The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) aims to work through learning, action, leadership accountability. We aimed evaluate the effectiveness QCN in these four areas at global level countries: Bangladesh, Ethiopia, Malawi Uganda. This mixed method evaluation comprised 2–4 iterative rounds data collection between 2019–2022, involving stakeholder interviews, hospital observations, members survey, document review. Qualitative was analysed using a...

Abstract Introduction Male involvement in maternal and child health is a practice wherein fathers male community members actively participate caring for women supporting their family to access better services. There positive association between outcomes. However, the not always practiced optimally, especially low- middle-income countries, where may have economic resources decision-making power. Aim This study investigates how key stakeholders within system Uganda engage with ‘male...

The Quality-of-Care Network (QCN) was conceptualized by the World Health Organization (WHO) and other global partners to facilitate learning on improve quality of care for maternal newborn health within across low middle-income countries. However, there significant variance in speed extent which QCN formed involved This paper investigates factors that shaped QCN’s differential emergence Bangladesh, Ethiopia, Malawi, Uganda. Drawing network scholarship, we conducted a replicated case study...

Abstract Introduction The teenage pregnancy rate of 25% in Uganda is worrying though it may seem low compared to 28% Sub-Saharan countries and West Central Africa. Young mothers risk poor maternal child health, being isolated, attempting unsafe abortions, failure continue with school, poverty. This paper describes perceptions recommendations young mothers, family community members on why the high pregnancies how these can be reduced. Methods qualitative research was conducted from March May...

In 2017, WHO and global partners launched ‘The Network for Improving Quality of Care Maternal, Newborn Child Health’ (QCN) seeking to reduce in-facility maternal newborn deaths stillbirth by 50% in health facilities 2022. We explored how the QCN theory change guided what actually happened over 2018–2022 order understand worked well, did not, ultimately describe consequences activities. applied analysis criteria investigate well-defined, plausible, coherent measurable results were, coherent,...

Abstract Background Regulation can improve professional practice and patient care, but is often weakly implemented enforced in health systems low- middle-income countries (LMICs). Taking a de-centred frontline perspective, we examine national regulatory actors’ professionals’ views experiences of regulation Kenya Uganda discuss how it might be improved LMICs more generally. Methods We conducted large-scale research on for doctors nurses (including midwives) during 2019–2021. interviewed 29...

The Quality-of-Care Network (QCN), launched by WHO and partners, links global national actors across several countries to improve maternal newborn health. We conducted a prospective qualitative study examine how QCN in Bangladesh, Ethiopia, Malawi Uganda facilitated learning, sharing, innovation within between network countries. 227 key informant interviews with at global, national, facility levels iteratively two four rounds from June 2019 March 2022. also reviewed all accessible documents....

Better policies, investments, and programs are needed to improve the integration quality of maternal, newborn, child health services. Previously, partnerships collaborations that involved multiple countries with a unified aim have been observed yield positive results. Since 2017, WHO partners hosted Quality Care Network [QCN], multi-country implementation network focused on improving neonatal, care. In this paper, we examine functionality QCN in different contexts. We focus circumstances...

Learning about how to evaluate implementation-focused networks is important as they become more commonly used. This research evaluated the emergence, legitimacy and effectiveness of a multi-country Quality Care Network (QCN) aiming improve maternal, newborn child health (MNCH) outcomes. We examined QCN global level, national local level interfaces in four case study countries. paper presents evaluation team's reflections on this 3.5 year multi-country, multi-disciplinary project....

The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) is intended to facilitate learning, action, leadership accountability improving quality care in member countries. This requires legitimacy-a network's right exert power within national contexts. reflected, example, a government's buy-in perceived ownership the work network. During 2019-2022 we conducted iterative rounds stakeholder interviews, observations meetings, document review, hospital Bangladesh,...

The Quality of Care Network (QCN) is a global initiative that was established in 2017 under the leadership WHO 11 low-and- middle income countries to improve maternal, newborn, and child health. vision would be embedded within member continued beyond initial implementation period: sustained. This paper investigated experience actions taken sustain QCN four (Bangladesh, Ethiopia, Malawi, Uganda) reports on lessons learned. Multiple iterative rounds data collection were conducted through...

ABSTRACT The Quality-of-Care Network (QCN), launched by WHO and partners, links global national actors across several countries to improve maternal newborn health. We examine if QCN facilitated learning, sharing innovations within between network countries. evaluated the in Bangladesh, Ethiopia, Malawi Uganda. conducted a total 227 qualitative interviews with iteratively 3-year period from October 2019 March 2022. also reviewed all accessible documents. Sharing learning opportunities were...

