Abstract

No abstract available. (Published: 31 March 2015) Citation : Glob Health Action 2015, 8 : 27363 - http://dx.doi.org/10.3402/gha.v8.27363 SPECIAL ISSUE : This paper is part of the Special Issue: Newborn health in Uganda . More papers from this issue can be found at http://www.globalhealthaction.net

Highlights

  • Care for women and babies before, during, and after the time of birth is a sensitive measure of the functionality of any health system

  • Home visits were pro-poor, with more women in the poorest quintile visited by a community health workers (CHWs) compared to families in the least poor quintile, and more women who delivered at home visited by a CHW after birth (73.6%) compared to those who delivered in a hospital or health facility (59.7%) (p B0.001)

  • The home visit package was propoor, with more women in the poorest quintile visited by a CHW compared to families in the least poor quintile, and more women who delivered at home visited by a CHW after birth compared to those who delivered in a hospital or health facility

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Summary

Introduction

Care for women and babies before, during, and after the time of birth is a sensitive measure of the functionality of any health system. Objective: To assess the effect of a home visit strategy combined with health facility strengthening on uptake of newborn care-seeking, practices and services, and to link the results to national policy and scale-up in Uganda. Objective: This study assessed changes in selected newborn care practices over time in pilot programme areas in four countries and evaluated whether women who received home visits during pregnancy were more likely to report use of three key practices. Generalised linear models were used to assess the relationship between the main independent variable Á home visit from a community health worker (CHW) during pregnancy (0, 1Á2, 3') Á and use of selected practices while controlling for antenatal care, place of delivery, and maternal age and education. Programmes must take advantage of increasing facility delivery rates to ensure that all babies benefit from these practices

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