Authors: Waiswa P, Peterson SS, Namazzi G, Ekirapa EK, Naikoba S, Byaruhanga R, Kiguli J, Kallander K, Tagoola A, Nakakeeto M, Pariyo G.
Studies in Asia and South America have shown that neonatal mortality can be reduced through community-based interventions, but these have not been adapted to scalable intervention packages for sub-Saharan Africa where the culture, health system and policy environment is different. The aim of the present study is to adapt, develop and cost an integrated maternal-newborn care package that links community and facility care, and to evaluate its effect on maternal and neonatal practices in order to inform policy and scale-up in Uganda. Through formative research around evidence-based practices, and dialogue with policy and technical advisers, we constructed a home-based neonatal care package implemented by a Community Health Worker (CHW). This CHW was trained to identify pregnant women and make five home visits – two before and three just after birth – so that linkages will be made to facility care and targeted messages for home-care and care-seeking delivered. UNEST is designed to directly feed into the operationalization of maternal and newborn care in the national VHT strategy, thereby helping to inform scale-up in rural Uganda.
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Resource Topic: Birth Preparedness, CHW Role, Care Teams, Community Case Management, Community Health Workers/Volunteers, Maternal, Newborn and Child Health, Reproductive Health/Family Planning
Resource Type: Evaluation, Journal articles, Research
Year: 2012
Region:
Country: Uganda
Publisher May Restrict Access: No