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dc.contributor.authorAnthony, Mbonye
dc.contributor.authorMiriam, Mutabazi
dc.contributor.authorJohn Bosco, Asiimwe
dc.contributor.authorOlive, Sentumbe
dc.contributor.authorJane, Kabarangira
dc.contributor.authorG., Nanda
dc.contributor.authorV., Orinda
dc.date.accessioned2018-12-03T13:04:38Z
dc.date.available2018-12-03T13:04:38Z
dc.date.issued2007-05-21
dc.identifier.citationMbonye, 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.urihttp://ucudir.ucu.ac.ug:80/xmlui/handle/20.500.11951/602
dc.description.abstractPurpose: 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.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectMaternal mortality, Health system factors, Emergency obstetric care (EmOC), Ugandaen_US
dc.titleDeclining maternal mortality ratio in Uganda: priority interventions to achieve the Millennium Development Goalen_US
dc.typeResearch articleen_US


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