Saving Mothers, Giving Life Approach for Strengthening Health Systems to Reduce Maternal and Newborn Deaths in 7 Scale-up Districts in Northern Uganda

Sensalire, Simon; Isabirye, Paul; Karamagi, Esther; Byabagambi, John; Rahimzai, Mirwais; Calnan, Jacqueline

doi:10.9745/ghsp-d-18-00263

Cited by 15 publications

(19 citation statements)

References 9 publications

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“…The study by Sensalire et al took place from February 2015 to December 2016 and was in the initial phase of implementation when data was collected for this study. In 2016 at the end of the scale-up project, Sensalire et al estimated the MMR to be slightly below the national average, in contrast to previous estimates [21].…”

Section: Side 5 Af 24mentioning

confidence: 87%

“…During the qualitative data collection, Awach sub-county was part of an intervention group in a scale-up project to reduce maternal and newborn deaths [21]. The study by Sensalire et al took place from February 2015 to December 2016 and was in the initial phase of implementation when data was collected for this study.…”

Section: Side 5 Af 24mentioning

confidence: 99%

“…Despite potential challenges in implementation, structuring ANC to incorporate some of the active ingredients of MLCC may be worth considering[5]. Sensalire et al implemented a scale-up project with quality improvement strategies in districts of northern Uganda including Awach sub-county Side 17 af 24[21]. They reported overall positive trends towards increased ANC utilization and decreased maternal and perinatal deaths during the intervention period.…”

mentioning

confidence: 99%

“…They reported overall positive trends towards increased ANC utilization and decreased maternal and perinatal deaths during the intervention period. A systemstrengthening approach focusing on quality improvement was suggested to address barriers of poor quality of care and strengthen health systems to reduce preventable maternal and perinatal deaths[21]. This could be done through training of health workers, community outreach activities and community mobilization messages.The role of socio-cultural beliefs and practices in relation to pregnancy was recognized as important in achieving effective ANC utilization.…”

mentioning

confidence: 99%

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Perceived barriers to utilization of antenatal care services in northern Uganda: A qualitative study

Uldbjerg

Schramm

Kaducu

et al. 2020

Sexual & Reproductive Healthcare

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Objective: Antenatal care (ANC) utilization remains a challenge in efforts to reduce maternal mortality and improve maternal health in Uganda. This study aimed to identify perceived barriers to utilization of ANC services in a rural post-conflict area in northern Uganda. Methods: A qualitative study using in-depth interviews and focus group discussions of seventeen participants (pregnant women, health workers and a traditional birth attendant). The study was informed through a phenomenological approach to capture perceived barriers to utilization of ANC. The study was carried out in post-conflict Awach sub-county, Gulu District, northern Uganda. Data was analyzed using inductive conventional content analysis. Results: The main perceived barriers to ANC utilization were identified as: poor quality of care including poor attitude of health workers; socio-cultural practices not being successfully aligned to ANC; and lack of support from the husband including difficulties in encouraging him to attend ANC. Additionally, institutional structures and procedures at the health centers in terms of compulsory HIV testing and material requirements and transportation were perceived to prevent some pregnant women from attending ANC. Conclusions: Identifying local barriers to ANC utilization are important and should be considered when planning ANC programs. We propose that future efforts should focus on how to ensure a good patient-provider relationship and perceived quality of care, and further how to improve inter-spousal communication and sensitization of husbands for increased involvement in ANC. We recommend more research on how socio-cultural context can meaningfully be aligned to ANC to improve maternal health and reduce maternal mortality.

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Section: Side 5 Af 24mentioning

confidence: 87%

Section: Side 5 Af 24mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Perceived barriers to utilization of antenatal care services in northern Uganda: A qualitative study

Uldbjerg

Schramm

Kaducu

et al. 2020

Sexual & Reproductive Healthcare

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“…The focus of these efforts would be to guide program adjustments for quality improvement: HFAs at baseline to inform initial programming, quarterly record and registry data gathering at CEmONC facilities only, and Health Management Information System reporting on indicators of interest for all facilities on a quarterly basis. (See the article by Isabirye et al from the SMGL supplement 47 …”

Section: Project Design Implementation and Assessmentmentioning

confidence: 99%

Saving Mothers, Giving Life: It Takes a System to Save a Mother

Conlon

Serbanescu

Marum

et al. 2019

Glob Health Sci Pract

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A multi-partner effort in Uganda and Zambia employed a districtwide health systems strengthening approach, with supply- and demand-side interventions, to address timely use of appropriate, quality maternity care. Between 2012 and 2016, maternal mortality declined by approximately 40% in both partnership-supported facilities and districts in each country. This experience has useful lessons for other low-resource settings.

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Global health systems strengthening: FIGO's strategic view on reducing maternal and newborn mortality worldwide

Miranda,

Miller,

Alfieri

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low‐income countries.MethodsA comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care.ResultsThe findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality. However, several challenges, including service delivery gaps, poor data use, and funding deficits, continue to hinder the delivery of quality care. To improve maternal and newborn health outcomes, a comprehensive HSS strategy is essential, which should include infrastructure enhancement, workforce skill development, access to essential medicines, and active community engagement.ConclusionEffective health systems, leadership, and community engagement are crucial for a comprehensive HSS approach to catalyze progress toward universal health coverage and global improvements in maternal and newborn health.

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Saving Mothers, Giving Life Approach for Strengthening Health Systems to Reduce Maternal and Newborn Deaths in 7 Scale-up Districts in Northern Uganda

Cited by 15 publications

References 9 publications

Perceived barriers to utilization of antenatal care services in northern Uganda: A qualitative study

Perceived barriers to utilization of antenatal care services in northern Uganda: A qualitative study

Saving Mothers, Giving Life: It Takes a System to Save a Mother

Global health systems strengthening: FIGO's strategic view on reducing maternal and newborn mortality worldwide

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