Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations

Autores
Spira, Cintia; Kwizera, Amata; Jacob, Sue; Amongin, Dinah; Ngonzi, Joseph; Namisi, Charles P.; Byaruhanga, Romano; Rushwan, Hamid; Cooper, Peter; Day Stirk, Frances; Berrueta, Amanda Mabel; Garcia Elorrio, Ezequiel; Belizan, Jose
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS: A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014. Data were obtained for women older than 18 years who delivered vaginally or by cesarean. RESULTS: Overall, 4816 women were included. Level of use remained high for EIs used widely at baseline. Some EIs that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8/94) to 25.6% (30/117; P=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2/1592) to 46.0% (622/1351; P<0.001). CONCLUSION: These exploratory results show that a package delivered through the joint work of the three HCPAs was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.
Fil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Kwizera, Amata. International Federation of Gynecology and Obstetrics; Reino Unido
Fil: Jacob, Sue. International Confederation of Midwives; Países Bajos
Fil: Amongin, Dinah. Busitema University; Uganda
Fil: Ngonzi, Joseph. Mbarara University of Science and Technology. Department of Obstetrics and Technology; Uganda. Association of Obstetricians and Gynecologists; Uganda
Fil: Namisi, Charles P.. Makerere University. College of Health Sciences School of Public Health. Infectious Disease Institute; Uganda. St. Francis Hospital Nsambya; Uganda
Fil: Byaruhanga, Romano. St. Francis Hospital Nsambya; Uganda
Fil: Rushwan, Hamid. International Federation of Gynecology and Obstetrics; Reino Unido
Fil: Cooper, Peter. University of the Witwatersrand; Sudáfrica
Fil: Day Stirk, Frances. International Confederation of Midwives; Países Bajos
Fil: Berrueta, Amanda Mabel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
Quality of Maternity Services
Uganda
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/40508
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/40508
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associationsSpira, CintiaKwizera, AmataJacob, SueAmongin, DinahNgonzi, JosephNamisi, Charles P.Byaruhanga, RomanoRushwan, HamidCooper, PeterDay Stirk, FrancesBerrueta, Amanda MabelGarcia Elorrio, EzequielBelizan, JoseQuality of Maternity ServicesUgandahttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS: A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014. Data were obtained for women older than 18 years who delivered vaginally or by cesarean. RESULTS: Overall, 4816 women were included. Level of use remained high for EIs used widely at baseline. Some EIs that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8/94) to 25.6% (30/117; P=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2/1592) to 46.0% (622/1351; P<0.001). CONCLUSION: These exploratory results show that a package delivered through the joint work of the three HCPAs was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.Fil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Kwizera, Amata. International Federation of Gynecology and Obstetrics; Reino UnidoFil: Jacob, Sue. International Confederation of Midwives; Países BajosFil: Amongin, Dinah. Busitema University; UgandaFil: Ngonzi, Joseph. Mbarara University of Science and Technology. Department of Obstetrics and Technology; Uganda. Association of Obstetricians and Gynecologists; UgandaFil: Namisi, Charles P.. Makerere University. College of Health Sciences School of Public Health. Infectious Disease Institute; Uganda. St. Francis Hospital Nsambya; UgandaFil: Byaruhanga, Romano. St. Francis Hospital Nsambya; UgandaFil: Rushwan, Hamid. International Federation of Gynecology and Obstetrics; Reino UnidoFil: Cooper, Peter. University of the Witwatersrand; SudáfricaFil: Day Stirk, Frances. International Confederation of Midwives; Países BajosFil: Berrueta, Amanda Mabel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaElsevier Ireland2017-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttp://hdl.handle.net/11336/40508Spira, Cintia; Kwizera, Amata; Jacob, Sue; Amongin, Dinah; Ngonzi, Joseph; et al.; Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations; Elsevier Ireland; International Journal of Gynecology Obstetrics; 139; 1; 10-2017; 107-1130020-7292CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1002/ijgo.12241info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1002/ijgo.12241info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T11:03:09Zoai:ri.conicet.gov.ar:11336/40508instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 11:03:09.939CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
title Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
spellingShingle Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
Spira, Cintia
Quality of Maternity Services
Uganda
title_short Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
title_full Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
title_fullStr Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
title_full_unstemmed Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
title_sort Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations
dc.creator.none.fl_str_mv Spira, Cintia
Kwizera, Amata
Jacob, Sue
Amongin, Dinah
Ngonzi, Joseph
Namisi, Charles P.