Violence against children (VAC) has garnered attention as a priority issue, in part, due to the Against Children and Youth Surveys (VACS). Although are disproportionately represented among forcibly displaced people, VACS novelty humanitarian settings. This paper presents approach first-ever conducted exclusively setting (HVACS) Uganda, addition providing an overview of results this novel survey, along with their implications. Participants included 1338 females 927 males aged 13–24 years...

For adolescent mothers in rural Eastern Uganda, nutrition and health may be compromised by many factors. Identifying individual environmental needs barriers at local levels is important to inform community-based interventions. This qualitative study used interviews based on constructs from social cognitive theory. 101 mothers, family members, health-related personnel community workers Budondo sub-county (Jinja district), eastern Uganda were interviewed. Young had needs, related going back...

Uniformed service personnel have an increased risk of poor viral load suppression (VLS). This study was performed to evaluate the outcomes interventions improve VLS in 28 military health facilities Uganda.This operational research conducted between October 2018 and September 2019, among people living with HIV (PLHIV) managed by Uganda. Patients a (VL) >1000 copies/ml received three sessions intensive adherence counselling (IAC), 1 month apart, after which repeat VL done. The main outcome...

Abstract Background Appropriate breastfeeding is vital for infant and young child nutrition. Annually, oral clefts affect 0.73 per 1000 children in Uganda. Despite this low incidence, with a cleft face difficulty which their nutrition status. In addition, knowledge on maternal experiences support limited. We explored perceptions, received 0 to 24 months attending Comprehensive Rehabilitative Services of Uganda (CoRSU) Hospital. Methods This cross-sectional study combined quantitative...

Abstract The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) aims to work through learning, action, leadership accountability. We aimed evaluate the effectiveness QCN in these four areas at global level countries: Bangladesh, Ethiopia, Malawi Uganda. This mixed method evaluation comprised 2-4 iterative rounds data collection between 2019-2022, involving stakeholder interviews, hospital observations, members survey, document review. Qualitative was analysed...

The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) was established to build a cross-country platform joint-learning around quality improvement implementation approaches reduce mortality. This paper describes explores the structure QCN in four countries at global level. Using Social Analysis (SNA), this cross-sectional study maps networks level (Bangladesh, Ethiopia, Malawi Uganda) assesses interactions among actors involved. A pre-tested closed-ended...

In Uganda 13% of persons have at least one form disability. The United Nations' Convention on the Rights Persons with Disabilities guarantees disabilities same level right to access quality and affordable healthcare as without Understanding needs women walking is key in formulating flexible, acceptable responsive health systems their hence improve care. This study therefore explores maternal newborn (MNH)-related Kibuku District Uganda. We carried out a qualitative September 2017 three...

Childhood violence and mental health remain concerning public issues globally yet there is limited evidence on the associations between experiences of such in refugee settings. To assess association childhood (sexual, physical, emotional violence) (severe distress, self-harm, suicidal ideation and/or attempted suicide) settings Uganda. Data are from 2022 Uganda Humanitarian Violence against Children Youth Survey (HVACS) conducted among 1,338 females 927 males aged 13-24 years March April...

The negative impact of COVID-19 on population health outcomes raises critical questions system preparedness and resilience, especially in resource-limited settings. This study examined healthworker for management implementation experiences Uganda's refugee-hosting districts.A cross sectional, mixed-method descriptive 17 facilities 7 districts from 4 major regions. Total sample size was 485 including > 370 care workers (HCWs). HCW knowledge, attitude practices (KAP) assessed by using a...

Abstract The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) is intended to facilitate learning, action, leadership accountability improving quality care in member countries. This requires legitimacy—a network’s right exert power within national contexts. reflected, example, a government’s buy-in perceived ownership the work network. During 2019– 2022 we conducted iterative rounds stakeholder interviews, observations meetings, document review, hospital...

Abstract The Network for Improving Quality of Care Maternal, Newborn and Child Health (QCN) was established to build a cross-country platform joint-learning around quality improvement implementation approaches reduce mortality. This paper describes explores the structure QCN in four countries at global level. Using Social Analysis (SNA), this cross-sectional study maps networks level (Bangladesh, Ethiopia, Malawi Uganda) assesses interactions among actors involved. A pre-tested closed-ended...

Abstract The Quality Care Network (QCN) was conceptualized by the World Health Organisation (WHO) and other global partners to facilitate learning on improve quality of care for maternal newborn health within across low middle-income countries. However, there significant variance in speed extent which QCN formed involved This paper investigates factors that shaped QCN’s differential emergence Bangladesh, Ethiopia, Malawi, Uganda. Drawing network scholarship, we conducted a replicated case...