Browsing by Author "Kanyesigye, Hamson"

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    Older age and higher parity are associated with nonuse of the partograph at Mbarara Regional Referral Hospital, Uganda
    (International Journal of Gynecology & Obstetrics, 2019) Lugobe, Henry Mark; Kanyesigye, Hamson; Mpiima, Derrick; Ssemujju, Augustine; Masinda, Abraham; Mulisya, Olivier; Twizerimana, Hillary; Bajunirwe, Francis; Mugyenyi, Godfrey
    A retrospective review of medical records from mothers admitted to MRRH's postnatal ward between October 2016 and March 2017. Partograph use and whether it had been completed to standard were analyzed.Of 527 study participants, 409 (77.6%) records contained a partograph, of which only 17 (4.2%) had been completed to standard. Parameters most commonly completed to standard were monitoring of cervical dilatation (n=41, 10%), fetal heart rate (n=21, 5.1%), and uterine contractions (n=18, 4.4%). Age older than 30 years (prevalence ratio 1.73; 95% CI, 1.14–2.64) and parity greater than or equal to five (prevalence ratio 1.88; 95% CI, 1.19–2.98) were associated with nonuse of the partograph. Birth outcome was recorded in 98.8% (n=404) of partographs.Appropriate use of the partograph to monitor mothers in labor was extremely low; most common use was to record birth outcomes. Older mothers and those with higher parity were less likely to have their labor monitored using a partograph and should be targeted for partograph interventions.
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    Will district health centres use preloaded cell phones for pre-referral phone calls for women in labour: a randomized pilot study at Mbarara Regional Referral Hospital in southwest Uganda
    (Canadian Journal of Public Health, 2019) Kanyesigye, Hamson; Muhwezi, Obed; Kazungu, Christine; Kemigisha, Elizabeth; Woolcott, Christy
    Uganda is one of the developing countries with high maternal and infant mortality rates; maternal, 336 per 100,000 live births and infant, 43 per 1000 births respectively in 2016 (UDHS 2016). Adverse maternal-fetal outcomes in developing countries are primarily related to three delays: time to decision to seek health care, access to health services, and timely intervention at the health facility (Pacagnella et al. 2014; Thaddeus and Maine 1994). Given the high mortality rates in Uganda, there is a big need for improvement. Cell phone technology has been used in other African settings to potentially improve maternity care and referral systems (Oyeyemi and Wynn 2015; Lund et al. 2014; Murray and Pearson 2006). However, these interventions have centred on providing pregnant women with cell phones, an expensive intervention. Resources for such a large scale intervention are not readily available in our setting in southwest Uganda. We therefore piloted a more modest intervention, providing a mobile phone and recharged credit to the local health centre for the purpose of a pre-referral phone call to a dedicated number at the major regional referral hospital.