Abstract

Characterization of Emergency Care-seeking Patterns for Nontraumatic Conditions in Pregnant Women in the East African Setting, a Pilot Study

Highlights

  • In addition to the economic benefits of asset transfer programs evidence suggests that it is an effective vehicle for improving health; evidence is mixed on the impact of economc programs on gender equity outcomes, as measured here by male violence against their intimate female partner

  • There was a positive shift in social norms with the intervention sites displaying more positive norms than the control sites in response to gender based violence (GBV) (p1⁄4.007, for example, less likely to agree with blaming survivor), protecting family dignity/honor (p

  • We aimed to identify the most common emergency conditions among pregnant and postpartum women who present at the Obstetrics and Gynaecology Ward at Mulago National Referral Hospital (MNRH) in Kampala, Uganda

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Summary

Introduction

In addition to the economic benefits of asset transfer programs evidence suggests that it is an effective vehicle for improving health; evidence is mixed on the impact of economc programs on gender equity outcomes, as measured here by male violence against their intimate female partner. Many of the conditions contributing to maternal morbidity and mortality present as emergency conditions during and directly after pregnancy. The emergency care seeking patterns of pregnant women in low-resource settings, such as Uganda, are not well-characterized but could provide insight into opportunities to reduce maternal morbidity and mortality. Malaria is the leading cause of morbidity and mortality in children under-5 in the DRC, accounting for an estimated 40% of outpatient visits and 40% of childhood mortality. In order for prevention of mother-to-child HIV transmission (PMTCT) programs to be effective, they must identify pregnant women living with HIV, provide them with antiretroviral treatment (ART), support medication adherence, and retain patients to ensure that infants receive the appropriate care including final determination of HIV status. Previous research has demonstrated that depression is a barrier to retention in PMTCT programs and that perceived social support is a key facilitator

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