ArticleGlobal health action2015
Differences in essential newborn care at birth between private and public health facilities in eastern Uganda.
Article in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Private sector quality of care for maternal, new-born, and child health in low-and-middle-income countries: a secondary review.Frontiers in global women's health · 2024Pooled it
- Meeting need vs. sharing the market: a systematic review of methods to measure the use of private sector family planning and childbirth services in sub-Saharan Africa.BMC health services research · 2018Pooled it
- Effect of suppressive acyclovir administered to HSV-2 positive mothers from week 28 to 36 weeks of pregnancy on adverse obstetric outcomes: a double-blind randomised placebo-controlled trial.Reproductive health · 2017Trial
- Effect of the Uganda Newborn Study on care-seeking and care practices: a cluster-randomised controlled trial.Global health action · 2015Trial
- Using verbal and social autopsy approaches to understand why neonates die in rural settings: a case study of a remote rural district in Uganda.BMJ public health · 2024Article
- Article
- A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries.BMC pregnancy and childbirth · 2023Article
- Prevalence of essential newborn care in home and facility births in the Peruvian Amazon: analysis of census data from programme evaluation in three remote districts of the Loreto region.Lancet regional health. Americas · 2023Article
- The Extent of Universal Health Coverage for Maternal Health Services in Eastern Uganda: A Cross Sectional Study.Maternal and child health journal · 2022Article
- Article
- Appropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Uganda.International journal of environmental research and public health · 2021Article
- Implementing an intrapartum package of interventions to improve quality of care to reduce the burden of preterm birth in Kenya and Uganda.Implementation science communications · 2021Article
- Capacity to provide care for common childhood infections at low-level private health facilities in Western, Uganda.PloS one · 2021Article
- Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017.BMJ global health · 2020Article
- Is childbirth location associated with higher rates of favourable early breastfeeding practices in Sub-Saharan Africa?Journal of global health · 2019Article
- Using research priority-setting to guide bridging the implementation gap in countries - a case study of the Uganda newborn research priorities in the SDG era.Health research policy and systems · 2019Article
- Developing equity-focused interventions for maternal and child health in Nigeria: an evidence synthesis for policy, based on equitable impact sensitive tool (EQUIST).The Pan African medical journal · 2019Article
- Two decades of antenatal and delivery care in Uganda: a cross-sectional study using Demographic and Health Surveys.BMC health services research · 2018Article
- Does antenatal care service quality influence essential newborn care (ENC) practices? In Bahir Dar City Administration, North West Ethiopia: a prospective follow up study.Italian journal of pediatrics · 2018Article
- Illness recognition and care-seeking for maternal and newborn complications in rural eastern Uganda.Journal of health, population, and nutrition · 2017Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Uganda and elsewhere, the private sector provides an increasing and significant proportion of maternal and child health services. However, little is known whether private care results in better quality services and improved outcomes compared to the public sector, especially regarding care at the time of birth.
objectiveTo describe the characteristics of care-seekers and assess newborn care practices and services received at public and private facilities in rural eastern Uganda.
designWithin a community-based maternal and newborn care intervention with health systems strengthening, we collected data from mothers with infants at baseline and endline using a structured questionnaire. Descriptive, bivariate, and multivariate data analysis comparing nine newborn care practices and three composite newborn care indicators among private and public health facilities was conducted.
resultsThe proportion of women giving birth at private facilities decreased from 25% at baseline to 17% at endline, whereas overall facility births increased. Private health facilities did not perform significantly better than public health facilities in terms of coverage of any essential newborn care interventions, and babies were more likely to receive thermal care practices in public facilities compared to private (68% compared to 60%, p=0.007). Babies born at public health facilities received an average of 7.0 essential newborn care interventions compared to 6.2 at private facilities (p<0.001). Women delivering in private facilities were more likely to have higher parity, lower socio-economic status, less education, to seek antenatal care later in pregnancy, and to have a normal delivery compared to women delivering in public facilities.
conclusionsIn this setting, private health facilities serve a vulnerable population and provide access to service for those who might not otherwise have it. However, provision of essential newborn care practices was slightly lower in private compared to public facilities, calling for quality improvement in both private and public sector facilities, and a greater emphasis on tracking access to and quality of care in private sector facilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.