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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Newborn survival in Uganda: A decade of change and future implications
Health Policy and Planning, Volume 27, No. SUPPL.3, Year 2012
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Description
Each year in Uganda 141 000 children die before reaching their fifth birthday; 26 of these children die in their first month of life. In a setting of persistently high fertility rates, a crisis in human resources for health and a recent history of civil unrest, Uganda has prioritized Millennium Development Goals 4 and 5 for child and maternal survival. As part of a multi-country analysis we examined change for newborn survival over the past decade through mortality and health system coverage indicators as well as national and donor funding for health, and policy and programme change. Between 2000 and 2010 Uganda's neonatal mortality rate reduced by 2.2 per year, which is greater than the regional average rate of decline but slower than national reductions in maternal mortality and under-five mortality after the neonatal period. While existing population-based data are insufficient to measure national changes in coverage and quality of services, national attention for maternal and child health has been clear and authorized from the highest levels. Attention and policy change for newborn health is comparatively recent. This recognized gap has led to a specific focus on newborn health through a national Newborn Steering Committee, which has been given a mandate from the Ministry of Health to advise on newborn survival issues since 2006. This multi-disciplinary and inter-agency network of stakeholders has been able to preside over a number of important policy changes at the level of facility care, education and training, community-based service delivery through Village Health Teams and changes to essential drugs and commodities. The committee's comprehensive reach has enabled rapid policy change and increased attention to newborn survival in a relatively short space of time. Translating this favourable policy environment into district-level implementation and high quality services is now the priority. © 2012 The Author.
Authors & Co-Authors
Mbonye, Anthony Kabanza
Uganda, Kampala
Uganda Ministry of Health
Sentongo, Miriam
Uganda, Kampala
Uganda Ministry of Health
Mukasa, Gelasius K.
Uganda, Kampala
International Baby Food Action Network
Byaruhanga, Romano Nkumbwa B.
Uganda, Kampala
Nsambya Hospital
Sentumbwe-Mugisa, Olive
Uganda, Kampala
Who
Waiswa, Peter P.
Uganda, Kampala
Makerere University School of Public Health
Sweden, Stockholm
Karolinska Institutet
Uganda, Iganga
Iganga-mayugye Health and Demographic Surveillance Site
Sengendo, Hanifah Naamala
United Kingdom, London
Save the Children Fund
Aliganyira, Patrick
United Kingdom, London
Save the Children Fund
Nakakeeto, Margaret K.
Uganda, Kampala
Child Health Advocacy International
Lawn, Joy E.
United Kingdom, London
Save the Children Fund
Kerber, Kate J.
United Kingdom, London
Save the Children Fund
South Africa, Bellville
University of the Western Cape
Statistics
Citations: 187
Authors: 11
Affiliations: 10
Identifiers
Doi:
10.1093/heapol/czs045
e-ISSN:
14602237
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Uganda