English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

# BackgroundLaunched in 2012 in Uganda and Zambia, *Saving Mothers, Giving Life* (SMGL) was a five-year initiative that aimed to improve access to and use of maternal and newborn health care services, as well as strengthen the quality of these services.# AimThis study compared the change in coverage of eight related maternal and child health (MCH) indicators between districts included in the SMGL initiative with the change in selected control areas. These indicators included four or more (4+) antenatal care (ANC) visits; two components of ANC including urine sample taken and blood pressure (BP) measured; postnatal care (PNC) by a skilled provider for the mother; and PNC by a skilled provider for the baby. For births in the preceding three years, we examined facility delivery, delivery with a skilled birth attendant (SBA), and Cesarean section (C-section delivery).# MethodsThe analysis used data from two Demographic and Health Surveys (DHS) conducted in Uganda, one immediately preceding the initiative (2011) and another in the final year of the initiative (2016). We employed a difference-in-differences analysis to estimate the significance of the difference in the change between the treatment and three different control areas for each indicator. Control areas one and two comprised accumulative districts immediately surrounding the treatment area. The third control area included all districts in the country outside of the treatment area.# ResultsThe results revealed that while respondents and their children in both the SMGL and control areas demonstrated significant improvements in MCH indicators between 2011 and 2016, the gains were largely not significantly different between the treatment and control areas, with the exception of two indicators: blood pressure measurement among women with ANC and births delivered by cesarean section.# ConclusionsAlthough the districts hosting the SMGL initiative did not exhibit improvements greater than those of the control areas, the analysis may be limited by the small sample sizes. National progress in Uganda is laudable; however, results of the difference-in-difference analysis should be interpreted with caution.

Using the Uganda Demographic and Health Surveys from 2011 and 2016 to assess changes in Saving Mothers, Giving Life intervention districts