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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

Datos Bibliográficos

ID15465746
AutoresGeoffrey Babughirana (0000-0002-9946-1039, Maastricht University, autor de correspondencia), Sanne Gerards (0000-0003-1517-8584, Maastricht University), Alex Mokori (Independent Researcher, 627 Ntinda, Kampala 10302, Uganda), Isaac Charles Baigereza (World Health Organization - Uganda), Alex Mukembo (0009-0007-8798-6907, World Health Organization - Uganda), Grace Rukanda (0000-0002-6409-2798, World Health Organization - Uganda), Stef Kremer (0000-0002-7406-2779, Maastricht University), Stef P J Kremers (Maastricht University), Jessica Gubbels (0000-0001-9518-1913, Maastricht University), Jessica S Gubbels (0000-0002-9284-1725, Maastricht University)
Año2021
Volumen18
Número9
Páginas4410-4410
Fecha de publicación2021-04-21
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18094410
PMID33919191
OpenAlexW3157324322
IdiomaEN
Citas recibidas1
Referencias citadas22

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

Breastfeeding · Childbirth · Environmental health · Family medicine · Health care · Health facility · Health services · Obstetrics · Population · Postnatal Care · Pregnancy · Prenatal care · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Pediatrics

  • Evaluation planning for the timed and targeted care for families program in Eastern Visayas, Philippines

    Open Access•Yunhee Kang, Sherlyn Mae P Provido et al.•Frontiers in Public Health•2025

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    Open Access•Anna Haines, Andy Haines et al.•The Lancet•2007

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    Open Access•Tanya Guenther, Humphreys Nsona et al.•Journal of Global Health•2019

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    Open Access•Gertrude Namazzi, Peter Waiswa et al.•Global Health Action•2015

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    Open Access•Mildred E Warner, Xue Zhang•International Journal of…•2020

  • Assessing the Continuum of Care Pathway for Maternal Health in South Asia and Sub-Saharan Africa

    Open Access•Kavita Singh, William T Story et al.•Maternal and Child Health Journal•2015

Obras citantes distintas1
Citas por año1
Intervalo de citas2025 - 2025 (1)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 1
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