Byaruhanga, Romano
Rushwan, Hamid
Cooper, Peter
Day Stirk, Frances
Berrueta, Amanda Mabel
Garcia Elorrio, Ezequiel
Belizan, Jose
author Spira, Cintia
author_facet Spira, Cintia
Kwizera, Amata
Jacob, Sue
Amongin, Dinah
Ngonzi, Joseph
Namisi, Charles P.
Byaruhanga, Romano
Rushwan, Hamid
Cooper, Peter
Day Stirk, Frances
Berrueta, Amanda Mabel
Garcia Elorrio, Ezequiel
Belizan, Jose
author_role author
author2 Kwizera, Amata
Jacob, Sue
Amongin, Dinah
Ngonzi, Joseph
Namisi, Charles P.
Byaruhanga, Romano
Rushwan, Hamid
Cooper, Peter
Day Stirk, Frances
Berrueta, Amanda Mabel
Garcia Elorrio, Ezequiel
Belizan, Jose
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Quality of Maternity Services
Uganda
topic Quality of Maternity Services
Uganda
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS: A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014. Data were obtained for women older than 18 years who delivered vaginally or by cesarean. RESULTS: Overall, 4816 women were included. Level of use remained high for EIs used widely at baseline. Some EIs that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8/94) to 25.6% (30/117; P=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2/1592) to 46.0% (622/1351; P<0.001). CONCLUSION: These exploratory results show that a package delivered through the joint work of the three HCPAs was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.
Fil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Kwizera, Amata. International Federation of Gynecology and Obstetrics; Reino Unido
Fil: Jacob, Sue. International Confederation of Midwives; Países Bajos
Fil: Amongin, Dinah. Busitema University; Uganda
Fil: Ngonzi, Joseph. Mbarara University of Science and Technology. Department of Obstetrics and Technology; Uganda. Association of Obstetricians and Gynecologists; Uganda
Fil: Namisi, Charles P.. Makerere University. College of Health Sciences School of Public Health. Infectious Disease Institute; Uganda. St. Francis Hospital Nsambya; Uganda
Fil: Byaruhanga, Romano. St. Francis Hospital Nsambya; Uganda
Fil: Rushwan, Hamid. International Federation of Gynecology and Obstetrics; Reino Unido
Fil: Cooper, Peter. University of the Witwatersrand; Sudáfrica
Fil: Day Stirk, Frances. International Confederation of Midwives; Países Bajos
Fil: Berrueta, Amanda Mabel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description OBJECTIVE: To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPAs) increased the use of intrapartum and postnatal essential interventions (EIs) in two hospitals in Uganda. METHODS: A non-controlled before-and-after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EIs among providers. Coverage of the EIs was measured in a 3-month pre-implementation period and a 3-month post-implementation period in 2014. Data were obtained for women older than 18 years who delivered vaginally or by cesarean. RESULTS: Overall, 4816 women were included. Level of use remained high for EIs used widely at baseline. Some EIs that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8/94) to 25.6% (30/117; P=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2/1592) to 46.0% (622/1351; P<0.001). CONCLUSION: These exploratory results show that a package delivered through the joint work of the three HCPAs was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.
publishDate 2017
dc.date.none.fl_str_mv 2017-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/40508
Spira, Cintia; Kwizera, Amata; Jacob, Sue; Amongin, Dinah; Ngonzi, Joseph; et al.; Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations; Elsevier Ireland; International Journal of Gynecology Obstetrics; 139; 1; 10-2017; 107-113
0020-7292
CONICET Digital
CONICET
url http://hdl.handle.net/11336/40508
identifier_str_mv Spira, Cintia; Kwizera, Amata; Jacob, Sue; Amongin, Dinah; Ngonzi, Joseph; et al.; Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations; Elsevier Ireland; International Journal of Gynecology Obstetrics; 139; 1; 10-2017; 107-113
0020-7292
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1002/ijgo.12241
info:eu-repo/semantics/altIdentifier/url/https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1002/ijgo.12241
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/vnd.openxmlformats-officedocument.wordprocessingml.document
application/vnd.openxmlformats-officedocument.wordprocessingml.document
application/pdf
dc.publisher.none.fl_str_mv Elsevier Ireland
publisher.none.fl_str_mv Elsevier Ireland
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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