeding in sub-Saharan African countries with high diarrhoea mortality." Public Health Nutrition 20, no. 17 (October 5, 2017): 3109–19. http://dx.doi.org/10.1017/s1368980017002567.
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AbstractObjectiveThe current study aimed to examine the impact of sociodemographic and health-service factors on breast-feeding in sub-Saharan African (SSA) countries with high diarrhoea mortality.DesignThe study used the most recent and pooled Demographic and Health Survey data sets collected in nine SSA countries with high diarrhoea mortality. Multivariate logistic regression models that adjusted for cluster and sampling weights were used to investigate the association between sociodemographic and health-service factors and breast-feeding in SSA countries.SettingSub-Saharan Africa with high diarrhoea mortality.SubjectsChildren (n 50 975) under 24 months old (Burkina Faso (2010, N 5710); Demographic Republic of Congo (2013, N 6797); Ethiopia (2013, N 4193); Kenya (2014, N 7024); Mali (2013, N 3802); Niger (2013, N 4930); Nigeria (2013, N 11 712); Tanzania (2015, N 3894); and Uganda (2010, N 2913)).ResultsOverall prevalence of exclusive breast-feeding (EBF) and early initiation of breast-feeding (EIBF) was 35 and 44 %, respectively. Uganda, Ethiopia and Tanzania had higher EBF prevalence compared with Nigeria and Niger. Prevalence of EIBF was highest in Mali and lowest in Kenya. Higher educational attainment and frequent health-service visits of mothers (i.e. antenatal care, postnatal care and delivery at a health facility) were associated with EBF and EIBF.ConclusionsBreast-feeding practices in SSA countries with high diarrhoea mortality varied across geographical regions. To improve breast-feeding behaviours among mothers in SSA countries with high diarrhoea mortality, breast-feeding initiatives and policies should be context-specific, measurable and culturally appropriate, and should focus on all women, particularly mothers from low socio-economic groups with limited health-service access.
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Delzer, Mackenzie E., Anthony Kkonde, and Ryan M. McAdams. "Viewpoints of pregnant mothers and community health workers on antenatal care in Lweza village, Uganda." PLOS ONE 16, no. 2 (February 16, 2021): e0246926. http://dx.doi.org/10.1371/journal.pone.0246926.
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Background Uganda is a low-income country with high fertility, adolescent birth, and maternal mortality rates. How Ugandan Ministry of Health antenatal education guidelines have been implemented into standardized health education and how pregnant women utilize health facilities remains unclear. Objective We aimed to determine how women obtain education during pregnancy, what guidelines health educators follow, and what barriers exist to receiving antenatal care in Lweza Village, Uganda. Methods Household surveys were conducted with women in Lweza who were or had previously been pregnant. Focus group discussions were conducted with community members and Lweza Primary School teachers. Interviews were conducted with key informants, including midwives, a traditional birth attendant, a community leader, and a Village Health Team member. Data collection was done in English along with a Luganda translator. Results Of the 100 household surveys conducted, 86% of women did not meet the WHO recommendation of 8 antenatal appointments during their pregnancies. Reasons cited for inadequate visits included facing long wait times (>7 h) at health facilities, getting education from family or traditional healers, or being told to delay antenatal care until 6 months pregnant. Informant interviews revealed that no standardized antenatal education program exists. Respondents felt least educated on family planning and postpartum depression, despite 37% of them reporting symptoms consistent with postpartum depression. Education was also lacking on the use of traditional herbs, although most women (60%) reported using them during pregnancy. Conclusions Most women in Lweza do not receive 8 antenatal appointments during their pregnancies or any standardized antenatal education. Educational opportunities on family planning, postpartum depression, and the safety of traditional herbs during pregnancy exist. Future studies should focus on ways to overcome barriers to antenatal care, which could include implementing community-based education programs to improve health outcomes for women in Lweza Village.
Dissertations / Theses on the topic "Mothers – Mortality – Uganda"
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Muliira, Rhoda Racheal Suubi. "The effects of occupational exposure to maternal deaths on the well-being of professional midwives in rural Uganda." Thesis, 2014. http://hdl.handle.net/10500/19006.
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The study described and analysed the self-reported stress burden resulting from occupational exposure to maternal death among professional midwives working in rural health care units, and the effect of the identified stress burden on their physical and psychological well-being in order to recommend coping mechanisms and support for these midwives. Quantitative research using an exploratory, descriptive, and correlation design was used to collect data from midwives working in two rural districts, Mubende and Mityana in Uganda. Data was collected using a self-administered questionnaire which comprised of three standardised scales, and permission was granted by the developers of the scales. The study population comprised of 238 midwives and a response rate of 95.2% was obtained. Simple random sampling was used to select the study sites and the whole target population was studied. Data was analysed using the SPSS version 20.
The findings revealed that occupational exposure to maternal death experienced by midwives working in rural districts of Uganda, may result into significant stress burden in the form of moderate to high death anxiety, mild to moderate death obsession and mild death depression. The respondents also experience physical un-wellness because of experiencing maternal death at the workplace, however, their psychological well-being was sustained. Although the midwives were using effective problem focused coping strategies to reduce their stress burden resulting from occupational exposure to maternal death, the study uncovered a number of factors that were non-modifiable that could be preventing this. However, midwifery educators, employers and managers should address the modifiable factors such as: midwives' education, involvement in other health care activities, lack of functional communication and ambulance services, support given at the work place after experiencing a maternal death, and professional
training on how to handle death situations which exaggerate the stress burden resulting from occupational exposure to maternal death.
Based on the key findings, proposed interventions, responsible persons and recommendations for practice to promote the coping mechanism and well-being of rural midwives in view of occupational exposure to maternal death were suggested.Health Studies
D. Litt. et Phil. (Health Studies)
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Kkonde, Anthony. "Factors that influence pregnant women's choice of delivery site in Mukono district, Uganda." Diss., 2010. http://hdl.handle.net/10500/3601.
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The purpose of this study was to analyse and describe the factors that influence the choice of site of delivery by pregnant women in Mukono district. By employing quantitative, non experimental research methods, 431 women were interviewed by using structured questionnaires. These women had either delivered at; home, TBA, private or public clinic and 72% had been delivered by skilled attendants. Choice of delivery site was influenced by the attitudes of health workers which were rather poor in public sites, proximity of site, attendance of antenatal clinic at a site, availability of supplies and drugs, plus level of care including emergency obstetric care.Health Studies
M. A. (Public Health)