A5048269337- Global Maternal and Child Health
- Child Nutrition and Water Access
- Infant Development and Preterm Care
- Healthcare Systems and Reforms
- Neonatal Respiratory Health Research
- Breastfeeding Practices and Influences
- Maternal and Perinatal Health Interventions
- Child and Adolescent Health
- Healthcare Policy and Management
- Maternal and Neonatal Healthcare
- Poverty, Education, and Child Welfare
- Vaccine Coverage and Hesitancy
- Family and Disability Support Research
- Global Health and Surgery
- Intergenerational Family Dynamics and Caregiving
- Health Policy Implementation Science
- COVID-19 Impact on Reproduction
- Global Health Workforce Issues
- Emergency and Acute Care Studies
- Global Health and Epidemiology
- Global Public Health Policies and Epidemiology
- Diversity and Career in Medicine
- Primary Care and Health Outcomes
- Delphi Technique in Research
Makerere University
2014-2023
BackgroundCare for women and babies before, during, after the time of birth is a sensitive measure functionality any health system. Engaging communities in preventing newborn deaths promising strategy to achieve further progress child survival sub-Saharan Africa.ObjectiveTo assess effect home visit combined with facility strengthening on uptake care-seeking, practices services, link results national policy scale-up Uganda. DesignThe Uganda Newborn Study (UNEST) was two-arm cluster-randomised...
Although gains in newborn survival have been achieved many low-income and middle-income countries, reductions stillbirth neonatal mortality slow. Prematurity complications are a major driver of mortality. We aimed to assess the effect quality improvement package for intrapartum immediate care on preterm Kenya Uganda, where evidence-based practices often underutilised.This unblinded cluster-randomised controlled trial was done western eastern Uganda at facilities that provide 24-h maternity...
BackgroundCommunity health workers (CHWs) have been employed in a number of low- and middle-income countries as part primary care strategies, but the packages vary across even within countries. The experiences motivations multipurpose CHW providing maternal newborn not well described.ObjectiveThis study examined perceptions community members CHWs around promoting practices, self-identified factors that influence performance so to inform future design programme implementation.DesignData were...
BackgroundIn Uganda maternal and neonatal mortality remains high due to a number of factors, including poor quality care at health facilities.ObjectiveThis paper describes the experience building capacity for newborn district hospital lower-level facilities in eastern within existing system parameters robust community outreach programme.DesignThis strengthening study, part Newborn Study (UNEST), aimed increase frontline worker through district-led training, support supervision, mentoring one...
Preventable maternal and newborn deaths can be averted through simple evidence-based interventions, such as the use of community health workers (CHWs), also known in Uganda village teams. However, CHW strategy faces implementation challenges regarding training packages, supervision, motivation.This paper explores knowledge levels CHWs, describes coverage home visits, shares lessons learnt from setting up implementing strategy.The CHWs were trained to conduct four visits: two during pregnancy...
Reducing neonatal-related deaths is one of the major bottlenecks to achieving Millennium Development Goal 4. Studies in Asia and South America have shown that neonatal mortality can be reduced through community-based interventions, but these not been adapted scalable intervention packages for sub-Saharan Africa where culture, health system policy environment different. In Uganda, outcomes are poor both mothers newborn babies. Policy opportunities include new national Health Sector Strategic...
Based on the realization that Uganda is not track to achieving Millennium Development Goals 4 and 5, Makerere University School of Public Health in collaboration with other partners proposed conduct two community based maternal/newborn care interventions aimed at increasing access health facility through transport vouchers use workers promote ideal family practices. Prior implementation, a stakeholder analysis was undertaken assess map stakeholders' interests, influence/power position...
Background: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers access maternal and newborn care services.Objectives: This analyses the effect of intervention on utilization services practices.Methods: quasi-experimental pre- post-comparison design had two main components: community mobilization empowerment, health provider capacity building. primary outcomes were antenatal (ANC), delivery postnatal care, practices. Baseline (n = 2237)...
Background: There is increasing demand for trainers to shift from traditional didactic training innovative approaches that are more results-oriented. Mentorship one such approach could bridge the clinical knowledge gap among health workers.Objectives: This paper describes experiences of an attempt improve health-worker performance in maternal and newborn three rural districts through a mentoring process using cascade model. The further highlights achievements lessons learnt during...
Abstract Background Insufficient reductions in maternal and neonatal deaths stillbirths the past decade are a deterrence to achieving Sustainable Development Goal 3. The majority of occur during intrapartum immediate postnatal period. Overcoming knowledge-do-gap ensure implementation known evidence-based interventions this period has potential avert at least 2.5 million mothers their offspring annually. This paper describes study protocol for implementing evaluating multi-faceted health care...
BackgroundNearly all newborn deaths occur in low- or middle-income countries. Many of these could be prevented through promotion and provision care practices such as thermal care, early exclusive breastfeeding, hygienic cord care. Home visit programmes promoting were piloted Malawi, Nepal, Bangladesh, Uganda.ObjectiveThis study assessed changes selected over time pilot programme areas four countries evaluated whether women who received home visits during pregnancy more likely to report use...
