ArticleGlobal health action2017
Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices: a quasi-experimental study in three rural Ugandan districts.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 5 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The Effectiveness of Regionalization of Perinatal Care and Specific Facility-Based Interventions: A Systematic Review.Neonatology · 2025Pooled it
- Factors influencing the uptake of antenatal care in Uganda: a mixed methods systematic review.BMC pregnancy and childbirth · 2024Pooled it
- Multisectoral interventions and health system performance: a systematic review.Bulletin of the World Health Organization · 2024Pooled it
- Effects of women's economic empowerment interventions on antenatal care outcomes: a systematic review.BMJ open · 2023Pooled it
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Maternal and child health intervention to promote behaviour change: a population-level cluster-randomised controlled trial in Honduras.BMJ open · 2024Trial
- Maternal and neonatal implementation for equitable systems. A study design paper.Global health action · 2017Trial
- A systematic review of implementation strategies to improve timely initiation of antenatal care among pregnant women in sub-Saharan Africa.Journal of public health in Africa · 2026Review
- Determinants of birth preparedness and complications readiness among mothers attending the antenatal care clinic at Katakwi General Hospital, Eastern Uganda: a cross-sectional study.The Pan African medical journal · 2025Article
- Impact of the Timed and Targeted Counselling Model on Maternal Health Continuum of Care Outcomes in Northern Uganda: Protocol of a Quasi-Experimental Study.Methods and protocols · 2024Article
- Multilevel Count Regression Analysis of Factors Associated with the Desired Number of Antenatal Care Service Visits in Ethiopia.Journal of racial and ethnic health disparities · 2024Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
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- Maternal Perspectives on and Preferences for an Enhanced Neonatal Jaundice Education Program: An Evaluation Using the Consolidated Framework for Implementation Research.Patient preference and adherence · 2024Article
- The effectiveness of interactive mobile health technologies in improving antenatal care service utilization in Dodoma region, Tanzania: A quasi-Experimental study.PLOS digital health · 2023Article
- What's in a name? Unpacking 'CommunityBMJ global health · 2023Article
- Effect of community-level intervention on antenatal care attendance: a quasi-experimental study among postpartum women in Eastern Uganda.Global health action · 2022Article
- Evaluation of a comprehensive maternal newborn health intervention in rural Tanzania: single-arm pre-post coverage survey results.Global health action · 2022Article
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Corrections and comments
- Erratum issuedCorrigenda.2017
Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services.
objectivesThis study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices.
methodsThe 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.
resultsThe 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) 1.17-1.74] 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.
conclusionsThe 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.
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