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Maternal and neonatal implementation for equitable systems : a study design paper
- Source :
- Global Health Action, Global Health Action, Vol 10, Iss 0 (2017)
- Publication Year :
- 2017
- Publisher :
- Umeå universitet, Epidemiologi och global hälsa, 2017.
-
Abstract
- Background: Evidence on effective ways of improving maternal and neonatal health outcomes is widely available. The challenge that most low-income countries grapple with is implementation at scale and sustainability. Objectives: The study aimed at improving access to quality maternal and neonatal health services in a sustainable manner by using a participatory action research approach. Methods: The study consisted of a quasi-experimental design, with a participatory action research approach to implementation in three rural districts (Pallisa, Kibuku and Kamuli) in Eastern Uganda. The intervention had two main components; namely, community empowerment for comprehensive birth preparedness, and health provider and management capacity-building. We collected data using both quantitative and qualitative methods using household and facility-level structured surveys, record reviews, key informant interviews and focus group discussions. We purposively selected the participants for the qualitative data collection, while for the surveys we interviewed all eligible participants in the sampled households and health facilities. Descriptive statistics were used to describe the data, while the difference in difference analysis was used to measure the effect of the intervention. Qualitative data were analysed using thematic analysis. Conclusions: This study was implemented to generate evidence on how to increase access to quality maternal and newborn health services in a sustainable manner using a multisectoral participatory approach. Supplement: 4Special Issue: MANIFEST (Maternal and Neonatal Implementation for Equitable Systems Study)
- Subjects :
- Adult
Capacity Building
Scale (ratio)
Participatory action research
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
community health workers
Pregnancy
low-income countries
Humans
Maternal Health Services
Uganda
030212 general & internal medicine
Neonatal health
Quality of Health Care
implementation science
sustainability and local capacity
participatory action research
maternal and neonatal health
business.industry
Study Design Article
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Environmental resource management
Public Health, Environmental and Occupational Health
Infant, Newborn
lcsh:RA1-1270
Prenatal Care
Public Health, Global Health, Social Medicine and Epidemiology
Focus Groups
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Research Design
health insurance
Female
Original Article
MANIFEST - Maternal and Neonatal Implementation for Equitable Systems Study
Health Services Research
Rural Health Services
Power, Psychological
0305 other medical science
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Global Health Action, Global Health Action, Vol 10, Iss 0 (2017)
- Accession number :
- edsair.doi.dedup.....31250c1c25bc6b275a65aadf6471314d