Maternal and neonatal implementation for equitable systems. A study design paper

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dc.contributor.authorEkirapa-Kiracho, Elizabeth
dc.contributor.authorTetui, Moses
dc.contributor.authorGeorge, Asha S.
dc.date.accessioned2017-09-27T08:59:31Z
dc.date.available2017-09-27T08:59:31Z
dc.date.issued2017
dc.description.abstractBACKGROUND: 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.en_US
dc.description.accreditationISI
dc.description.accreditationScopus
dc.identifier.citationEkirapa-Kiracho, E. et al. Maternal and neonatal implementation for equitable systems. A study design paper. Global Health Action, 10: 1346925en_US
dc.identifier.issn1654-9716
dc.identifier.urihttp://dx.doi.org/10.1080/16549716.2017.1346925
dc.identifier.urihttp://hdl.handle.net/10566/3209
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francis Openen_US
dc.rights© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.status.ispeerreviewedTRUE
dc.subjectParticipatory action researchen_US
dc.subjectMaternal and neonatal healthen_US
dc.subjectLow-income countriesen_US
dc.subjectImplementation scienceen_US
dc.subjectCommunity health workersen_US
dc.subjectHealth insuranceen_US
dc.subjectSustainabilityen_US
dc.titleMaternal and neonatal implementation for equitable systems. A study design paperen_US
dc.typeArticleen_US

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