Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey
Background : Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women's reported receipt of seven of the Uganda gui...
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ftunivgent:oai:archive.ugent.be:8679957 2023-06-11T04:17:29+02:00 Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey Ssetaala, Ali Nabawanuka, Joan Matovu, Gideon Nakiragga, Nusula Namugga, Judith Nalubega, Phiona Kaluuma, Henry Lutalo Chinyenze, Kundai Perehudoff, Katrina Michielsen, Kristien Bagaya, Bernard Price, Matt Kiwanuka, Noah Degomme, Olivier 2020 application/pdf https://biblio.ugent.be/publication/8679957 http://hdl.handle.net/1854/LU-8679957 https://doi.org/10.1186/s12913-020-05739-9 https://biblio.ugent.be/publication/8679957/file/8703582 eng eng https://biblio.ugent.be/publication/8679957 http://hdl.handle.net/1854/LU-8679957 http://dx.doi.org/10.1186/s12913-020-05739-9 https://biblio.ugent.be/publication/8679957/file/8703582 Creative Commons Attribution 4.0 International Public License (CC-BY 4.0) info:eu-repo/semantics/openAccess BMC HEALTH SERVICES RESEARCH ISSN: 1472-6963 Medicine and Health Sciences MATERNAL MORTALITY PREGNANCY HEALTH QUALITY Antenatal care Components Women Islands Fishing Community Uganda journalArticle info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2020 ftunivgent https://doi.org/10.1186/s12913-020-05739-9 2023-05-10T22:50:57Z Background : Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women's reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district. Methods : A cross sectional survey among 486 consenting women aged 15-49years, who were pregnant at any time in the past 6months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results : Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P <0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR=1.8; 95% CI:0.9-3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR=3.2; 95% CI:1.1-9.1). Conclusions : We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities.Trial registrationPACTR201903906459874 (Retrospectively registered). Article in Journal/Newspaper Victoria Island Ghent University Academic Bibliography BMC Health Services Research 20 1 |
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Open Polar |
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Ghent University Academic Bibliography |
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ftunivgent |
language |
English |
topic |
Medicine and Health Sciences MATERNAL MORTALITY PREGNANCY HEALTH QUALITY Antenatal care Components Women Islands Fishing Community Uganda |
spellingShingle |
Medicine and Health Sciences MATERNAL MORTALITY PREGNANCY HEALTH QUALITY Antenatal care Components Women Islands Fishing Community Uganda Ssetaala, Ali Nabawanuka, Joan Matovu, Gideon Nakiragga, Nusula Namugga, Judith Nalubega, Phiona Kaluuma, Henry Lutalo Chinyenze, Kundai Perehudoff, Katrina Michielsen, Kristien Bagaya, Bernard Price, Matt Kiwanuka, Noah Degomme, Olivier Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
topic_facet |
Medicine and Health Sciences MATERNAL MORTALITY PREGNANCY HEALTH QUALITY Antenatal care Components Women Islands Fishing Community Uganda |
description |
Background : Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women's reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district. Methods : A cross sectional survey among 486 consenting women aged 15-49years, who were pregnant at any time in the past 6months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results : Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P <0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR=1.8; 95% CI:0.9-3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR=3.2; 95% CI:1.1-9.1). Conclusions : We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities.Trial registrationPACTR201903906459874 (Retrospectively registered). |
format |
Article in Journal/Newspaper |
author |
Ssetaala, Ali Nabawanuka, Joan Matovu, Gideon Nakiragga, Nusula Namugga, Judith Nalubega, Phiona Kaluuma, Henry Lutalo Chinyenze, Kundai Perehudoff, Katrina Michielsen, Kristien Bagaya, Bernard Price, Matt Kiwanuka, Noah Degomme, Olivier |
author_facet |
Ssetaala, Ali Nabawanuka, Joan Matovu, Gideon Nakiragga, Nusula Namugga, Judith Nalubega, Phiona Kaluuma, Henry Lutalo Chinyenze, Kundai Perehudoff, Katrina Michielsen, Kristien Bagaya, Bernard Price, Matt Kiwanuka, Noah Degomme, Olivier |
author_sort |
Ssetaala, Ali |
title |
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
title_short |
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
title_full |
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
title_fullStr |
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
title_full_unstemmed |
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda : a cross sectional survey |
title_sort |
components of antenatal care received by women in fishing communities on lake victoria, uganda : a cross sectional survey |
publishDate |
2020 |
url |
https://biblio.ugent.be/publication/8679957 http://hdl.handle.net/1854/LU-8679957 https://doi.org/10.1186/s12913-020-05739-9 https://biblio.ugent.be/publication/8679957/file/8703582 |
genre |
Victoria Island |
genre_facet |
Victoria Island |
op_source |
BMC HEALTH SERVICES RESEARCH ISSN: 1472-6963 |
op_relation |
https://biblio.ugent.be/publication/8679957 http://hdl.handle.net/1854/LU-8679957 http://dx.doi.org/10.1186/s12913-020-05739-9 https://biblio.ugent.be/publication/8679957/file/8703582 |
op_rights |
Creative Commons Attribution 4.0 International Public License (CC-BY 4.0) info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12913-020-05739-9 |
container_title |
BMC Health Services Research |
container_volume |
20 |
container_issue |
1 |
_version_ |
1768376726387163136 |