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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005453naa a2200697 4500
001oai:DiVA.org:umu-144872
003SwePub
008180221s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:137464399
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1448722 URI
0247 a https://doi.org/10.1080/16549716.2017.13635062 DOI
0247 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 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Ekirapa-Kiracho, Elizabeth4 aut
2451 0a 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 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a 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
7001 a Kananura, Rornald Muhumuza4 aut
7001 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
7001 a Namazzi, Gertrude4 aut
7001 a Mutebi, Aloysius4 aut
7001 a George, Asha4 aut
7001 a Paina, Ligia4 aut
7001 a Waiswa, Peteru Karolinska Institutet4 aut
7001 a Bumba, Ahmed4 aut
7001 a Mulekwa, Godfrey4 aut
7001 a Nakiganda-Busiku, Dinah4 aut
7001 a Lyagoba, Moses4 aut
7001 a Naiga, Harriet4 aut
7001 a Putan, Mary4 aut
7001 a Kulwenza, Agatha4 aut
7001 a Ajeani, Judith4 aut
7001 a Kakaire-Kirunda, Ayub4 aut
7001 a Makumbi, Fred4 aut
7001 a Atuyambe, Lynn4 aut
7001 a Okui, Olico4 aut
7001 a Kiwanuka, Suzanne Namusoke4 aut
7102 a Umeå universitetb Epidemiologi och global hälsa4 org
7730 t Global Health Actiond : Taylor & Francisg 10q 10x 1654-9716x 1654-9880
8564 u https://doi.org/10.1080/16549716.2017.1363506y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1184601/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://www.tandfonline.com/doi/pdf/10.1080/16549716.2017.1363506?needAccess=true
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-144872
8564 8u https://doi.org/10.1080/16549716.2017.1363506
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:137464399

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