Community capacities and resources must be harnessed to complement supply side initiatives addressing high maternal neonatal mortality rates in Uganda. This paper reflects on gains, challenges lessons learnt from working with communities improve newborn health rural A participatory action research project was supported 2012 2015 three eastern districts. involved households, saving groups, sub county district leaders, transporters village teams diagnosing causes of morbidity, developing plans...
Support supervision is one of the strategies used to check quality services provided at health facilities. From 2013 2015, Makerere University School Public Health strengthened support in district Kibuku, Kamuli and Pallisa Eastern Uganda improve maternal newborn services. This article assesses improvements care practices during this period. District management teams were trained for two days on how conduct supportive supervision. Teams then allocated particular facilities, which they...
Preterm birth (birth before 37 weeks of gestation) and its complications are the leading contributors to neonatal under-5 mortality. The majority deaths in Kenya Uganda occur during intrapartum immediate postnatal period. This paper describes our study protocol for implementing evaluating a package facility-based interventions improve care this critical window. is pair-matched, cluster randomized controlled trial across 20 facilities Eastern Western Kenya. intervention receive four...
Abstract Objective To determine community health workers' ( CHW s) competence in identifying and referring sick newborns Uganda. Methods Case‐vignettes, observations of role‐plays interviews were employed to collect data using checklists semistructured questionnaires, from 57 trained s participating a facility–linked cluster randomised trial. Competence identify refer was measured by knowledge newborn danger signs, skills effective communication mothers. Proportions median scores computed...
Early Initiation of antenatal care (ANC) and at least four visits during pregnancy allow screening support for a healthy lifestyle self-care however, community-directed interventions to improve access these services are rarely explored.To assess the effect community health worker (CHW) involvement on utilisation in resource-constrained rural settings Uganda.We conducted quasi-experimental evaluation study among mothers from Eastern Uganda. We used Difference Differences (DiD) analysis CHW...
Abstract Background Low birthweight and prematurity are risk factors for neonatal mortality. Identifying low premature babies at birth giving them appropriate care could increase their chances of survival. This study aimed assessing the use foot length as a surrogate prematurity, recommending an operational cut‐off identifying high‐risk community level in resource settings. Methods A hospital‐based cross‐sectional was carried out between 1 September 17 December 2009 Uganda. Foot 711 newborns...
BackgroundSeventy-five percent of newborn deaths happen in the first-week life, with highest risk death first 24-hours after birth.WHO and UNICEF recommend home-visits for babies life to assess danger-signs counsel caretakers immediate referral sick newborns. We assessed timely compliance referrals made by community-health workers (CHWs), its determinants Iganga Mayuge Districts rural eastern Uganda. MethodsA historical cohort study design was used retrospectively follow up newborns referred...
Background: Knowledge of obstetric danger signs and adequate birth preparedness (BP) are critical for improving maternal services utilization.Objectives: This study assessed the effect a participatory multi-sectoral newborn intervention on BP knowledge among women in Eastern Uganda.Methods: The Maternal Neonatal Implementation Equitable Systems (MANIFEST) was implemented three districts from 2013 to 2015 using quasi-experimental pre–post comparison design. Data were collected who delivered...
Neurodevelopmental disability (NDD) is increasingly acknowledged as one of the important causes disease burden in low income countries. None less, there a dearth data on NDD and its determinants these settings. We aimed to establish prevalence factors associated with among infants Eastern Uganda.
Background: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with implementation at scale sustainability.Objectives: study aimed access to quality services in a sustainable manner by using participatory action research approach.Methods: consisted quasi-experimental design, approach three rural districts (Pallisa, Kibuku Kamuli) Eastern Uganda. intervention had two main components; namely,...
BackgroundThere is a lack of literature on how to adapt new evidence-based interventions for maternal and newborn care into local health systems policy rapid scale-up, particularly community-based in low-income settings. The Uganda Newborn Study (UNEST) was cluster randomised control trial test package which rapidly taken up at national level. Understanding this process may help inform other studies looking design evaluate with scale-up mind.ObjectiveThis study aimed describe the using...
Background Complications due to prematurity are a threat child survival and full developmental potential particularly in low-income settings.Objective The aim of the study was determine neurodevelopmental outcomes among preterm infants identify any modifiable factors associated with disability (NDD)Methods We recruited 454 babies (242 preterms birth weight <2.5 kg, 212 term babies) cohort at from Iganga hospital between May July 2018. followed up an average age 7 months (adjusted for...
Globally, there were 2.7 million neonatal deaths in 2015. Significant mortality reduction could be achieved by improving care low- and middle-income countries (LMIC), where the majority of occur. Determining physical readiness facilities to identify manage complications is an essential component strategies reduce mortality.We developed clinical cascades for 6 common conditions then utilized these assess 23 health Kenya Uganda at 2 time-points 2016 2017. We calculated changes resource...
In Uganda, more than 336 out of every 100,000 women die annually during childbirth. Pregnant women, particularly in rural areas, often lack the financial resources and means to access health facilities a timely manner for quality antenatal, delivery, post-natal services. For nearly past decade, Makerere University School Public Health researchers, through various projects, have been spearheading innovative interventions, embedded implementation research, reduce barriers care. this paper, we...