Declining Maternal Mortality Ratio in Uganda: Priority Interventions to Achieve the Millennium Development Goal
| dc.contributor.author | Anthony, Mbonye | |
| dc.contributor.author | Miriam, Mutabazi | |
| dc.contributor.author | John Bosco, Asiimwe | |
| dc.contributor.author | Olive, Sentumbe | |
| dc.contributor.author | Jane, Kabarangira | |
| dc.contributor.author | G., Nanda | |
| dc.contributor.author | V., Orinda | |
| dc.date.accessioned | 2018-12-03T13:04:38Z | |
| dc.date.available | 2018-12-03T13:04:38Z | |
| dc.date.issued | 2007-05-21 | |
| dc.description.abstract | Purpose: We conducted a survey to determine availability of emergency obstetric care (EmOC) and to provide data for advocating for improved maternal and newborn health in Uganda. Methods: The survey, covering 54 districts and 553 health facilities, assessed availability of EmOC signal functions, documented maternal deaths and the related causes. Three levels of health were covered. Findings: Few health units had running water; electricity or a functional operating theater. Yet having these items had a protective effect on maternal deaths as follows: theater (OR 0.56, P b 0.0001); electricity (OR 0.39, P b 0.0001); laboratory (OR 0.71, P b 0.0001) and staffing levels (midwives) OR 0.20, P b 0.0001. The availability of midwives had the highest protective effect on maternal deaths, reducing the case fatality rate by 80%. Further, most (97.2%) health facilities expected to offer basic EmOC, were not doing so. This is the likely explanation for the high health facility-based maternal death rate of 671/100,000 live births in Uganda. Conclusion: Addressing health system issues, especially human resources, and increasing access to EmOC could reduce maternal mortality in Uganda and enable the country to achieve the Millennium Development Goal (MDG). | en_US |
| dc.identifier.citation | Mbonye, A.K., Mutabazi, M.G., Asimwe, J.B., Sentumbwe, O., Kabarangira, J., Nanda, G., & Orinda, V. (2007). Declining maternal mortality ratio in Uganda: Priority interventions to achieve the Millennium Development Goal. International Journal of Gynecology and Obstetrics, 98, 285–290. | en_US |
| dc.identifier.uri | http://ucudir.ucu.ac.ug:80/xmlui/handle/20.500.11951/602 | |
| dc.language.iso | en | en_US |
| dc.publisher | Elsevier | en_US |
| dc.subject | Maternal mortality, Health system factors, Emergency obstetric care (EmOC), Uganda | en_US |
| dc.title | Declining Maternal Mortality Ratio in Uganda: Priority Interventions to Achieve the Millennium Development Goal | en_US |
| dc.type | Research article | en_US |