Strengthening Kampala’s Urban Referral System for Maternal and Newborn Care Through Establishment of an Emergency Call and Dispatch Center

Ononge, Sam; Magunda, Andrew; Balaba, Dorothy; Waiswa, Peter; Okello, Daniel; Kaula, Henry; Zalwango, Sara; Bua, Douglas Akii; Ayebare, Amable; Kaharuza, Frank; Bennett, Cudjoe; Sulzbach, Sara; Keller, Brett; Mugerwa, Yvonne

doi:10.9745/ghsp-d-22-00332

Glob Health Sci Pract

2023

DOI: 10.9745/ghsp-d-22-00332

|View full text |Cite

Strengthening Kampala’s Urban Referral System for Maternal and Newborn Care Through Establishment of an Emergency Call and Dispatch Center

Sam Ononge,

Andrew Magunda,

Dorothy Balaba

et al.

Abstract: An emergency call and ambulance dispatch center facilitated maternal and newborn transport, and a smartphone application helped deploy and track ambulances to improve coordination and efficiency in emergency case referral and transport.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article2

Relationship

Self Cite1

Independent1

Authors

Journals

Cited by 2 publications

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Maternal health in cities: analysis of institutional maternal mortality and health system bottlenecks in Kampala City Uganda, 2016-2021

Birabwa,

Banke-Thomas,

Waiswa

et al. 2024

Journal of Global Health Reports

Self Cite

View full text Add to dashboard Cite

Background Recent estimates have shown a stagnation in maternal mortality reduction globally. Levels and trends in maternal mortality in urban settings in Africa are of interest due to health system challenges posed by rapid urbanisation. Given the high percentage of births occurring in city health facilities, tracking the institutional maternal mortality ratio (IMMR) can reveal key performance issues. We described the trends in IMMR between 2016 and 2021, and the causes and characteristics of maternal deaths in Kampala, Uganda. Methods This retrospective study utilised routine data from all facilities in Kampala that provided childbirth services from 2016 to 2021. Three key variables were used: number of deliveries, live births, and maternal deaths. Additionally, from medical records in three purposively selected hospitals, we extracted information on characteristics of women recorded as maternal deaths and their causes for the period 2016-2021 from death notification and review forms. We conducted descriptive analysis and assessed time trends in IMMR. Results For the six-year period, the Kampala-level IMMR was 189/100,000 deliveries (194/100,000 livebirths). The IMMR declined from 213 (2016) to 109/100,000 deliveries in 2019 (p=0.04) and then increased to 258 in 2021 (p=0.12). A review of 358 maternal death records showed that 65% of deaths were women referred from other health facilities, and 47% lived in the surrounding district (Wakiso). Obstetric haemorrhage (44%) and hypertensive disorders in pregnancy (28%) were the most commonly recorded causes of death. Health system factors such as lack of blood and other supplies contributed to 65% of the deaths reviewed. Conclusions IMMR in Kampala increased from 2019-2021. Health infrastructure changes and maternal health initiatives potentially accounted for the observed trend by affecting data quality. Referral and facility readiness were underlying reasons for maternal deaths. Addressing bottlenecks in emergency referral processes may contribute to mortality reduction. Further research should determine the relative contribution of key influences on mortality levels and examine the dynamics between women’s care-seeking pathways and service delivery arrangements for emergency obstetric care in urban settings.

show abstract

Maternal health in cities: analysis of institutional maternal mortality and health system bottlenecks in Kampala City Uganda, 2016-2021

Birabwa,

Banke-Thomas,

Waiswa

et al. 2024

Journal of Global Health Reports

Self Cite

View full text Add to dashboard Cite

show abstract

Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways

Birabwa,

Beňová,

van Olmen

et al. 2024

Glob Health Sci Pract

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Strengthening Kampala’s Urban Referral System for Maternal and Newborn Care Through Establishment of an Emergency Call and Dispatch Center

Abstract: An emergency call and ambulance dispatch center facilitated maternal and newborn transport, and a smartphone application helped deploy and track ambulances to improve coordination and efficiency in emergency case referral and transport.

Cited by 2 publications

References 42 publications

Maternal health in cities: analysis of institutional maternal mortality and health system bottlenecks in Kampala City Uganda, 2016-2021

Maternal health in cities: analysis of institutional maternal mortality and health system bottlenecks in Kampala City Uganda, 2016-2021

Emergency Obstetric Care Access Dynamics in Kampala City, Uganda: Analysis of Women’s Self-Reported Care-Seeking Pathways

Contact Info

Product

Resources

About