Training of Mothers for Attitude Change to Support Community- Based Referrals for Maternal Outcome in East-Central Uganda
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Date
2020
Authors
Muluya, Kharim Mwebaza
Kithuka, Peter
Kibaara, Kenneth Rucha
Mugisha, John Francis
Muwanguzi, David Gangu
Otieno, George Ochieng
Wananda, Irene
Journal Title
Journal ISSN
Volume Title
Publisher
direct research publisher
Abstract
In many developing countries, vehicle and
motorcycle ambulances have been secured to transport mothers
to health centres and the Village Health Teams (VHTs) have been
involved in the community referral processes. However, the
willingness of mothers to embrace the referral system is still a
challenge. The consequences are dire with low health facilitybased
deliveries and escalating maternal mortality ratio (MMR)
and infant mortality rates (IMR) in Uganda. The East-Central
study investigated the attitude of mothers towards the use of local
motorcycle (boda-boda) transport as a community-based referral
means to health centres for a better maternal outcome (deliveries
at health centres). A non randomized control trial study design of
intervention was conducted in Iganga and Bugiri districts of East-
Central Uganda. The study population consisted of 503 mothers
(255 in the intervention arm and 248 in the control arm)
randomly selected. Self-administered structured questionnaires,
in-depth and key informant interviews and focus group
discussions were used to collect both quantitative and qualitative
data. Quantitative data were analyzed using STATA version 14.
Thematic analysis was done using atlas Ti 7 software. Mothers
with a positive attitude were 56.962 times more likely to deliver
from health centres compared to those with negative attitude and
was statistically significant (p=0.000). The average value to
determine the change effect on using the difference-in-difference
(DID) model was -0.654 and statistically significant (p=0.000). The
positive attitude of mothers towards the comfort of boda-boda
transport for mothers to health centres to deliver was statistically
significant (p=0.011; OR=8.352; CI= 1.620 – 43.048). Massively,
mothers are encouraged to contact boda-boda riders for transport
services. The quality of boda-boda transport services should be
good to enable mothers to change their mindset and positively
embrace boda-boda transport for better maternal outcome.
Description
article
Keywords
Attitude, maternal outcomes, comfort of boda-boda, community-based referrals
Citation
Kithuka, P., Ochieng, O. G., Muwanguzi, D. G., Mugisha, J. F., Muluya, K. M., Wananda, I., & Kibaara, K. R. (2020). Training of Mothers for Attitude Change to Support Community Based Referrals for Maternal Outcome in East-Central Uganda.