Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here?
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Date
2024-02-11
Journal Title
Journal ISSN
Volume Title
Publisher
World Bank Group
Abstract
In Uganda, conditions in reproductive, maternal, newborn, child, and
adolescent health (RMNCAH) remain the primary drivers of morbidity and
mortality, accounting for 60 percent of years of life lost. The high burden of
these conditions can be attributed to a poor quality of care resulting from
inadequate financial, human, and material resources compounded by weak
multisectoral coordination. Moreover, the country’s high population growth
rate and a young population imply that RMNCAH service delivery will continue
to dominate health sector reforms—even with the increasing prevalence of
noncommunicable and infectious diseases. Over the past two decades, Uganda has focused on improving the quality
of RMNCAH service delivery, leading to declines in the maternal, infant, and
under-five mortality ratios and the increased use of modern contraception
among married women. However, the neonatal mortality and teenage
pregnancy rates have stagnated, and the low civil registration of births and
deaths remains challenging. "Investing in Reproductive, Maternal, Newborn, Child, and Adolescent
Health in Uganda: What Have We Learned, and Where Do We Go from Here?" comprises 12 studies conducted as part of the RMNCAH Operational Research
Program drafted between 2019 and 2021 and finalized and disseminated in
October 2022 across 45 districts of Uganda with funding from Sweden and
the World Bank. These studies underscore important lessons learned and offer
suggestions for enhancing the delivery of RMNCAH interventions. Each chapter
represents one study and discusses service delivery, the health workforce,
financing, health information systems, and governance and leadership. Two
appendixes summarize key findings and recommendations and explain the
roles of key stakeholders in the RMNCAH Operational Research Program.
Description
Keywords
Reproductive; Maternal, Newborn, Child, Adolescent Health in Uganda
Citation
'Mensah, Julia; Kiirya, Stephen Kisembe; Asege Ekochu, Elizabeth; Ayiko, Rogers; Hayes, Brendan Michael; Chansa, Collins; Crabbe, Richard; DeFrancis, Marc. 2024. Investing in Reproductive, Maternal, Newborn, Child, and Adolescent Health in Uganda: What Have We Learned, and Where Do We Go from Here?. International Development in Focus. © Washington, DC: World Bank. http://hdl.handle.net/10986/41033 License: CC BY 3.0 IGO.”