TY - JOUR
T1 - Maternal and neonatal implementation for equitable systems. A study design paper
AU - Ekirapa-Kiracho, Elizabeth
AU - Tetui, Moses
AU - Bua, John
AU - Kananura, Rornald Muhumuza
AU - Waiswa, Peter
AU - Makumbi, Fred
AU - Atuyambe, Lynn
AU - Ajeani, Judith
AU - George, Asha
AU - Mutebi, Aloysuis
AU - Kakaire, Ayub
AU - Namazzi, Gertrude
AU - Paina, Ligia
AU - Kiwanuka, Suzanne Namusoke
N1 - Funding Information:
The study was funded by Comic Relief grant number grant number (GR0002-12588). In addition, Future Health Systems, through a grant from DFID, provided additional funding for the publication process of this paper. Asha George is supported by the South African Research Chair’s Initiative of the Department of Science and Technology and National Research Foundation of South Africa (Grant No 82769) Any opinion, finding and conclusion or recommendation expressed in this material is that of the author and the NRF does not accept any liability in this regard.
Publisher Copyright:
© 2017 The Author(s).
PY - 2017
Y1 - 2017
N2 - 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 capacitybuilding. 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.
AB - 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 capacitybuilding. 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.
KW - Community health workers
KW - Health insurance
KW - Implementation science
KW - Low-income countries
KW - Maternal and neonatal health
KW - Participatory action research
KW - Sustainability and local capacity
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U2 - 10.1080/16549716.2017.1346925
DO - 10.1080/16549716.2017.1346925
M3 - Article
C2 - 28849723
AN - SCOPUS:85028915285
SN - 1654-9716
VL - 10
JO - Global health action
JF - Global health action
M1 - 1346925
ER -