Browsing by Author "Ssegujja, Eric"

Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    Building on momentum from the global campaigns: An exploration of factors that influenced prioritization of stillbirth prevention at the national level in Uganda
    (BMC, 2021) Ssegujja, Eric; Andipatin, Michelle
    Of the close to 2.6 million stillbirths that happen annually, most are from low-income countries where until recently policies rarely paid special attention to addressing them. The global campaigns that followed called on countries to implement strategies addressing stillbirths and the adoption of recommendations varied according to contexts. This study explored factors that influenced the prioritization of stillbirth reduction in Uganda.The study employed an exploratory qualitative design adopting Shiffman’s framework for political prioritization. Data collection methods included a document review and key informants’ interviews with a purposively selected sample of 20 participants from the policy community. Atlas. Ti software was used for data management while thematic analysis was conducted to analyze the findings.
  • Thumbnail Image
    Item
    Examining the variations in the implementation of interventions to address stillbirth from the national to subnational levels: Experiences from Uganda
    (BMC, 2022) Ssegujja, Eric; Andipatin, Michelle
    The current global burden of stillbirth disproportionately afects regions such as sub-Saharan Africa, where Uganda is located. To respond to this burden, policies made at the national level were difused from the centre and translated into service delivery at the district level, which is charged with implementation under the decentralization of health services arrangement. Variations emerge whenever policy recommendations are moved from national to subnational levels, with some aspects often lost along the way. Tools are available to facilitate knowledge of determinants of policy and innovation implementation within the healthcare system. However, the extent to which these have been applied to explain variations in implementation of interventions to address stillbirth reduction in Uganda remains scant. The aim of this article was to examine the variations in the implementation of interventions to address stillbirth from the national to the subnational levels in Uganda using the Consolidated Framework for Implementation Research (CFIR).
  • Thumbnail Image
    Item
    National-level key stakeholders' perspectives regarding intervention progression and emerging challenges within the national stillbirth reduction response in Uganda
    (Public Library of Science, 2023) Ssegujja, Eric; Andipatini, Michelle
    Implementation of evidence-based interventions was adopted to respond to the stillbirth burden from the global campaigns. However, new challenges emerge in the process of rolling out such interventions into routine services more so in the context of resource-limited settings. Since the scale-up of policy recommendations to address stillbirth in Uganda, the health system response has seldom been explored. This study was conducted among national-level key stakeholders to elicit their perspectives regarding intervention progression and challenges emerging from the implementation of the national stillbirth reduction strategies in Uganda.
  • Thumbnail Image
    Item
    National-level key stakeholders’ perspectives regarding intervention progression and emerging challenges within the national stillbirth reduction response in Uganda
    (Public Library of Science, 2023) Ssegujja, Eric; Andipatin, Michelle
    Implementation of evidence-based interventions was adopted to respond to the stillbirth burden from the global campaigns. However, new challenges emerge in the process of rolling out such interventions into routine services more so in the context of resource-limited settings. Since the scale-up of policy recommendations to address stillbirth in Uganda, the health system response has seldom been explored. This study was conducted among national-level key stakeholders to elicit their perspectives regarding intervention progression and challenges emerging from the implementation of the national stillbirth reduction strategies in Uganda.
  • Thumbnail Image
    Item
    The role and attributes of social networks in the provision of support to women after stillbirth: Experiences from Uganda
    (BMC, 2021) Ssegujja, Eric; Mulumba, Yusuf; Andipatin, Michelle
    Communities exert stigma on mothers after stillbirth despite their potential to ofer social support to the grieving family. Maternal healthcare-seeking behaviors are socially reinforced rendering a social network approach vital in understanding support dynamics which when utilized can improve community response to mothers experiencing stillbirth. However, the form and direction of social support for women when in need is not clear. The study explored the role and attributes of women’s social networks in the provision of support to mothers who have experienced a stillbirth in Uganda. An exploratory cross-sectional study design adopting a social network approach was conducted. Data collection following established procedures was conducted on a convenient sample of 17 mothers who had experienced a stillbirth six months before the study. Frequencies and bivariate analysis were conducted to determine the factors infuencing the provision of social support from 293 network members elicited during the alter generation. We then performed a Poisson regression on each of the social support forms and the explanatory variables. Network structure variables were calculated using UCINET version 6 while Netdraw facilitated the visualization of networks.
  • Thumbnail Image
    Item
    Stillbirths in Uganda: National and subnational response, community social support systems and women’s perceptions of risk
    (University of Western Cape, 2021) Ssegujja, Eric; Andipatin, Michelle
    This thesis is an exploratory project on the stillbirth challenges in Uganda. It approaches the subject matter from a global policy perspective to local implementation experiences and community responses. From 2010, accelerated global concern over the stillbirth burden has reflected a lack of proportionate advocacy and attention relative to the magnitude compared to other public health challenges such as HIV/AIDS. At the time of conceptualisation, over 2.6 million stillbirths were occurring annually across the globe, with the majority of the cases in low- and middle-income countries, including sub-Saharan Africa. Many of the cases were happening around the time of delivery although they could have been preventable. This public health concern is examined through the critical lens of the policy transfer theory, a bottom-up implementation theory of street-level bureaucracy, community response through a social network analysis approach and risk perception theories for women’s understanding of stillbirth risks.