Evidence map›Paper›PMID 37440101›Full record

ArticleMaternal and child health journal2023

Timeliness of Delivery Care and Maternal and Neonatal Health Outcomes in Private Facilities in Masaka Area, Uganda: A Quasi-Experimental Study.

Jill M Hagey, Julius Kirya, James Kaggwa, Jennifer Headley, Joseph R Egger, Joy Noel Baumgartner

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Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Jill M HageyDepartment of Obstetrics and Gynecology, University of North Carolina, 101 Manning Drive, Chapel Hill, NC, 27514, USA. jill.hagey@unchealth.unc.edu.ORCID http://orcid.org/0000-0003-1062-8371
Julius KiryaLifeNet International, Princes Anne Drive, Plot 56, Bugolobi, Kampala, Uganda.
James KaggwaLifeNet International, Princes Anne Drive, Plot 56, Bugolobi, Kampala, Uganda.
Jennifer HeadleyDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Joseph R EggerDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Joy Noel BaumgartnerSchool of Social Work, University of North Carolina, 325 Pittsboro Street, Chapel Hill, NC, 27516, USA.
Duke University · USKampala International University · UGUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhile access to basic emergency obstetric and newborn care is necessary to reduce maternal and neonatal morbidity in low- and middle-income countries, data on the timeliness and quality of care at lower-level facilities is limited. This study examines timeliness of labor and delivery interventions and maternal and neonatal health status following deliveries in Uganda.

methodsWomen were recruited from 6 rural, private facilities in the greater Masaka area, Uganda on admission to the labor ward. Research assistants directly observed timeliness and quality of care from admission through discharge. Research assistants also abstracted medical chart information. All 6 facilities received training from LifeNet International on quality-of-care interventions for maternal and newborn health.

results321 participants were directly observed during delivery, and 304 participants were followed at 28 days postpartum. Labor and delivery processes were overall timely and reflect international guidance on labor interventions. Maternal and neonatal health was good at discharge (90.6% and 88.8%) and 28 days postpartum (93.1% and 87.5%). However, there was no association between health at discharge and at 28 days for mothers or neonates (p = 0.67, p = 1.0, respectively). Demographic characteristics associated with maternal and neonatal health on discharge were different than those associated with maternal and neonatal health at 28 days. CONCLUSIONS FOR PRACTICE: Evidence on timeliness and quality of care can help inform strategies to further decrease maternal and neonatal morbidity. Additional focus is needed to retain patients in care to identify those developing poor health after delivery.

Indexed as

Labor, ObstetricPrivate FacilitiesFemaleHealth FacilitiesHospitalsHumansInfant, NewbornOutcome Assessment, Health CarePregnancyUgandaHealthcare deliveryMaternal healthNeonatal healthQuality of careSub-Saharan Africa

Identifiers

PMID37440101
OpenAlexW4384119735

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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.