contact us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right.

         

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

Publications

Filtering by Category: MakSPH

Saving money, saving lives: community saving groups lead to improvements in maternal and newborn health care in Uganda

Future Health Systems

Future Health Systems (FHS) work on maternal and newborn health in the poorest districts of eastern Uganda has contributed to a story of community empowerment where people have learnt to prioritise, prepare and save money for childbirth. This increases the likelihood of delivery in a health facility, and therefore the chances of a healthy pregnancy and safe childbirth under skilled care.

Working with health workers to improve maternal health services

Future Health Systems

Poor quality of maternal and newborn health services in Uganda have resulted in low maternal health service utilisation and high newborn mortality rates, both at home and at health facilities. The support Future Health Systems (FHS) provided to health workers to improve maternal health service delivery illustrates how a package of interventions that equips health workers with the necessary knowledge, skills and equipment, supplies and other non-financial incentives can improve the quality of maternal and newborn health service delivery.

MANIFEST Issue Brief 9: What a highly effective VHT for maternal and newborn health looks like

Future Health Systems

Makerere University School of Public health in collaboration with Ministry of Health and the three districts of Kamuli, Pallisa and Kibuku designed and implemented a four year (2012-2015) maternal and newborn study (MANIFEST) that aimed at improving access to institutionalized deliveries. One of the study components was community mobilization through use of Village Health Teams (VHTs), essentially community health workers. The VHTs were trained for five days and supervised by district level health workers and district health team (DHT) members with support from external trainers following a training of trainers (TOT). The VHTs effectively sensitized communities and improved awareness on birth preparedness, knowledge of danger signs and health facility service utilization. This brief therefore highlights the key characteristics of a good performing VHT based on observations of VHT performances over three years of implementation.

Read More

MANIFEST Issue Brief 8: Supporting Local Saving groups improves financial management and their savings

Future Health Systems

Women in resource constrained settings often fail to seek care because of inadequate money, even though they often belong to small financial social networks where they save to help each other during funerals, buy meat during festive days, and contribute to wedding preparations among many other things. The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study implemented in the districts of Kamuli, Kibuku and Pallisa exploited this opportunity by encouraging households to join existing financial social networks where households can save money, such as women’s saving groups, burial groups and financial circles, for maternal health. This Issue Brief outlines the key messages and recommendations from MANIFEST's experience.

Read More

MANIFEST Issue Brief 7: Using integrated strategies can help improve knowledge of maternal & newborn danger signs and service utilization

Future Health Systems

Reducing maternal and newborn deaths has been a key goal for the Government of Uganda. Focus has been put on increasing access to reproductive health services including antenatal care and skilled birth attendance. Reducing maternal and newborn deaths cannot be solely achieved through increasing access to reproductive health services and skilled birth attendance. 

This brief shares key findings under the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study in both the intervention and control area. Integrated strategies were implemented to reduce maternal and newborn deaths in the districts of Kamuli, Kibuku and Pallisa, in Eastern Uganda.

Read More

MANIFEST Issue Brief 5: Mentorship Contributes to Quality Improvement in Maternal and Newborn Care, Health Worker Motivation

Future Health Systems

Mentorship is deliberate pairing of a more skilled or experienced person with a lesser skilled or inexperienced one, with the agreed-upon goal of having the less experienced person to grow and develop specific competencies. Here, the more experienced (Mentor) guides the less experienced (Mentee) in the development of specific professional knowledge and skills which will promote personal and professional development of the mentee. This Brief is based on lessons learned from mentors and mentees following a one year mentorship exercise in three districts in Eastern Uganda.

Read More

MANIFEST Issue Brief 4: Good Practices for District Health Teams to Improve Quality of Service Delivery: Lessons from MANIFEST

Future Health Systems

This MANIFEST Issue Brief shares lessons learned on how to enhance the commitment of district health teams, and presents the findings from quarterly district implementation committee review meeting minutes (four from each district), interviews with nine district health team members and observations made by the research team during the implementation of the project.

Read More

MANIFEST Issue Brief 3: Professionalizing the Cadre of Facility Health Managers

Future Health Systems

Under the decentralized system of governance, health facilities are not only points of delivery but also hold resources that require management. The findings of this issue brief are based on 22 key informant interviews undertaken among health facility managers and select district health team members of three rural districts in Eastern Uganda. Pallisa, Kibuku and Kamuli were the districts in which Makerere University School of Public Health, through the MANIFEST study, intervened to improve management practices among health facility managers among other things.

Read More

MANIFEST Issue Brief 2: Focussed Consistent Supportive Supervision Improves Management and Performance at Facility Level

Future Health Systems

In order to enhance quality of maternal and newborn care, the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study team championed a support supervision programme in Kamuli, Kibuku and Pallisa Districts. This MANIFEST Issue Brief outlines the issue, the MANIFEST experience and the results.

