Sökning: onr:"swepub:oai:DiVA.org:umu-144872" > Effect of a partici...
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000 | 05453naa a2200697 4500 | |
001 | oai:DiVA.org:umu-144872 | |
003 | SwePub | |
008 | 180221s2017 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:137464399 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1448722 URI |
024 | 7 | a https://doi.org/10.1080/16549716.2017.13635062 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1374643992 URI |
040 | a (SwePub)umud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Ekirapa-Kiracho, Elizabeth4 aut |
245 | 1 0 | a Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices :b a quasi-experimental study in three rural Ugandan districts |
264 | c 2017-09-05 | |
264 | 1 | b Taylor & Francis,c 2017 |
338 | a electronic2 rdacarrier | |
500 | a Supplement: 4Special Issue: MANIFEST (Maternal and Neonatal Implementation for Equitable Systems Study) | |
520 | a Background: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services.Objectives: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices.Methods: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider capacity building. The primary outcomes were utilization of antenatal care (ANC), delivery and postnatal care, and newborn care practices. Baseline (n = 2237) and endline (n = 1946) data were collected from women of reproductive age. The data was analysed using difference in differences (DiD) analysis and logistic regression.Results: The DiD results revealed an 8% difference in early ANC attendance (p < 0.01) and facility delivery (p < 0.01). Facility delivery increased from 66% to 73% in the intervention area, but remained unchanged in the comparison area (64% vs 63%, p < 0.01). The DiD results also demonstrated a 20% difference in clean cord care (p < 0.001) and an 8% difference in delayed bathing (p < 0.001). The intervention elements that predicted facility delivery were attending ANC four times [adjusted odds ratio (aOR) 1.42, 95% confidence interval (CI) 1.171.74] and saving for maternal health (aOR 2.11, 95% CI 1.39-3.21). Facility delivery and village health team (VHT) home visits were key predictors for clean cord care and skin-to-skin care.Conclusions: The multisectoral approach had positive effects on early ANC attendance, facility deliveries and newborn care practices. Community resources such as VHTs and savings are crucial to maternal and newborn outcomes and should be supported. VHT-led health education should incorporate practical measures that enable families to save and access transport services to enhance adequate preparation for birth. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng |
653 | a maternal | |
653 | a newborn | |
653 | a participatory action research | |
653 | a community health workers | |
653 | a implementation science | |
700 | 1 | a Kananura, Rornald Muhumuza4 aut |
700 | 1 | a Tetui, Mosesu Umeå universitet,Epidemiologi och global hälsa,Department of Health Policy Planning and Management, Makerere University School of Public Health, Kampala, Uganda4 aut0 (Swepub:umu)mote0007 |
700 | 1 | a Namazzi, Gertrude4 aut |
700 | 1 | a Mutebi, Aloysius4 aut |
700 | 1 | a George, Asha4 aut |
700 | 1 | a Paina, Ligia4 aut |
700 | 1 | a Waiswa, Peteru Karolinska Institutet4 aut |
700 | 1 | a Bumba, Ahmed4 aut |
700 | 1 | a Mulekwa, Godfrey4 aut |
700 | 1 | a Nakiganda-Busiku, Dinah4 aut |
700 | 1 | a Lyagoba, Moses4 aut |
700 | 1 | a Naiga, Harriet4 aut |
700 | 1 | a Putan, Mary4 aut |
700 | 1 | a Kulwenza, Agatha4 aut |
700 | 1 | a Ajeani, Judith4 aut |
700 | 1 | a Kakaire-Kirunda, Ayub4 aut |
700 | 1 | a Makumbi, Fred4 aut |
700 | 1 | a Atuyambe, Lynn4 aut |
700 | 1 | a Okui, Olico4 aut |
700 | 1 | a Kiwanuka, Suzanne Namusoke4 aut |
710 | 2 | a Umeå universitetb Epidemiologi och global hälsa4 org |
773 | 0 | t Global Health Actiond : Taylor & Francisg 10q 10x 1654-9716x 1654-9880 |
856 | 4 | u https://doi.org/10.1080/16549716.2017.1363506y Fulltext |
856 | 4 | u https://umu.diva-portal.org/smash/get/diva2:1184601/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://www.tandfonline.com/doi/pdf/10.1080/16549716.2017.1363506?needAccess=true |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-144872 |
856 | 4 8 | u https://doi.org/10.1080/16549716.2017.1363506 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:137464399 |
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