Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices: a quasi-experimental study in three rural Ugandan districts

摘要

Background: The MANIFEST study in eastern Uganda employed a participatory multisectoral approach to reduce barriers to access to maternal and newborn care services.Objectives: This study analyses the effect of the intervention on the utilization of maternal and newborn services and care practices.Methods: The quasi-experimental pre- and post-comparison design had two main components: community mobilization and empowerment, and health provider capacity building. The primary outcomes were utilization of antenatal care (ANC), delivery and postnatal care, and newborn care practices. Baseline (n?=?2237) and endline (n?=?1946) data were collected from women of reproductive age. The ?data was analysed using difference in differences (DiD) analysis and ?logistic regression.Results: The DiD results revealed an 8% difference in early ANC attendance (p??0.01) and facility delivery (p??0.01). Facility delivery increased from 66% to 73% in the intervention area, but remained unchanged in the comparison area ...