Read More

MANIFEST Research Brief: Improving maternal and newborn health outcomes in Kamuli, Kibuku and Pallisa Districts in Eastern Uganda

Future Health Systems

This MANIFEST Research brief presents some of the key results from the end line survey of the 4-year study which aimed at contributing to the reduction of maternal and neonatal deaths through the use of a participatory action research approach.

Read More

Supporting youth and community capacity through photovoice: Reflections on participatory research on maternal health in Wakiso district, Uganda

Future Health Systems

Musoke, D; Ndejjo, R; Ekirapa-Kiracho, E and George, AS (2016) Supporting youth and community capacity through photovoice: Reflections on participatory research on maternal health in Wakiso district, Uganda, Global Public Health, DOI:10.1080/17441692.2016.1168864

This paper reflects on the experiences of using photovoice to examine maternal health in Wakiso district, Uganda. The project involved 10 youth aged 18–29 years old, who were diverse in education, occupation, and marital status and identified by community leaders with researchers. By taking photos and sharing images and experiences in monthly meetings over five months, youth reported becoming more knowledgeable. They realised that they had common experiences but also reflected on and reinterpreted their circumstances.

Read More

Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda

Future Health Systems

Musoke D., Ekirapa-Kiracho E., Ndejjo R. and George A. (2015) Using photovoice to examine community level barriers affecting maternal health in rural Wakiso district, Uganda, Reproductive Health Matters, 23(45):136-47, doi: 10.1016/j.rhm.2015.06.011

Uganda continues to have poor maternal health indicators including a high maternal mortality ratio. This paper explores community level barriers affecting maternal health in rural Wakiso district, Uganda. Using photovoice, a community-based participatory research approach, over a five-month period, ten young community members aged 18-29 years took photographs and analysed them, developing an understanding of the emerging issues and engaging in community dialogue on them. Photovoice's strength is in generating evidence by community members in ways that articulate their perspectives, support local action and allow direct communication with stakeholders.

Read More

Lessons learnt during the process of setup and implementation of the voucher scheme in Eastern Uganda: a mixed methods study

Future Health Systems

In spite of the investments made by the Ugandan Government, the utilisation of maternal health services has remained low, resulting in a high maternal mortality (438 maternal deaths per 100,000 live births). Aiming to reduce poor women’s constraints to the utilisation of services, an intervention consisting of a voucher scheme and health system strengthening was implemented. This paper presents the lessons learnt during the setup and implementation of the intervention in Eastern Uganda, in order to inform the design and scale up of similar future interventions.

Read More

What Lessons for Sustainability of Maternal Health Interventions Can Be Drawn from Rural Water And Sanitation Projects? Perspectives from Eastern Uganda

Future Health Systems

Sustainability of health interventions is a global concern, as program benefits are lost as soon as programs lose donor funding. An assessment of the Uganda Rural Water and Sanitation (RUWASA) project revealed that program gains can be sustained decades later. The authors of this journal article analysed RUWASA implementation to draw sustainability lessons for maternal and child health interventions in Uganda and found that community engagement, contributions, use of structures and ownership of RUWASA was critical for the sustainability of the intervention.

Read More

Productive Global Health Research from Africa: It Takes More

Future Health Systems

In this editorial in the International Journal of Public Health, Peter Waiswa, Makerere University School of Public Health, Uganda, says that without significant and sustained building of African research capacity, progress towards achieving development goals and overcoming health challenges will be difficult.

Read More

MANIFEST Progress Brief 3: Mentorship Contributes to Quality Improvement in Maternal and Newborn Care, Health Worker Motivation

Future Health Systems

The concept of clinical mentorship is increasingly becoming important in order to improve the delivery of quality healthcare services.  This MANIFEST Progress Brief is based on perspectives of mentors and mentees following a six month mentorship exercise in the districts of Kamuli, Kibuku and Pallisa in eastern Uganda. It outlines the issue, the approach taken, preliminary results, a summary of findings, improvements in clinical care, administrative improvements and challenges. 

Read More

MANIFEST Progress Brief 2: Working with Communities to Save Money for Meeting Maternal and Newborn Needs

Future Health Systems

This Progress Brief looks at the component of the MANIFEST study that aims to  increase financial and physical access to maternal health services by promoting financial preparedness as well as availability of routine and referral transport. It outlines the approach taken, the preliminary findings, the challenges and the lessons learnt.

Read More

MANIFEST Progress Brief 1: Village Health Teams (VHTs) are an Important Resource for Community Mobilization and Health Information

Future Health Systems

This Progress Brief brief highlights implementation experiences from the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study using VHTs to stimulate demand for maternal and newborn health services. It outlines the approach taken, preliminary findings, challenges and lessons learnt.

Read More