Browsing by Author "Chamberlain, Jean"

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    Experiences of Using the Toll-free Telephone Line to Access Maternal and Newborn Health Services in Central Uganda: A Qualitative Study
    (Elsevier, 2019-09-20) Mwase, H. Ivan; Hutchins, M.; Cameron, A.; Ware, M.; Nakanwaji, J.F.; Nakabembe, Eve; Mutabazi, G. Miriam; Chamberlain, Jean; Barageine, Justus Kafunjo
    Objectives: Save the mothers (STM) operates the toll-free telephone line (TFL) service in nine health facilities in Uganda. The TFL is influential in addressing the first and second delays in seeking care as it connects vulnerable mothers to health facilities at no cost. This study aimed at exploring the experiences of health workers and community members in using the TFL to access maternal and newborn health services in four health facilities in central Uganda. Study design: This phenomenological/qualitative study used focus group discussions (FGDs) to collect data in four health facilities. Methods: A total of 10 FGDs were conducted; two with health workers, four with women, and another four with both men and women. Each session lasted 45e60 min and had a moderator, observer, and note taker. All discussions were audio-recorded after obtaining consent from the participants. Interviews were transcribed verbatim and translated to English from audio recordings. Data analysis was performed using the thematic analysis using QDA DATA Miner software. Results: The TFL service was pivotal in improving health worker and community relations, relaying timely health advice, ensuring prompt response to obstetric emergencies and facilitated timely referrals. However, the service faced several obstacles: unanswered calls, language differences, poor connectivity/network, and misuse/abuse. Conclusion: This study demonstrates the potential of the TFL service in addressing the first and second delay as it allows for timely linkage of vulnerable mothers to health facilities. The TFL enhanced health worker and community relations and facilitated timely referrals and relaying of health advice. Addressing maternal mortality in low-income settings necessitates increased investment and scale up of such high impact mHealth interventions. © 2019 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
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    Training multidisciplinary leaders for health promotion in developing countries: lessons learned
    (Sage Publications, 2012-05) Chamberlain, Jean; Watt, Susan;
    The global picture of maternal mortality and morbidity has changed very little over the past 20 years despite isolated (and often medically based) efforts to improve the situation. A multidisciplinary approach to this very complicated social and cultural problem has been recommended. This article describes the approach taken by the Save the Mothers program in Uganda (Master of Public Health Leadership) and its focus on training national, primarily nonmedical, advocates to bring about the political and cultural change needed to improve maternal health. Emphasis is placed on attracting the right students (through targeted advertising and interviews of candidates), delivering the appropriate package of information to these multidisciplinary students (through problem-based learning and experiential opportunities in the community), and fostering networks among students and graduates to keep the issue of maternal mortality high on their personal and political agendas. Students benefit from a flexible program that allows them to continue to work and study simultaneously while ensuring a high-quality program with faculty who are experts in their area of teaching. Students require practical assistance in their research endeavors and are encouraged to focus their topic on a field related to their place of employment.