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Published on: January 12, 2018
Declining maternal mortality ratio in Uganda: priority interventions to achieve the Millennium Development Goal
A K Mbonye1, M G Mutabazi, J B Asimwe
1Ministry of Health, Kampala, Uganda. vpadmn@infocom.co.ug
Summary
Limited emergency obstetric care (EmOC) and essential resources in Ugandan health facilities contribute to high maternal deaths. Improving EmOC access and addressing health system gaps, particularly staffing, can reduce mortality.
Area of Science:
- Public Health
- Maternal Health
- Healthcare Systems
Background:
- Maternal mortality remains a critical issue in low-income countries.
- Access to emergency obstetric care (EmOC) is crucial for reducing preventable maternal deaths.
Purpose of the Study:
- To assess the availability of EmOC in Uganda.
- To gather data for advocating for improved maternal and newborn health.
Main Methods:
- A survey was conducted across 54 districts and 553 health facilities.
- Assessed EmOC signal functions, maternal deaths, and causes across three health facility levels.
Main Results:
- Few facilities had essential resources like running water, electricity, or functional operating theaters.
- Availability of electricity, theaters, laboratories, and midwives showed a protective effect against maternal deaths.
- Midwife availability significantly reduced the case fatality rate by 80%.
Conclusions:
- Addressing health system deficiencies, especially human resources, is vital.
- Increasing access to EmOC can significantly reduce maternal mortality in Uganda.
- Achieving the Millennium Development Goal for maternal health requires system improvements.
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