Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey

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dc.contributor.authorSsetaala, Ali
dc.contributor.authorSsempiira, Julius
dc.contributor.authorNanyonjo, Gertrude
dc.contributor.authorOkech, Brenda
dc.contributor.authorChinyenze, Kundai
dc.contributor.authorBagaya, Bernard
dc.contributor.authorPrice, Matt A.
dc.contributor.authorKiwanuka, Noah
dc.contributor.authorDegomme, Olivier
dc.date.accessioned2022-05-08T09:51:20Z
dc.date.available2022-05-08T09:51:20Z
dc.date.issued2021
dc.description.abstractMaternal mortality is still a challenge in Uganda, at 336 deaths per 100,000 live births, especially in rural hard to reach communities. Distance to a health facility influences maternal deaths. We explored women’s mobility for maternal health, distances travelled for antenatal care (ANC) and childbirth among hard-to-reach Lake Victoria islands fishing communities (FCs) of Kalangala district, Uganda. Methods: A cross sectional survey among 450 consenting women aged 15–49 years, with a prior childbirth was conducted in 6 islands FCs, during January-May 2018. Data was collected on socio-demographics, ANC, birth attendance, and distances travelled from residence to ANC or childbirth during the most recent childbirth. Regression modeling was used to determine factors associated with over 5 km travel distance and mobility for childbirth. Results: The majority of women were residing in communities with a government (public) health facility [84.2 %, (379/450)]. Most ANC was at facilities within 5 km distance [72 %, (157/218)], while most women had travelled outside their communities for childbirth [58.9 %, (265/450)]. The longest distance travelled was 257.5 km for ANC and 426 km for childbirth attendance. Travel of over 5 km for childbirth was associated with adolescent girls and young women (AGYW) [AOR = 1.9, 95 % CI (1.1–3.6)], up to five years residency duration [AOR = 1.8, 95 % CI (1.0-3.3)], and absence of a public health facility in the community [AOR = 6.1, 95 % CI (1.4–27.1)]. Women who had stayed in the communities for up to 5 years [AOR = 3.0, 95 % CI (1.3–6.7)], those whose partners had completed at least eight years of formal education [AOR = 2.2, 95 % CI (1.0-4.7)], and those with up to one lifetime birth [AOR = 6.0, 95 % CI (2.0-18.1)] were likely to have moved to away from their communities for childbirth. Conclusions: Despite most women who attended ANC doing so within their communities, we observed that majority chose to give birth outside their communities. Longer travel distances were more likely among AGYW, among shorter term community residents and where public health facilities were absent.en_US
dc.identifier.citationSsetaala, A., Ssempiira, J., Nanyonjo, G., Okech, B., Chinyenze, K., Bagaya, B., ... & Degomme, O. (2021). Mobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional survey. BMC health services research, 21(1), 1-11. https://doi.org/10.1186/s12913-021-06973-5en_US
dc.identifier.urihttps://doi.org/10.1186/s12913-021-06973-5
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3205
dc.language.isoenen_US
dc.publisherBMC health services researchen_US
dc.subjectMobilityen_US
dc.subjectDistanceen_US
dc.subjectChildbirthen_US
dc.subjectWomenen_US
dc.subjectIslanden_US
dc.subjectFishingen_US
dc.subjectCommunitiesen_US
dc.subjectUgandaen_US
dc.titleMobility for maternal health among women in hard-to-reach fishing communities on Lake Victoria, Uganda; a community-based cross-sectional surveyen_US
dc.typeArticleen_US
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