{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T10:40:13Z","timestamp":1696416013872},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2017,10]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To assess whether the implementation of a package of activities through the joint action of the three international healthcare professionals associations (HCPA<\/jats:styled-content>s) increased the use of intrapartum and postnatal essential interventions (EI<\/jats:styled-content>s) in two hospitals in Uganda.<\/jats:p><\/jats:sec>Methods<\/jats:title>A non\u2010controlled before\u2010and\u2010after study was undertaken to evaluate the effect of a package of activities designed to change practice relating to nine EI<\/jats:styled-content>s among providers. Coverage of the EI<\/jats:styled-content>s was measured in a 3\u2010month pre\u2010implementation period and a 3\u2010month post\u2010implementation period in 2014. Data were obtained for women older than 18\u00a0years who delivered vaginally or by cesarean.<\/jats:p><\/jats:sec>Results<\/jats:title>Overall, 4816 women were included. Level of use remained high for EI<\/jats:styled-content>s used widely at baseline. Some EI<\/jats:styled-content>s that had low use at baseline did not show improvement after the implementation. Promotion of breastfeeding showed a significant improvement in the Kampala hospital, from 8.5% (8\/94) to 25.6% (30\/117; P<\/jats:italic>=0.001), whereas promotion of hygiene in cord care improved at the Mbarara hospital, from 0.1% (2\/1592) to 46.0% (622\/1351; P<\/jats:italic><0.001).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>These exploratory results show that a package delivered through the joint work of the three HCPA<\/jats:styled-content>s was feasible to implement along with rigorous data collection. Although the data show disparities, trends suggest that improvement could be achieved.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12241","type":"journal-article","created":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T18:27:02Z","timestamp":1497983222000},"page":"107-113","source":"Crossref","is-referenced-by-count":8,"title":["Improving the quality of maternity services in Uganda through accelerated implementation of essential interventions by healthcare professional associations"],"prefix":"10.1002","volume":"139","author":[{"given":"Cintia","family":"Spira","sequence":"first","affiliation":[{"name":"Institute for Clinical Effectiveness and Health Policy Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amata","family":"Kwizera","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Jacob","sequence":"additional","affiliation":[{"name":"International Confederation of Midwives The Hague Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinah","family":"Amongin","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Health Sciences Busitema University Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Ngonzi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Technology Mbarara University of Science and Technology Kampala Uganda"},{"name":"Association of Obstetricians and Gynecologists of Uganda Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles P.","family":"Namisi","sequence":"additional","affiliation":[{"name":"St. Francis Hospital Nsambya Kampala Uganda"},{"name":"Infectious Disease Institute Makerere University College of Health Sciences School of Public Health Kampala Uganda"},{"name":"Uganda Paediatric Association Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romano","family":"Byaruhanga","sequence":"additional","affiliation":[{"name":"St. Francis Hospital Nsambya Kampala Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Rushwan","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Faculty of Health Sciences University of the Witwatersrand Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Day\u2010Stirk","sequence":"additional","affiliation":[{"name":"International Confederation of Midwives The Hague Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mabel","family":"Berrueta","sequence":"additional","affiliation":[{"name":"Institute for Clinical Effectiveness and Health Policy Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ezequiel","family":"Garc\u00eda\u2010Elorrio","sequence":"additional","affiliation":[{"name":"Institute for Clinical Effectiveness and Health Policy Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 M.","family":"Beliz\u00e1n","sequence":"additional","affiliation":[{"name":"Institute for Clinical Effectiveness and Health Policy Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"The Partnership for Maternal Newborn and Child Health.Essential Interventions Commodities and Guidelines for Reproductive Maternal Newborn and Child Health. A Global Review of the Key Interventions Related to Reproductive Maternal Newborn and Child health (RMNCH).2011.http:\/\/www.who.int\/pmnch\/topics\/part_publications\/essential_interventions_18_01_2012.pdf. Accessed June 8 2017."},{"key":"e_1_2_8_3_1","unstructured":"WHO UNICEF UNFPA World Bank Group and the United Nations Population Division.Trends in maternal mortality 1990\u20132015.2016: p. 56.http:\/\/www.who.int\/reproductivehealth\/publications\/monitoring\/maternal-mortality-2015\/en\/. Accessed June 8 2017."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta8060"},{"key":"e_1_2_8_5_1","unstructured":"JacobS KwizeraA.Essential interventions for safer maternal and newborn health: Guide to support implementation by practitioners.http:\/\/www.figo.org\/sites\/default\/files\/uploads\/project-publications\/PMNCH\/Guide%20booklet%20A5_Package%20of%20activities_Joint%20initiative%20EIs%20toolkit_FIGO%20ICM%20IPA%202014.pdf. Published2014. 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