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Can the Timed and Targeted Counseling Model Improve the Quality of Maternal and Newborn Health Care? A Process Analysis in the Rural Hoima District in Uganda

Author

Listed:
  • Geoffrey Babughirana

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 GT Maastricht, The Netherlands)

  • Sanne Gerards

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 GT Maastricht, The Netherlands)

  • Alex Mokori

    (Independent Researcher, 627 Ntinda, Kampala 10302, Uganda)

  • Isaac Charles Baigereza

    (World Vision International, Hoima Plot 15B, Nakasero Road, Kampala 5319, Uganda)

  • Alex Mukembo

    (World Vision International, Hoima Plot 15B, Nakasero Road, Kampala 5319, Uganda)

  • Grace Rukanda

    (Lutheran World Federation, Kyangwali Plot 1401 Gaba Road, Kampala 5827, Uganda)

  • Stef P. J. Kremers

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 GT Maastricht, The Netherlands)

  • Jessica Gubbels

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 GT Maastricht, The Netherlands)

Abstract

Each year, more than half a million women die worldwide from causes related to pregnancy and childbirth, and nearly 4 million newborns die within 28 days of birth. In Uganda, 15 women die every single day from pregnancy and childbirth-related causes, 94 babies are stillborn, and 81 newborn babies die. Cost-effective solutions for the continuum of care can be achieved through Village Health Teams to improve home care practices and health care-seeking behavior. This study aims at examining the implementation of the timed and targeted counseling (ttC) model, as well as improving maternal and newborn health care practices. We conducted a quantitative longitudinal study on pregnant mothers who were recruited on suspicion of the pregnancy and followed-up until six weeks post-delivery. The household register was the primary data source, which was collected through a secondary review of the ttC registers. All outcome and process variables were analyzed using descriptive statistics. The study enrolled 616 households from 64 villages across seven sub-counties in Hoima district with a 98.5% successful follow-up rate. Over the course of the implementation period of ttC, there was an increase of 29.6% in timely 1st antenatal care, 28.7% in essential newborn care, 25.5% in exclusive breastfeeding, and 17.5% in quality of antenatal care. All these improvements were statistically significant. The findings from this study show that the application of the ttC model through Village Health Teams has great potential to improve the quality of antenatal and newborn care and the health-seeking practices of pregnant and breastfeeding mothers in rural communities.

Suggested Citation

  • Geoffrey Babughirana & Sanne Gerards & Alex Mokori & Isaac Charles Baigereza & Alex Mukembo & Grace Rukanda & Stef P. J. Kremers & Jessica Gubbels, 2021. "Can the Timed and Targeted Counseling Model Improve the Quality of Maternal and Newborn Health Care? A Process Analysis in the Rural Hoima District in Uganda," IJERPH, MDPI, vol. 18(9), pages 1-15, April.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4410-:d:540410
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    References listed on IDEAS

    as
    1. Mildred E. Warner & Xue Zhang, 2020. "Healthy Places for Children: The Critical Role of Engagement, Common Vision, and Collaboration," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    2. Donela Besada & Daygan Eagar & Russel Rensburg & Gugu Shabangu & Salamina Hlahane & Emmanuelle Daviaud, 2020. "Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-19, January.
    Full references (including those not matched with items on IDEAS)

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